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Novel care centers : their impact on hospitalization and hospitalists
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-05)
Timely, affordable primary care is increasingly inaccessible for many patients, especially for the growing population of those disenfranchised by the health care system; these individuals have increasingly relied on Emergency ...
From the journals
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-05)
Citations of three articles of interest to hospitalists....
Promotion of academic hospitalists : room for improvement
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)
Introduction: Academic hospitalist medicine has grown rapidly and often focuses on clinical rather than academic productivity. Hospitalist faculty may face challenges achieving academic promotion. Materials and Methods: Academic hospitalist program...
In pursuit of happiness : Creation of an academic hospitalist wellness committee and well-being survey
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
an academic hospitalist group and identifies areas to focus interventions on both personal and systemic levels....
Hospitalist update
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2011-01)
Hospitalist update
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2011-01)
ID corner : Swine flu
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-05)
Swine Flu: the words on everyone's lips. It is now referred to as Novel H1N1 influenza out of respect for pigs. But the New England Journal has published a whole issue on this subject....
Case of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-03)
A 72 year old male presented to the MU Internal Medicine inpatient service with a two month history of fatigue and malaise. He reported URI symptoms and low grade fevers during this period for which he had been seen at ...
Case of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-05)
A 46 year old female, with a past medical history of hypertension and hypothyroidism, presented to the Emergency Department with abdominal pain. The pain was described as epigastric, sharp, 7/10 and radiating around to the ...
Inpatient Management of Bronchial Asthma for the Hospitalist -A Concise Review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
Asthma is a common inflammatory disease of the airways that leads to significant hospital utilization and health care cost around the world. Despite published guidelines, the diagnosis and treatment of acute asthma ...
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 of the Month : Stroke with fever : don't forget the heart!
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2010-09)
Crohn's disease and enterocutaneous fistulas
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2012-03)
Fistulas that arise in association with Crohn's Disease are classified as those with no evidence of active disease (type 1) and those associated with intra-abdominal abscess formation (type 2). This distinction is important ...
Real warfarin resistance or medication noncompliance?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-01)
The word noncompliance comes too many times in the physicians' notes, particularly when the out-come is not in sync with the standard of care these days. True, many times, for various reasons, patients are noncompliant ...
Case of the month : cocaine induced Moyamoya
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-08)
Moyamoya is a disease that was first reported in Japan, in the 1960s. It is a rare and progressive disorder that affects the arteries at the base of the brain, leading to the occlusion of the distal internal carotids and ...
Diagnostic dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-07)
Questions: 1) A 37 year old female is admitted with increasing dyspnea and orthopnea of 1 week duration. 2) A 68 year old male with history of hypertension was admitted with a blood pressure of 220/120 mm/Hg.
Monitoring and metabolic risks with second generation antipsychotics
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-07)
As the armamentarium of antipsychotic medications continues to grow, so does data supporting expansion of their use for conditions beyond schizophrenia. For this reason, providers other than psychiatrists may see increasing numbers of patients...
Case of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-01)
This is a case of partially-treated, community acquired pneumonia (CAP), presenting with severe complications of parapneumonic effusion, empyema, hemolytic anemia and pancytopenia. Common pathogens of CAP that may present with hemolysis include...
Acute ischemic stroke management review for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
activator (rtPA) should be administered as soon as possible. Select patients may be eligible for mechanical thrombectomy. Stroke patients shouldbe admitted to a dedicated stroke service to determine stroke mechanism, manage risk factors, and initiate...
Nighttime resident supervision and education: results of a national survey of internal medicine residency program directors
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-04)
Over the past several years, the Accreditation Council for Graduate Medical Education (ACGME) has issued new restrictions on resident duty hours while calling for increased supervision to ensure patient safety. To meet these requirements, some...