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Images in Hospital Medicine : Posterior Reversible Encephalopathy Syndrome After High Dose Cytarabine in Acute Myelogenous Leukemia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2016-10)
Restricted Diffusion of Magnetic Resonance Imaging (MRI) : More Than Ischemia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2016-07)
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.
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.
Early identification of the difficult airway from orbital deformity
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-10)
"We report an adult patient presenting for surgery with hidden marked orbital exenteration (Figures 1, 2). The patient had history of resected left orbital neoplasm that remained concealed under an eye patch during ...
Malignant Mesothelioma Manifesting in an Elderly Female without Occupational Asbestos Exposure
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
. She had three recent hospitalizations for COPD exacerbation and pneumonia. She was noted to be hypoxic despite five liters/minute of supplemental oxygen. Laboratory studies revealed leukocytosis, hypernatremia, and elevated brain natriuretic peptide...
Green urine from propofol
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
"A 65-year-old female, with past medical history of hypertension and chronic hypoxemic respiratory failure due to chronic obstructive pulmonary disease (COPD), was admitted after endoscopic resection of colonic polyps and ...
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)
Case: A 61-year-old male who was status post right single lung transplant complicated by grade three primary graft dysfunction was admitted and mechanically ventilated for hypoxic respiratory failure. Donor specific antibody ...
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)."...
Endoscopic Ultrasound for the Treatment of Gastric Variceal Bleeding in a Patient with Portal Cavernoma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-07)
"A 30-year-old lady was admitted with two weeks of fever and right upper quadrant pain. She had a background of non-malignant, non-cirrhotic portal vein thrombosis (PVT) with cavernoma formation. There was no detected ...
Partial anomalous pulmonary venous return mimics arterial positioning after central line placement for plasmapheresis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-10)
surgery was consulted and recommended CT imaging of the chest and neck that showed that the line entered the left internal jugular vein, continued to brachiocephalic vein, and then entered an anomalous vein connecting with the left upper lobe pulmonary...
ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-10)
"A 55-year-old female with a history of type 2 diabetes was admitted for chest pain and was diagnosed with Non-ST segment elevation myocardial infarction (NSTEMI). An electrocardiogram (ECG) performed at the time of admission is shown below (Image 1...
In-hospital mortality rate and predictors of 30-day readmission in patients with iron deficiency anemia and diastolic heart failure : a cross-sectional study
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)
and Medicaid insurance, higher Elixhauser comorbidities score, longer Length of stay during the index admission, discharge to a nursing home, hospital located in a large metropolitan area. The financial burden on healthcare for all the readmission was $837...
Voriconazole-induced Periostitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
"CASE: A woman in her 60s presented with complaints of severe multifocal bone pain, including the shoulders, sternum, and hips, which had persisted for several months. Two years earlier, the patient had undergone heart ...
Patient with persistent left superior vena cava presenting as acutely decompensating cardiac arrhythmia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-04)
ventilation and transcutaneous pacing. Her past medical history was positive for hypertension for which she took diltiazem 90 mg a day and benazepril. There were no recent changes in medication in over a year and no excess medicine use was reported. TSH level...
Patient with persistent left superior vena cava presenting as acutely decompensating cardiac arrhythmia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-04)
ventilation and transcutaneous pacing. Her past medical history was positive for hypertension for which she took diltiazem 90 mg a day and benazepril. There were no recent changes in medication in over a year and no excess medicine use was reported. TSH level...
Troponin-Positive Chest Pain with Unobstructed Coronary Arteries
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
/L). Transthoracic echocardiogram revealed an ejection fraction (EF) of 30[percent] with severe global left ventricular hypokinesia. Left heart catheterization revealed normal coronary arteries. Cardiac magnetic resonance imaging showed acute myocarditis...
In-hospital mortality rate and predictors of 30-day readmission in patients with iron deficiency anemia and diastolic heart failure: A cross-sectional study
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)
and Medicaid insurance, higher Elixhauser comorbidities score, longer Length of stay during the index admission, discharge to a nursing home, hospital located in a large metropolitan area. The financial burden on healthcare for all the readmission was $837...
A Pregnant Woman with Abnormal Chest Radiograph
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2016-07)
A rash that cannot be missed : disseminated herpes zoster as a result of immunomodulation by Adalimumab
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-07)
"The patient is a 75-year-old Caucasian male who was admitted in May for management of a penile ulceration and a generalized rash. He has a medical history of Type II Diabetes Mellitus, tobacco abuse, and Rheumatoid Arthritis ...