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Fluoroquinolones : more and more warnings
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
"Fluoroquinolones can be the drug of choice in several clinical situations due to their antibacterial spectrum, good tissue penetration, and excellent oral bioavailability. However, side effects, drug interactions and the ...
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 ...
When to Think Zebras, Not Horses: A Case of Delayed Care in anti-NMDA Receptor Encephalitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Anti-NMDA receptor encephalitis (NMDAr) presents a diagnostic challenge for clinicians due to its varying symptom presentation such as psychosis, abnormal behavior, and seizures. Given the presentation, and it only newly ...
A cloud on the horizon : a deadly complication of norepinephrine
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Symmetrical peripheral gangrene is a life-threatening complication of norepinephrine which is associated with a high mortality rate (up to 40[percent]). It presents as bilateral distal limb gangrene without evidence of ...
Do Areas with More Primary Care Physicians have Lower Cardiovascular and Cancer Mortality?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"There are an estimated 647 000 deaths in the United states from cardiovascular disease (CVD) each year and 606 000 from cancer in 2019 [2,3] . Primary, secondary and tertiary prevention are all independent factors in reducing overall mortality...
Missed opportunities : the case for inpatient lung cancer screening
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
"Over the past twenty years, the hospitalist field has grown from an uncommon metropolitan profession to a ubiquitous, broad specialty focused on the rapidly evolving field of inpatient medicine 1. Hospitalists are no longer limited to acute medical...
Clinical outcomes associated with Hypoxia in hospitalized patients with COVID-19
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01)
The coronavirus disease 2019 (COVID-19) has majorly impacted millions of people worldwide. The clinical course and outcomes of infection with COVID-19 have been studied, but there remain knowledge gaps. This study aims to investigate the impact...
A re-challenging case
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Immune Checkpoint Inhibitors (ICI) are associated with multiple cardiotoxic effects. Balancing adverse effects with anti-tumor response poses a challenge to treating advanced cancers. The safety of re-starting ICI therapy ...
Non-Caucasian race, chronic opioid use and lack of insurance or public insurance were predictors of hospitalizations in cyclic vomiting syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
is considered first-line therapy (2, 3). This reduces the frequency of emergency department (ED) visits and hospitalizations (2). However, patients continue to be hospitalized for acute CVS flares. Reasons for CVS-related hospitalizations in these patients...
Transcutaneous carbon dioxide monitoring could reduce physical contact with COVID-19 patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
pulmonary hypertension, 10 [8.3%] cardiac arrest, 24[19.8%] congestive heart failure, 1[0.8%] each for neuromuscular respiratory failure and angioedema and 13[10.4%] stroke. Conclusions: Continuous TcCO2 monitoring correlates well with PaCO2 offering...
Effect of Chronic Illnesses on Length of Stay and Mortality of Community Acquired Pneumonia in a Community Hospital
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
The aim of this study was to determine the effect of demographics, substance abuse, and chronic illnesses on length of hospitalization and mortality of pneumonia. 866 patients admitted to a community hospital with diagnosis of community...
Pyogenic liver abscess and gastrointestinal lemierre syndrome due to fusobacterium nucleatum
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
Pyogenic liver abscess (PLA) affects men disproportionately to women and is occurring with increasing incidence. The mortality associated with PLA nears 15% in the Western world. PLA constitutes a significant number of ...