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Review Article : Neuromuscular causes of weakness in critically ill patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Multiple predisposing factors are responsible for the development of neuromuscular weakness in a critically ill patient. Thorough history and physical examination is paramount and should not be omitted despite that the ...
From Admission to Discharge, How Artificial Intelligence Could Optimize Patient Care : A Brief Review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
The applications of artificial intelligence (AI) in healthcare have been steadily growing over the past few years. This is largely due to the availability of large amounts of healthcare data, coupled with a dramatic increase ...
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, ...
Approach to diffuse parenchymal lung disease (interstitial lung disease) for the Hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
Diffuse parenchymal lung diseases (DPLD, historically known as interstitial lung diseases) are a heterogeneous group of diseases that are uncommon and grouped together for their similarity in one or more clinical, radiological, ...
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).
Case Reports : Topiramate, a concealed cause of severe metabolic acidosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
to suspicion and diagnosis of topiramate toxicity and was confirmed by elevated blood topiramate levels. Additionally, we provide a review of literature on all reported cases of topiramate toxicity. Keywords: Topiramate, metabolic acidosis, migraine, altered...
Inpatient Management of Bronchial Asthma for the Hospitalist -A Concise Review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
to inconsistent compliance with guidelines. We will review the evidence, guideline recommendations, clinical presentation, risk factors, and management of acute asthma exacerbations, including standard and advanced treatment options for refractory cases....
Alcoholic hepatitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
Alcoholic hepatitis (AH) is a clinical manifestation on the spectrum of alcoholic liver diseases related to alcohol consumption. The mildest of these diseases is fatty liver, which can progress to AH and then lead to ...
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 ...
A framework to tackle risk identification and presentation challenges in sepsis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
Sepsis trajectories, including onset and recovery, can be difficult to assess, but electronic health records (EHRs) can accurately capture sepsis as a dynamic episode.
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, ...
Updates in Hospital Palliative Care
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
Background: This review critiques recent palliative care (PC) literature with likelihood of impacting general hospital practice in order to help address the PC needs of patients. Methods: Articles published between January and December 2018 were...
Impact of an Inpatient Diabetes Consulting Service on Post Discharge Glycemic Control
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-07)
"Diabetes mellitus has been estimated to affect 30 million Americans in 2015 with an increasing prevalence every year 1. In addition, patients with diabetes have up to a 3-fold increased risk of hospitalization 2. The ...