Search
Now showing items 1-20 of 399
Communities or Collections matching your query
Items matching your query
Conference calendar (AJHM, volume 3, issue 1, 2019)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)
Duodenal dieulafoy's lesion
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)
, followed by deployment of seven hemoclips (Figure 2). Post-procedure Hgb remained stable at 8.5 g/dL and subsequently, she was discharged home after 3-days of hospital stay...
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 ...
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...
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 ...
Disseminated cysticercosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)
on neurological and general physical examination were normal. Laboratory findings were notable for peripheral eosinophilia and thrombocytopenia present for a few months, which resolved in subsequent evaluations. Human immunodeficiency virus 1/2 Antigen...
Troponin-Positive Chest Pain with Unobstructed Coronary Arteries
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
-sensitivity troponin of 1950 ng/L (reference: [less than]15 ng/L), 2-hour troponin 2165 ng/L, and 6-hour troponin 2413 ng/L. NT-pro-BNP was elevated at 1692 pg/mL (reference: [less than]51 pg/mL), and C-reactive protein was 50.9 mg/L (reference: [less than]8 mg...
ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-04)
"A 48-year-old white male presented to the emergency room (ER) with 5-day history of fever and chills. He also reported chest pain, which he described as heaviness and radiating to the left arm. He reports generalized weakness. He has no significant...
Perceptions Towards the Discharge Process in a Community Teaching Hospital
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
that the hospital discharge process is efficient while 56[percent] did not. Frequent delays in discharge process from hospital were estimated often by 57.7[percent]. Easiest placements were home health (51.7[percent]) followed by hospice (19.5[percent]). The most...
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. ...
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....
Do no harm: health systems' duty to promote clinician well-being
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-04)
Burnout and mental health disorders plague the health care workforce. Since the pandemic began, there has been an uptick in symptoms of anxiety, depression, and suicidality among health care professionals. These threats ...
Ring-enhancing Brain Lesions in a Patient with Advanced Human Immunodeficiency Virus from the Central United States of America
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
Background: Histoplasmosis is an endemic fungus found worldwide. It most commonly causes pulmonary infections. In patients with defects in cellular immunity it can cause disseminated infections including central nervous ...
The Failing Right Ventricle : An Internist's Guide to the Diagnosis and Management of Pulmonary Hypertension
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
Pulmonary hypertension represents a complex and multifactorial disease with significant implications on patients' morbidity, mortality, and quality of life. The number of patients hospitalized with pulmonary hypertension is increasing. Elevated...
The relationship between off-site inpatient gastroenterology consultations and timeliness of care delivery
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-06)
of stay (LOS). Materials and Methods: This retrospective cohort study included inpatient GI consultations over a three-year period performed at two hospitals within a single academic health system. One site, where complete endoscopic services are provided...
Persistent meningeal signs despite previous treatment for cryptococcal meningitis -- a case report
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)
Cryptococcal meningitis continues to be a life-threatening fungal infection in patients with HIV. Treatment involves a year of antifungal therapy, and persistent meningeal signs months after treatment initiation are uncommon. ...
Acute chest syndrome: a narrative review to guide inpatient management
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-04)
better outcome for patients, and the evidence behind using antibiotics, steroids, bronchodilators, nitric oxide, incentive spirometry, as well as the current management of patients with concomitant ACS and SARS-CoV2....
Mizzou weekly (online version), volume 34, number 19
(University of Missouri--Columbia. Division of Marketing and Publications., 2013)