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Ask a hematologist : iron studies in the hospitalized patient
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
This article answers the question: How to order and interpret iron studies for a hospitalized patient with anemia?...
Ask a pathologist : blood product contamination
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
This article answers the question: My patient developed a fever during a packed red blood cell transfusion. What is the likelihood that the fever is due to bacterial contamination of the blood product?...
Ask a pathologist : biotin interference, a cause for concern?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-10)
This article answers the question: I've been hearing about biotin and biotin interference. What is it and do I need to be concerned about it?...
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.
ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
A 45-year-old male was seen as a response to an EMS call. Patient's neighbor saw the patient collapsed in the backyard. Patient had a history of substance abuse and depression. Patient was intubated on field for airway ...
Elder mistreatment : a case report
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
Elder mistreatment may become increasingly apparent as the elderly population continues to grow. Due to their knowledge and skills, physicians have a unique role in the multidisciplinary teams that care for such patients. ...
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 ...
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 ...
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, ...
Provider follow-up calls : a brief intervention to improve patient satisfaction scores
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
"Background: Patient-centered care is the future of hospital services. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is the first of its kind, national, publicly available standardized survey. ...
Estrogen-induced pancreatitis : transgender females at risk
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
Estrogen therapy and the consideration of its potential side effects will continue to grow as the number of transgender females presenting to health care services continues to increase. The risks of estrogen therapy in ...
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 ...
Evaluating duration of antimicrobial therapy for community-acquired pneumonia in clinically stable patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
"In the United States, community-acquired pneumonia (CAP) results in an estimated 2 to 3 million diagnoses each year, 10 million physician visits, and 600,000 hospitalizations resulting in a total cost of over 20 billion ...
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, ...