Missouri hospitalist, issue 19 (2009 July 23)

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https://hdl.handle.net/10355/65689
Complete issue and individual articles available

Contents

  • Hospitalist update:
    • Do physicians impose clinical care decisions with life and death implications on patients without their knowledge and consent? / William Steinmann, MD
  • Case of the Month / Les Hall, MD
  • From the Journals / Robert Lancey, MD
  • ID Corner:
    • Management of Herpes Zoster / William Salzer, MD
  • Missouri Hospitalist Calendar
  • Comments
[Collection created September 4, 2018]

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    Missouri hospitalist, issue 19 (2009 July 23)
    (University of Missouri. Department of Medicine. Division of Hospital Medicine, 2009-07)
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    Missouri hospitalist calendar, 2009-07
    (University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-07)
    Calendar of upcoming medical events.
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    ID corner : management of Herpes zoster
    (University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-07) Salzer, William
    Citation of article in JAMA: Whitley, Richard, A 70 year old woman with shingles. Review of Herpes Zoster.
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    From the journals
    (University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-07) Lancey, Robert
    Citations, links and brief analysis of three articles of interest to hospitalists.
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    Case of the month
    (University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-07) Hall, Les
    A 20 year old male was transferred to UMH for ongoing treatment of atypical pneumonia. One week before transfer, he had developed fever, chills, sweats, malaise, a minimally productive cough and shortness of breath. The CXR revealed a diffuse interstitial reticulonodular pattern. When he failed to respond to levofloxacin, he was placed on vancomycin and piperacillin-tazobactam and referred for further evaluation and management. He denied past medical problems. Having emigrated from the Marshall Islands in 2008, he had been living in Missouri over the past year. He denied sick contacts, recent tick bites or significant exposure to animals. He re-ported smoking 5 cigarettes per day. Initial labs revealed a WBC of 4100, with normal Hgb, Hct and platelet count. Renal function was normal but the liver transaminases were mildly elevated: AST 136, ALT 123.
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