Rational Fluid Resuscitation in Sepsis for the Hospitalist: A Narrative Review.

Administration of fluid is a cornerstone of supportive care for sepsis. Current guidelines suggest a protocolized approach to fluid resuscitation in sepsis despite a lack of strong physiological or clinical evidence to support it. Both initial and ongoing fluid resuscitation requires careful consideration, as fluid overload has been shown to be associated with increased risk for mortality.

Human Granulocytic Anaplasmosis presenting as Subacute Abdominal Pain and Hyponatremia.

Human Granulocytic Anaplasmosis (HGA) is an acute febrile tick-borne illness caused by the organism Patients often present with fever and a flu-like symptoms following a tick bite. In this case, the patient presented with subacute abdominal pain and severe hyponatremia consistent with SIADH. The patient was started on appropriate empiric antibiotics given the patient's tick exposure.

Hospitalizations for tuberculous peritonitis in the United States: Results from the national inpatient sample database from 2002 to 2014.

Background: Tuberculosis (TB) is an uncommon disease in the Western hemisphere that can present with peritoneal involvement, as tuberculous peritonitis(TBP) causing abdominal pain and fever. The healthcare and economic burden of TBP in the United States remains unknown.

Methods: The National Inpatient Sample database was utilized to investigate TBP hospitalizations from 2002 to 2014.