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Now showing items 1-18 of 18
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...
Bone cultures
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-07)
"Bone cultures are extremely important in the diagnosis and management of bone infections. The value of bone biopsies lies in obtaining accurate microbiological data and susceptibility profiles. Ideally, these cultures ...
Role of ID Consultation in Candidemia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
"Candida bloodstream infections affect many patients across the U.S. Their mortality rate is approximately 25% to 35% according to surveillance data1,2. Candidemia is associated with immune suppression, hematologic malignancy, ...
Headache : Could it be esophageal cancer?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
Brain metastasis in patients with primary esophageal carcinoma is rare and has a poor prognosis. Here we report a case with brain metastasis as the initial presentation for patient's esophageal cancer.
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 ...
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)."...
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 ...
ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-04)
was performed – valves were not adequately visualized due to poor imaging windows but showed mild mitral and tricuspid regurgitation, aortic valve was calcified with moderate stenosis."...
Clotting vs. bleeding : the importance of pharmacologic thromboprophylaxis in IBD
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Inflammatory bowel disease (IBD) patients are at increased risk of developing venous thromboembolism (VTE), a complication associated with significant morbidity and mortality. Despite this, pharmacologic prophylaxis (with ...
Non-ketonic hyperglycemia presenting with acute hemichorea and ballism
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
Non-ketotic hyperglycemia is a complication of poorly controlled diabetes mellitus. Rarely, it can present like an acute neurological syndrome with unilateral choreiform and ballistic movements. Such a presentation usually ...
Acute esotropia in the setting of heroin withdrawal
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
Acute onset of concomitant esotropia presenting with diplopia can be seen in the setting of heroin withdrawal. We report a case of acute esotropia in a young white male during heroin withdrawal. A sudden onset of eye ...
Impact of 'Transition of Care Model' on hospital ketoacidosis readmission rates : A pilot study
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
To investigate if a" Transition of Care" (ToC) Model at the time of hospital discharge helps in achieving a timely outpatient follow-up and reducing hospital readmission rates with diabetic ketoacidosis (DKA)....
Approach to diffuse parenchymal lung disease (interstitial lung disease) for the Hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
in practice patterns among clinicians. Below is a brief summary of the most likely diseases to be encountered in hospital medicine practice....
Leadless cardiac pacemaker therapy : an overview for the Hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
"Each year, approximately 200,000 permanent pacemakers are implanted in the United States and 1,000,000 worldwide.1,2 Since the initial transvenous pacemaker implantation 6 decades ago, improvements in battery longevity, ...
Case Reports : Topiramate, a concealed cause of severe metabolic acidosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Severe metabolic acidosis is common among critically ill patients, and topiramate is a rare cause that may fail recognition. We report a lady with acute encephalopathy who had severe non-anion gap metabolic acidosis that ...
Alcoholic hepatitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
are extremely prevalent among hospitalized patients. Recently, there has been ample research into the pathophysiology, management, and treatment of AH in the hospitalized patient; however, the mainstay of treatment has not changed even though many theoretical...
Are there predictive pupillometry markers in determining external ventricular device (EVD) weaning failure or success in subarachnoid hemorrhage patients?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
Pupillometers objectively measure constriction (i.e., parasympathetic pathwy) and dilation (i.e., sympathetic pathway) velocities of the pupillary reflex. These pathways may be affected by increases in ventricular size due ...
Acute ischemic stroke management review for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
The treatment of acute ischemic stroke is dependent on timely recognition. After ensuring airway, respiratory and circulatory stability, NIHSS should be performed and urgent CT scan obtained. If no exclusions exist, ...