Five patient symptoms that you should evaluate every day

Clinical inquiries: how should you evaluate an asymptomatic patient with a femoral or iliac artery bruit?

Perform an ankle-arm index (AAI, or ankle-brachial index) test to evaluate for peripheral artery disease (PAD) (strength of recommendation [SOR]: B, cohort studies). If the test detects PAD, recommend steps to modify cardiovascular risk factors (SOR: B, extrapolation from randomized clinical trials [RCTs]). Additional vascular diagnostic evaluation is not indicated, because no evidence suggests...

Real time patient safety audits: improving safety every day.

BACKGROUND Timely error detection including feedback to clinical staff is a prerequisite for focused improvement in patient safety. Real time auditing, the efficacy of which has been repeatedly demonstrated in industry, has not been used previously to evaluate patient safety. Methods successful at improving quality and safety in industry may provide avenues for improvement in patient safety. ...

Should every Patient with MDS get Iron Chelation – Probably Yes

Should every patient with hematospermia be investigated? A critical review

Hematospermia or hemospermia is defined as the presence of blood in ejaculate. It often invokes considerable anxiety and is frightening for the patient. Mostly, it is due to infectious causes and regarded as a benign and self-limiting condition particularly in younger patients. Patients above 40 years of age and those with high risk factors require thorough evaluation. Detailed examination is m...

Should every adult patient in the hospital have an internist?