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Clincial Research : The effect of medication prophylaxis on the incidence of delirium in elderly patients undergoing orthopedic surgery : A meta-analysis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-10)
Delirium is common in the post-operative period in patients who have undergone orthopedic surgery, and the elderly are especially vulnerable. It leads to increased costs, longer hospital stays and higher rates of discharge ...
Glass is a viable substrate for precision force microscopy of membrane proteins
(2015)
Though ubiquitous in optical microscopy, glass has long been overlooked as a specimen supporting surface for high resolution atomic force microscopy (AFM) investigations due to its roughness. Using bacteriorhodopsin from ...
Case Report : Uncommon presentation of pernicious anemia, hypothyroidism, and pericardial effusion
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
Introduction: Pernicious anemia is not commonly investigated as an etiology for Vitamin B12 deficiency. However, it is associated with other autoimmune disorders and may be linked with H. pylori infections as well as an ...
Treatment Options for urinary tract infections caused by extended-spectrum B-lactamase-producing Escherichia coli and Klebsiella pneumoniae
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
Increased utilization of antibiotics has contributed to greater resistance among pathogenic bacteria. The prevalence of such organisms has created challenges for practitioners treating bacterial infections. One of the most ...
Overt hepatic encephalopathy : Pharmacotherapy review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
Hepatic encephalopathy (HE) has a large impact on the patient, caregivers, and health care team. From 2005 to 2009, there were 110,000 hospitalized patients in the United States. Overt hepatic encephalopathy (OHE) may occur ...
The heart of the university
(Mizzou Alumni Association, 2015)
Dialysis in the acute setting
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-10)
Acute kidney injury (AKI) is frequently encountered in the hospital setting. It may be present on admission or may develop during the hospital stay. Early and consistent recognition of AKI has been a challenge. This has ...
Case Reports : Rheumatoid pleural effusions and trapped lung : An uncommon complication of rheumatoid arthritis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
Rheumatoid arthritis (RA) is a disease affecting approximately 1[percent] of the population. It is familiarly defined as "chronic, symmetric, debilitating and destructive inflammatory polyarthritis characterized by ...
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.
Factors related to making investment mistakes in a down market
(2015)
Using data from the 2008 FPA-Ameriprise Financial Value of Financial Planning Research Study, this study identifies the factors related to making investment mistakes by moving assets into more of a cash position in a down ...
Case Reports : Isolated intestinal angioedema induced by an ACE-inhibitor
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-07)
INTRODUCTION: We report a case of isolated angioedema in a patient who presented with severe abdominal pain shortly after starting Lisinopril for treatment of hypertension. CASE DESCRIPTION: A 26 year old female presented ...
An unusual case of late recurrent Hodgkin lymphoma presenting with soft tissue masses
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-07)
Hodgkin lymphoma remains primarily a nodal disease. Extranodal involvement in Hodgkin lymphoma is less common than that seen in non-Hodgkin lymphoma. In particular, extranodal Hodgkin lymphoma involving soft tissues is ...
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
QUESTION: I am suspicious that my patient with aortic stenosis may have acquired von Willebrand syndrome. What laboratory tests should I order if I suspect this diagnosis?
Case Report : Widespread rash in an immunocompromised 31-year-old female : Case report and literature search
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
A 31-year-old female presents with a widespread vesicular and papular rash involving her anterior and posterior trunk, proximal extremities, neck, and face with sparing of soles and palms. Her past medical history is ...
Antibiotic de-escalation in culture-negative healthcare-associated pneumonia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
The guidelines from the American Thoracic Society (ATS) and the Infectious Disease Society of America (IDSA) recommend "early, appropriate antibiotics inadequate doses, while avoiding excessive antibiotics by de-escalation ...
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
QUESTION: My patient has thrombocytopenia, but after the last platelet transfusion his platelet count only increased from 21,000/μL to 26,000/μL. Does he need crossmatched platelets?
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-07)
QUESTION: What is the difference between packed red blood cells that are called "CMV negative" and those that are called "CMV safe"?