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ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Case Reports : Two patients with parathyroid hormone suppression caused by proton pump inhibitors
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Hypocalcemia can be associated with coexisting hypomagnesemia, which induces hypoparathyroidism as well as resistance to parathyroid hormone (PTH). Here, we present two patients with severe hypomagnesemia and associated ...
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
This article answers the question: Our hospital blood bank has started using platelet additive solution (PAS) platelets and psoralen treated platelets. What are the advantages and disadvantages of these different types of platelets?...
ID Corner : Methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia pearls
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Hospitalist conference and luncheon
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-07)
Conference announcement with link. Conference topic: Hospital acquired infections....
Impact of 'Transition of Care Model' on hospital ketoacidosis readmission rates : A pilot study
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
To investigate if a" Transition of Care" (ToC) Model at the time of hospital discharge helps in achieving a timely outpatient follow-up and reducing hospital readmission rates with diabetic ketoacidosis (DKA)....
Development of acute kidney injury with concomitant use of Vancomycin and Piperacillin-Tasobactam : A review of recent literature
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
This article explores the potential association between co-administration of vancomycin and piperacillin-tazobactam with the development of acute kidney injury (AKI) when compared with vancomycin and other beta lactam ...
Case Reports : Topiramate, a concealed cause of severe metabolic acidosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Severe metabolic acidosis is common among critically ill patients, and topiramate is a rare cause that may fail recognition. We report a lady with acute encephalopathy who had severe non-anion gap metabolic acidosis that ...
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 ...
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 ...
Elder mistreatment : a case report
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
Elder mistreatment may become increasingly apparent as the elderly population continues to grow. Due to their knowledge and skills, physicians have a unique role in the multidisciplinary teams that care for such patients. ...
Non-ketonic hyperglycemia presenting with acute hemichorea and ballism
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
Non-ketotic hyperglycemia is a complication of poorly controlled diabetes mellitus. Rarely, it can present like an acute neurological syndrome with unilateral choreiform and ballistic movements. Such a presentation usually ...
Assessment of nursing response to a real-time alerting tool for sepsis : A provider survey
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
An information technology solution to provide a real-time alert to the nursing staff is necessary to assist in identifying patients who may have sepsis and avoid the devastating effects of its late recognition. The objective ...
Oral versus Intravenous Antimicrobials for Serious Infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-07)
, there is no conclusive evidence that IV antibiotics are superior to oral antibiotics. The bacteria also do not know how the antibiotic gets to the infection site 1. Additionally, IV antibiotics are not a panacea without downsides. IV antibiotics are associated...
Leadless cardiac pacemaker therapy : an overview for the Hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
"Each year, approximately 200,000 permanent pacemakers are implanted in the United States and 1,000,000 worldwide.1,2 Since the initial transvenous pacemaker implantation 6 decades ago, improvements in battery longevity, lead performance and device...
Impact of an Inpatient Diabetes Consulting Service on Post Discharge Glycemic Control
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-07)
"Diabetes mellitus has been estimated to affect 30 million Americans in 2015 with an increasing prevalence every year 1. In addition, patients with diabetes have up to a 3-fold increased risk of hospitalization 2. The health care cost for a person...
Two encephalopathic patients with COVID-19 and elevated intracranial pressure
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
that include measurement of intracranial pressure in such patients. In this article, we report two adult patients hospitalized with COVID-19 who developed acute encephalopathy; both underwent lumbar puncture and were found to have significantly elevated...
Do physicians impose clinical care decisions with life and death implications on patients without their knowledge and consent?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-07)
This case represents what may be an increasingly common problem: decision making by specialists (including hospitalists) who are less informed than the patient's PCP regarding his/her overall clinical status, prognosis and ...
Review of Obesity Paradox
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
Introduction: Obesity is a risk factor for many health conditions and complications but may be regarded as a prognostic factor in other conditions. This has been described as the "obesity paradox." The debate whether this ...
“Who? What? Is that a test?” African Americans in non-metropolitan Midwest U.S. identify knowledge gaps and opportunities for PrEP for HIV prevention
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
A substantive gap exists in understanding the knowledge and perception of Pre-exposure prophylaxis (PrEP) among African Americans overall and especially those in non-urban areas. Thus, this analysis explores these issues among heterosexual African...