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ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
The Curious Case of Purple Urine
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2016-04)
Ask a hematologist : iron studies in the hospitalized patient
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
This article answers the question: How to order and interpret iron studies for a hospitalized patient with anemia?...
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
QUESTION: My patient has thrombocytopenia, but after the last platelet transfusion his platelet count only increased from 21,000/μL to 26,000/μL. Does he need crossmatched platelets?
ID corner
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Image of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
The most likely diagnosis is: 1. Toxic megacolon -- 2. Colonic obstruction secondary to adhesions -- 3. Colonic pseudo-obstruction -- 4. Shigellosis....
ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
A 45-year-old male was seen as a response to an EMS call. Patient's neighbor saw the patient collapsed in the backyard. Patient had a history of substance abuse and depression. Patient was intubated on field for airway ...
Ask a pathologist : blood product contamination
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
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?
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 ...
Image of the Month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2016-04)
The most likely diagnosis is: 1. Bacetrial pnuemonia -- 2. Large bowel obstruction -- 3. Cholecystitis -- 4. Pancreatitis -- 5 Peptic ulcer disease....
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...
Acute Care Update
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2016-04)
Hydromorphone precipitating serotonin syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
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 ...
A hill hidden by the clouds
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
of distal arterial filling (Figures 2, 3). Transverse images demonstrated a wedge-shaped density consistent with a pulmonary infarct (Figure 4)."...
Case analysis : Ethical issues in predictive genetic testing of minors for adult-onset hereditary conditions
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
Introduction: Predictive genetic testing for adult-onset conditions in children is an issue that has initiated ethical discussions and polarized views. Case Presentation: A genetic counselor is contacted by a mother requesting predictive genetic...
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 ...
In pursuit of happiness : Creation of an academic hospitalist wellness committee and well-being survey
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
Physician burnout poses a critical threat to the delivery of healthcare. A solution to this problem is a leadership imperative. Managing demands on physicians can prevent burnout and foster engagement. This study assesses ...
Case Reports : Rheumatoid pleural effusions and trapped lung : An uncommon complication of rheumatoid arthritis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
Rheumatoid arthritis (RA) is a disease affecting approximately 1[percent] of the population. It is familiarly defined as "chronic, symmetric, debilitating and destructive inflammatory polyarthritis characterized by ...
Case Reports : Non-traumatic muscle pain in a diabetic
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
The prevalence of diabetes in the adult population in United States is approximately 10[percent] and is expected to rise. The myriad of complexities of this entity, both microvascular and macrovascular is anticipated to ...