American journal of hospital medicine, volume 2, issue 2 (2018 April-June)

Permanent URI for this collection

https://hdl.handle.net/10355/63834

Table of Contents
Review Article

Alcoholic Hepatitis / Mitchell Padkins, and Syed Hasan Naqvi

Original Articles

In Pursuit of Happiness: Creation of an Academic Hospitalist Wellness Committee and Well-being Survey / Christie Masters, Michael Lazarus, Nasim Afsarmanesh, Annie Zhang, Patrick L. Bui, Rebecca K. Wilkinson, and Mina R. Kang
Are There Predictive Pupillometry Markers in Determining External Ventricular Device (EVD) Weaning Failure or Success in Subarachnoid Hemorrhage Patients? / Tracy Bezner, Premkumar Nattanmai, Nakul Katyal, Keerthivaas Premkumar, and Christopher R. Newey

Case Report

Hydromorphone Precipitating Serotonin Syndrome / Sijie Jason Wang

Ask a Specialist

Ask a Pathologist: Blood Product Contamination / Nitya Prabhakaran, and Emily Coberly
Ask a Hematologist: Iron Studies in the Hospitalized Patient / Jiyuan Sun, and Sindhu Singh

ID Corner

New Clostridium difficile Infection Guidelines: Pearls for the Hospitalist / Christian Rojas-Moreno

ECG Dilemma

ECG Dilemma / Mahaletwork Assefa, and Sudarshan Balla
ECG Dilemma: Answer / Mahaletwork Assefa, and Sudarshan Balla

Conference Calendar

Conference Calendar / Harleen Chela

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Table of contents
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
Page showing contents of AJHM 2.2
Hydromorphone precipitating serotonin syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04) Wang, Sijie
Opioid medications are an underappreciated cause of serotonin syndrome. Fentanyl, meperidine, and methadone are more commonly associated with this potentially life-threatening side effect. Here, we present the case of a 60-year-old man taking duloxetine, oxycodone as needed, and long-acting hydromorphone for chronic pain, who developed serotonin syndrome two days after his hydromorphone dose was increased. Due to severe agitation he required intubation and his course was notable for marked adrenergic instability. Eventually, he improved after treatment with benzodiazepines and cyproheptadine. This case highlights a rare synergistic effect from the combination of hydromorphone, duloxetine, and oxycodone resulting in serotonin syndrome.
Ask a pathologist : blood product contamination
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04) Prabhakaran, Nitya; Coberly, Emily
This article answers the question: My patient developed a fever during a packed red blood cell transfusion. What is the likelihood that the fever is due to bacterial contamination of the blood product?
Ask a hematologist : iron studies in the hospitalized patient
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04) Sun, Jiyuan; Singh, Sindhu
This article answers the question: How to order and interpret iron studies for a hospitalized patient with anemia?
New Clostridium difficile infection guidelines : Pearls for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04) Rojas-Moreno, Christian
Clinical vignette: A 40 year-old female with no significant past medical history had a 3-day history of runny nose, headache, cough and post-nasal drip. Her physical exam showed erythematous pharyngeal wall but it was otherwise unremarkable. Her primary care provider prescribed amoxicillin-clavulanic acid for 7 days. She finished the antibiotic course, her symptoms gradually improved but she developed watery diarrhea up to 5 times per day. Her vital signs, blood cell counts, renal function and chemistries were normal. Her Clostridium difficile test returned positive. What treatment would you recommend for this patient?

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