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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...
Voriconazole-induced Periostitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
be seen below (Figure 1). Laboratory values demonstrated an elevated creatinine (2.28mg/dL), BUN (35 mg/dL), TSH (2.77 mcunit/mL), alkaline phosphatase (616 units/L), ALT (62 units/L), and AST (67 units/L)....
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 ...
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?"...
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)
hypothesized that history of psychiatric comorbidity, chronic opioid use, lack of insurance and African American (AA) ethnicity would increase the risk of hospitalizations."--Introduction....
Clinical outcomes associated with Hypoxia in hospitalized patients with COVID-19
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01)
of hypoxia necessitating inpatient and postdischarge supplemental oxygen in COVID-19 patients on in-hospital mortality, clinical outcomes, and return rates....
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 ...
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 ...
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 ...
Transcutaneous carbon dioxide monitoring could reduce physical contact with COVID-19 patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
accounted for 47[38.8%] COVID-19, 20[16.5%] interstitial lung disease, 69[57%] pneumonia, 74[61.2%] septic shock, 23[19%] acute exacerbation of chronic obstructive lung disease, 8[6.6%] pulmonary embolism, 13[10.7%] aspiration pneumonia, 7[5.8%] severe...
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...