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Brief Case | October 8, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Cases from the Medical College of Wisconsin

Endocarditis, blastomycosis, choledocholithiasis, and more.

Study finds AI-generated discharge summaries superior to those written by humans

Discharge summaries generated by a large language model at a tertiary care center scored better on nine domains, including comprehensiveness, relevance, and specificity, according to physician reviewers. Those written by humans did use simpler language.

Factors predict patients being infected with C. auris rather than just colonized

Comorbid conditions, invasive devices, and recent procedures were all associated with risk of progressing from Candida auris colonization to infection, a retrospective study of Florida patients found.

Biomarker shows promise for longer-term risk prediction in cardiac ED patients

Growth differentiation factor-15 predicted risk of death or acute myocardial infarction (AMI) within 90 days in patients who were seen in the ED for suspected AMI but did not have an elevated troponin level at the time, an industry-funded study found.

In-hospital delirium risk varies by race, socioeconomic status

Older hospitalized adults who were Black or Hispanic were more likely to have delirium at admission or to develop it during their hospital stay than White patients, a retrospective analysis of more than 260,000 patients found.

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Take a quiz about the Oct. 1 issue!

Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.

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Finding experts in plain sight

A community residency program improved training in Indigenous health with the involvement of staff already working at the hospital.

Illustration by David Rosenman
Newman's Notions | October 1, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Morbilliform

A rash provides historical lessons.

SHM provides checklist for assessing POCUS image quality

An expert panel convened by the Society of Hospital Medicine (SHM) chose 215 items across five body systems (heart, lungs/pleura, abdomen, lower-extremity veins, and skin/soft tissue) to help clinicians and educators judge the quality of point-of-care ultrasound (POCUS) images.

Guidance highlights risk of psychological distress post-MI

A scientific statement from the American Heart Association called on health care professionals to be aware of the high incidence of psychological distress after myocardial infarction (MI) and to watch for signs of depression, anxiety, psychosocial stress, and post-traumatic stress disorder.

Review assesses interventions to increase clinical encounter time in the hospital

A meta-analysis found 117 studies of institutional programs to protect or increase clinician time with patients, which overall showed the interventions had positive effects on satisfaction, discharge to home, and length of stay but no effect on readmissions.

Type 2 MI increasing, linked to worse long-term outcomes than type 1

In an analysis of myocardial infarctions (MIs) in Medicare beneficiaries, the proportion that were type 2 increased from 19.4% in 2018 to 26.8% in 2021. Type 2 MI was associated with lower risk of 30-day mortality but higher rates of longer-term mortality and stroke.

The evolving story of sodium in heart failure

Traditional practice has been to restrict sodium, but recent research shows some patients may actually benefit from salt supplements.

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Building trust with video transitions

Predischarge video calls with hospitalists, patients, and their primary care physicians were feasible and improved patient trust, a pilot showed.


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