Expert Analysis


October 11, 2023 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Acute interstitial nephritis associated with immune checkpoint inhibitor therapy

Exercise vigilance for early diagnosis of this increasingly common complication.

Intravenous fluid management

A hypothetical case highlights the many reasons to provide IV fluid.

Demystifying advanced concepts in mechanical ventilation

Learn from an example case of an ICU patient with COVID-19.

Takotsubo cardiomyopathy

An example case helps explain this clinical syndrome that mimics acute myocardial infarction.

Troponin levels in chronic kidney disease

Learn how to use cardiac troponins to diagnose acute coronary syndrome in chronic kidney disease.

Subsegmental pulmonary embolism

An example patient with sickle cell disease provides a lesson in diagnosing subsegmental pulmonary embolism.

Diagnosing pulmonary embolism

A pulmonary embolism can present in a variety of clinical scenarios; however, there are several features that are typical.

Venous thromboembolism in malignancy

Patients with a VTE have more than a fourfold increased risk for cancer compared with the general population. In patients with a known malignancy, the annual incidence of VTE is 1 in 200.

Upper-extremity deep venous thrombosis

Presentation, complications, diagnosis, and treatment are among the topics covered.

Myopericarditis: A clinical review

A case study highlights diagnosis and treatment of pericarditis and myopericarditis.

Contrast-induced acute kidney injury

Experts offer advice on managing the third leading cause of hospital-acquired acute renal failure.

Diagnosis and management of chemotherapy-induced hypersensitivity reactions

A case of a patient with ovarian cancer raises questions about how to respond when chemotherapy infusions cause adverse reactions.

Rocky Mountain spotted fever: What should a hospitalist know?

The absolute number of diagnosed cases per year may be underreported due to the difficulty in diagnostic confirmation and misdiagnosis.

Treatment of ascites in patients with portal hypertension

Article reviews the current recommendations for the treatment of ascites, including hepatorenal syndrome and spontaneous bacterial peritonitis.

Sepsis and fluid management

Early, aggressive fluid use can mitigate effects of tissue hypoperfusion.

Parenteral iron for preoperative iron deficiency anemia: A safe choice?

Two experts provide a case-based look at the workup and management of iron deficiency anemia before surgery, which may prevent perioperative blood transfusions.

What's zinc got to do with it?

This case study examines a 59-year-old woman with weakness and fatigue of three weeks' duration.

Cholesterol embolism syndrome

An aging population requiring invasive vascular imaging and procedures is at increased risk for this syndrome. Learn how to recognize it.