From the Editor
Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.
The Clinical Picture
A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.
Hospitalized patients with pneumonia who develop a complicated effusion or empyema need one.
Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.
TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.
Staphylococcus aureus bacteremia demands further evaluation, as up to 25% of people who have it may have endocarditis.
Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.
Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.
Despite proven benefits, referral and participation rates remain low. Efforts to boost usage are underway.
Chronic kidney disease is associated with adverse surgical outcomes, including acute kidney injury.