Search
Now showing items 1-20 of 31
ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
ID corner
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Question and answer regarding a patient who became acutely thrombocytopenic.
Clostridium difficile infection : considerations for hospitalists
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
As hospitalists, we often care for patients who either present with diarrhea or develop diarrhea during their hospital visit. We have learned to think of Clostridium difficile infection (CDI) early. In the United States, administrative data...
Is it time for physician assistant (PA)/nurse practitioner (NP) hospital medicine residency training?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
The roles of non-physician providers, such as physician assistants (PA) and nurse practitioners (NP), are constantly evolving in the United States healthcare system. They are a vital part of many inpatient multi-disciplinary ...
Volunteerism among hospitalists and non-hospitalists at academic and community medical centers in North Carolina
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Volunteerism is common in the United States, though less is known about volunteerism among medical professionals. We aimed to record and compare volunteer activities among hospitalists and non-hospitalists in academic and ...
Importance of HIV screening
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-04)
"Although it can be challenging to think about screenings while trying to fix potentially life-threatening conditions, hospitalists need to actively screen for HIV infection. According to the Centers for Disease Control and Prevention (CDC), 1.1...
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-04)
This is a response to the question: I heard there is going to be a shortage of FFP [universal donor type AB plasma] from the American Red Cross during the next few months. What should I do when I need to urgently reverse anticoagulation in patients...
Atypical hemolytic uremic syndrome : when the environment and mutations affect organ systems. A case report with review of literature
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Atypical hemolytic uremic syndrome (aHUS) is a rare thrombotic microangiopathy (TMA) with a genetic predisposition. Like other TMAs, it presents clinically with thrombocytopenia and microangiopathic hemolytic anemia, which ...
Partial anomalous pulmonary venous return mimics arterial positioning after central line placement for plasmapheresis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-04)
the left internal jugular vein. A chest x-ray showed a line that terminated to the left of the midline and raised concern for arterial placement (Figure 1). Blood gases from the line were: pH 7.72, pCO2 21 mmHg, pO2 369 mmHg, bicarbonate 28.4 mmol/L....
New Clostridium difficile infection guidelines : Pearls for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
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 ...
Feasibility of performing apnea test in a brain dead patient on veno-venous extracorporeal membrane oxygenation (ECMO)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Extracorporeal membrane oxygenation (ECMO) is being increasingly used to provide support in patients with refractory cardiopulmonary distress syndromes. Neurological sequelae, either from the ECMO or the hypoxic/hypotensive ...
Review Article : Neuromuscular causes of weakness in critically ill patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Multiple predisposing factors are responsible for the development of neuromuscular weakness in a critically ill patient. Thorough history and physical examination is paramount and should not be omitted despite that the ...
Perceptions Towards the Discharge Process in a Community Teaching Hospital
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
.4[percent] of nurses favored multidisciplinary round versus 4.2[percent] who did not. This was 54.5[percent] vs. 27.2[percent] for case managers and 44.1[percent] vs. 30.2[percent] for the residents (P-value = 0.002). Conclusion: Discharge process...
Nighttime resident supervision and education: results of a national survey of internal medicine residency program directors
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-04)
Over the past several years, the Accreditation Council for Graduate Medical Education (ACGME) has issued new restrictions on resident duty hours while calling for increased supervision to ensure patient safety. To meet these requirements, some...
Rothman Index as a predictor of 30-day hospital readmission
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)
Introduction: The Centers for Medicare and Medicaid services financially penalize hospitals for elevated 30-day readmission rates. Identifying patients at high risk for short-term readmission would allow health systems to strategically allocate...
Incidental Portal Vein Aneurysm Found in a Patient with a Diaphragmatic Hernia and Evolving Gastric Volvulus
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
large diaphragmatic hernia. Computed tomography (CT) revealed displacement of abdominal contents and 37 mm aneurysm of the main portal vein (image 1,2). Because of the large size of our patients' malformation (37 mm), surgery was pursued in the form...
Gabapentin and buprenorphine nasal insufflation in a patient on buprenorphine for opiod use disorder
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-04)
Upon introduction into the market, gabapentin was not thought to be a drug with abuse potential. Newer research is showing this to be possible, especially in the population of patients with a history of opioid addiction. ...
Mandating vaccination -- is it justified?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)
"The answer is yes…and no. It depends... Personal and Public Obligations: Freedom from oppression, the right to choose, and self-determination are bedrock values upon which our country was founded. They are also central ...
A case of rapid-onset daptomycin-induced neutropenia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
count (WBC) of 14.90 x 10-3/[mu]L and absolute neutrophil count of 12.24 x 10-3 /[mu]L. After a complicated hospital course the patient was initiated on daptomycin 6 mg/kg (300 mg) daily in response to wound cultures detecting Enterococcus faecium...