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(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
Should an interferon-gamma release assay (IGRA) or a tuberculin skin test (TST) be performed in individuals in whom it has been decided that testing for latent tuberculosis is warranted?
Missouri hospitalist : nine years on
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
Observations in the history of Missouri Hospitalist journal by its creator and editor....
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
This article answers the question: My patient carries a diagnosis of chronic anemia and has been treated for irondeficiency in the past with minimal to no improvement. How can I differentiate between iron-deficiency anemia ...
New antimicrobials
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
to using the new antimicrobials include lack of susceptibility testing, cost and reimbursement issues. This article describes the new antimicrobials an internist will have contact with....
Post coronary artery bypass graft (CABG) surgery thyroid storm : a near miss
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
an early comprehensive assessment could have potentially prevented a prolonged and complicated hospital course....
Radiological modalities in the diagnosis and screening of liver cirrhosis and its complications
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
Liver cirrhosis is the pathologic outcome of many chronic liver diseases, in which repeated injury to the liver results in fibrosis, scarring, and ultimately functional impairment.
Headache : Could it be esophageal cancer?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
Brain metastasis in patients with primary esophageal carcinoma is rare and has a poor prognosis. Here we report a case with brain metastasis as the initial presentation for patient's esophageal cancer.
Ask a pathologist : again. Faster. The impact of MALDI-TOF technology on rapid microbial identification and changes in hospital practice
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
"Question: I've heard about a new technology called MALDI-TOF for rapid identification of microbial organisms. What is it and how will it impact hospital medicine?"...
Dangerous use of loperamide to counteract withdrawal symptoms from prescription opiates
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
Increased awareness of opioid overuse in recent years has brought a new set of problems for both patients and clinicians. A 36-year-old woman with severe opioid use disorder began self-treating withdrawal symptoms with ...
Acute esotropia in the setting of heroin withdrawal
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
Acute onset of concomitant esotropia presenting with diplopia can be seen in the setting of heroin withdrawal. We report a case of acute esotropia in a young white male during heroin withdrawal. A sudden onset of eye ...
A framework to tackle risk identification and presentation challenges in sepsis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
Sepsis trajectories, including onset and recovery, can be difficult to assess, but electronic health records (EHRs) can accurately capture sepsis as a dynamic episode.
Acute ischemic stroke management review for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
The treatment of acute ischemic stroke is dependent on timely recognition. After ensuring airway, respiratory and circulatory stability, NIHSS should be performed and urgent CT scan obtained. If no exclusions exist, ...