Journal of academic hospital medicine, volume 6, issue 3 (2014 July-September)

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https://hdl.handle.net/10355/63812

Review Articles

Care of the Hospitalized Patient with Cystic Fibrosis: A Summary of Current Practice Guidelines; Recommendations for the Hospitalist, Part 1 (Pulmonary Exacerbation) / Melissa M. Kouba
Determining the Optimal Steroid Treatment Regimen for COPD Exacerbations: A Review of the Literature / Jena Torpin, and Erica Ottis

Case Report:

Transient Gestation-associated Diabetes Insipidus (GDI) / Syed H. Naqvi, Jonathan B. Menezes, and Syed Ali Awon

Diagnostic Dilemma

A 41 year-old Man with Gastrointestinal Symptoms and an Unusual Exposure History / Emily F. Cole, and Natraj Katta

Editorial

Impact of Academic Hospitalists on American Medical Education: A Compact Review / Natraj Katta

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Now showing 1 - 5 of 5

Determining the optimal steroid treatment regimen for COPD exacerbations : A review of the literature
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2014-07) Torpin, Jena; Ottis, Erica
In reviewing the literature, there is not a uniform approach to corticosteroid treatment when managing patients with COPD exacerbations. In general it is important to remember: Oral corticosteroids are as effective as IV corticosteroids in the management of most COPD exacerbations not requiring ICU admission. -- Short courses of prednisone (40mg daily for 5 days) are appropriate for most COPD exacerbations. -- Patients with frequent exacerbations of 2 or more per year or patients on chronic steroids may require a prolonged course of treatment. -- ICU patients have largely been excluded or not specifically studied in most analyses. Available literature shows that this subset of patients may benefit most from high-dose IV therapy for the first few days of treatment. Once patients are clinically improving, it would be reasonable to deescalate to oral therapy to limit unnecessary exposure.
Transient gestation-associated diabetes insipidus (GDI)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-07) Naqvi, Syed; Menezes, Jonathan; Awon, Syed
Diabetes insipidus (DI) is a disorder characterized by polydipsia, polyuria, and the formation of hypotonic urine. DI can be broadly classified into central DI and nephrogenic DI. In summary, central DI is due to the defective synthesis or release of arginine-vasopressin (AVP) or anti-diuretic hormone (ADH) from the hypothalamo-pituitary axis. Nephrogenic DI is due to renal insensitivity to AVP. Transient pregnancy-associated or gestational-associated diabetes insipidus (GDI) is a rare condition that occurs during the third trimester affecting between 2 and 6 cases per 100,000 pregnancies ((1, 2, 3, 4). It is thought to occur due to elevated levels of the enzyme vasopressinase, which is released from the placenta and causes the degradation of ADH (5).
Impact of academic hospitalists on American medical education : A compact review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-07) Katta, Natraj
Hospitalists are physicians whose medical practice focuses on general medical inpatient care. (1) Wachter and Goldman first used the term Hospitalist in 1996 to describe a new type of physician in the United States. (2) Initially, the concept of the Hospitalist was not widely accepted and faced significant resistance from many physicians. (3) However, Hospitalists now constitute a major force in the healthcare industry, providing inpatient care in both non-teaching settings as well as teaching hospitals ranging from small community hospitals to large academic centers. This article will discuss the role of academic Hospitalists in medical education in the United States.
A 41 year-old man with gastrointestinal symptoms and an unusual exposure history
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-07) Cole, Emily; Katta, Natraj
Case Report: A 41 year-old previously healthy man was admitted with chief complaints of nausea, vomiting, diarrhea, and headache.
Care of the hospitalized patient with cystic fibrosis : a summary of current practice guidelines : recommendations for the hospitalist, part 1 (pulmonary exacerbation)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-07) Kouba, Melissa
In the past, it was rare to see patients with cystic fibrosis (CF) on adult inpatient services as patients' lifespans were limited. In 1955, most children with CF were not expected to live long enough to attend elementary school. Today the predicted median survival is in the early 40's. This is largely due to the care provided through the national network of CF Foundation-accredited centers.

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