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Volume 3, Issue 3, An Issue of Hospital Medicine Clinics, E-Book

Volume 3, Issue 3, An Issue of Hospital Medicine Clinics, E-Book

Christopher Kim

(2014)

Additional Information

Book Details

Abstract

This online Clinics series provides evidence-based answers to clinical questions the practicing hospitalist faces daily. The eleventh issue in our growing online database, edited by Christopher Kim, covers essential updates in the following topics: diagnosis and management of valvular heart disease, sepsis, infections in hospitalized immunocompromised patients, acid base disorders, subacute bacterial peritonitis, delirium, acute pain, and ophthalmologic emergencies, as well as transfusion medicine and hospital-based QI initiatives.

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
Contributors A1
Consulting Editor A1
Editor A1
Authors A1
Contents A4
Hospital Medicine Clinics\r A7
Foreword A8
Preface A9
Diagnosis and Management of Valvular Heart Disease e305
Aortic stenosis e306
Aortic regurgitation e312
Mitral stenosis e316
Mitral regurgitation e321
Right-sided valvular heart disease e326
References e328
Diagnosis and Management of Acid-Base Disorders e334
Case examples of acid-base disorders e345
Case 1 e345
Case 2 e346
Case 3 e347
References e347
Spontaneous Bacterial Peritonitis e350
Definitions e351
Epidemiology e352
Patient evaluation and diagnosis e352
Patient Management e354
Procedures e355
Therapy e357
Clinical guidelines e359
Performance improvement e359
References e359
An Approach to the Evaluation and Management of Vasculitis e362
Definition e363
Pathogenesis e364
History and examination e369
Diagnosis e369
Management e373
Prognosis e375
Clinical guidelines e376
References e376
Diagnosis and Management of Infections in Hospitalized Immunocompromised Patients e378
Definitions e379
Epidemiology e380
Approach to infection in the hospitalized transplant patient by organ system e381
Central Nervous System e381
Pulmonary system e385
What is appropriate empirical therapy for transplant recipients with pulmonary infection? e388
When should the transplant patient with pulmonary infection undergo bronchoscopy? e388
GI System e388
Hepatobiliary system e391
Performance Improvement e394
Clinical Guidelines e394
References e394
Diagnosis and Management of Acute Pain in the Hospitalized Patient e396
Definitions e396
Epidemiology e397
Pathophysiology e397
Evaluation and diagnosis e398
Treatment e399
Opioids e400
Nonsteroidal Antiinflammatory Drugs e400
Acetaminophen e401
Patient-Controlled Analgesia e401
Nonpharmacologic Interventions e401
Nausea e402
Constipation e403
Sedation e403
Geriatric Populations e403
Renal Failure/Insufficiency e403
Liver Failure e404
Opioid-Tolerant Patients and Those with Addiction Risk e404
Performance improvement e404
Clinical guidelines e405
References e405
Diagnosis and Management of Ophthalmic Emergencies in the Hospital e409
Papilledema e410
Definitions e410
Differential Diagnosis e410
Epidemiology e410
History and Examination e410
Diagnosis e412
Management e413
Prognosis e413
Sudden vision loss e414
Epidemiology e414
History and Examination e414
Diagnosis e415
Management e415
Prognosis e417
Third cranial nerve palsy e418
Definitions e418
Epidemiology e418
History and Examination e419
Diagnosis e420
Isolated third nerve palsies e420
Management e422
Prognosis e422
Endogenous endophthalmitis e423
Definitions e423
Epidemiology e423
History and Examination e424
Diagnosis e425
Management e426
Prognosis e427
Performance Improvement e427
Clinical guidelines e427
References e427
Transfusion Medicine e430
Indications e431
Clinical guidelines e432
Performance improvement: when to transfuse e432
Performance improvement: complications of transfusions e435
FNHTR e435
Transfusion-related acute lung injury e436
Acute hemolytic reaction e436
TRIM e437
Practice improvement opportunities e437
References e438
Hospital-based Quality Improvement Initiatives e441
QI initiatives at the payer and delivery system level e442
Medicare e442
H-VBP e442
HRRP e444
Hospital-acquired Complications e445
Veterans Affairs e447
Regional collaborative programs e447
QI for hospitalists e448
Transitions of Care e451
HAIs e451
VTE e452
Summary e453
References e453
2013 Literature Update in Hospital Medicine e457
Introduction e458
Background/Purpose e458
Study Design e458
Results e458
Comment e459
Background/Purpose e459
Study Design e460
Results e460
Summary e460
Background/Purpose e460
Study Design e461
Results e461
Summary e461
Background/Purpose e461
Study Design e462
Results e462
Summary e462
Background/Purpose e463
Design e463
Recommendations e463
Recommendation 1 e463
Recommendations 2 and 3 e463
Recommendations 4 and 5 e463
Recommendations 6, 7, 8, and 9 e464
Comment e464
Background/Purpose e464
Study Design e464
Results e465
Comment e465
Background/Purpose e465
Study Design e465