American College of Physicians: Internal Medicine — Doctors for Adults ®


ACP HospitalistWeekly

Welcome to this week's issue of ACP HospitalistWeekly, an update for hospitalists published every Wednesday by the American College of Physicians.

In the News for the Week of April 23, 2014


Adding aspirin or NSAID to anticoagulant doubles bleeding risk

Taking aspirin or an NSAID while on anticoagulant therapy is associated with an increased risk of bleeding in patients who have had a venous thromboembolism (VTE), a recent study found. More...

SHEA/IDSA issue updated CAUTI guidelines

Experts have released updated guidelines on preventing catheter-associated urinary tract infections (CAUTIs) in the hospital. More...


New scoring system helps quantify delirium severity in older patients

A new delirium assessment measure based on the Confusion Assessment Method (CAM) appears to help accurately quantify delirium in older patients, according to a new study. More...


Intervention tied to better quality of life for cardiac patients with mood, anxiety disorders

A 6-month intervention to manage depression and anxiety in patients recently hospitalized for cardiac events helped improve their mental health-related quality-of-life scores, a study found. More...

Cartoon caption contest

Put words in our mouth

ACP HospitalistWeekly wants readers to create captions for our new cartoon and help choose the winner. Pen the winning caption and win a $50 gift certificate good toward any ACP product, program or service. More...

Physician editor: A. Scott Keller, MD, FACP

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A 63-year-old man is evaluated for pleuritic left-sided anterior chest pain, which has persisted intermittently for 1 week. The pain lasts for hours at a time and is not provoked by exertion or relieved by rest but is worse when supine. He reports transient relief with acetaminophen and codeine and occasionally when leaning forward. He has had a low-grade fever for 3 days, without cough or chills. Medical history is significant for acute pericarditis 7 months ago. Following a physical exam and electrocardiogram, what is the most appropriate management?

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