Search
Now showing items 1-20 of 30
Missouri hospitalist : nine years on
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
Observations in the history of Missouri Hospitalist journal by its creator and editor.
Case Reports : Two patients with parathyroid hormone suppression caused by proton pump inhibitors
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Hypocalcemia can be associated with coexisting hypomagnesemia, which induces hypoparathyroidism as well as resistance to parathyroid hormone (PTH). Here, we present two patients with severe hypomagnesemia and associated ...
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, 2018-10)
"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 ...
ECG Dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-07)
"Case: A 31-year-old man with an unremarkable past medical history presented with substernal chest pressure without radiation of two-hours duration. The patient's vitals remained stable and an ECG was obtained. What is the diagnosis? ... Answer: D...
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 ...
A cloud on the horizon : a deadly complication of norepinephrine
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
"Symmetrical peripheral gangrene is a life-threatening complication of norepinephrine which is associated with a high mortality rate (up to 40[percent]). It presents as bilateral distal limb gangrene without evidence of ...
Ask a pathologist : why can't you just release the value and I'll figure it out?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-07)
This article answers the question: I ordered a comprehensive metabolic panel. The lab will not release the potassium value because of an interference. I need that result! Why can't they just release the value and let me ...
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?
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. This case report examines...
Non-ketonic hyperglycemia presenting with acute hemichorea and ballism
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
unnecessary investigations. In this case report, we report the case of an elderly woman who presented with hemichorea-ballism due to non-ketotic hyperglycemia and discuss the literature on this presentation. We also highlighted the differential diagnosis based...
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 deviation is usually considered...
Gabapentin and buprenorphine nasal insufflation in a patient on buprenorphine for opiod use disorder
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-04)
Upon introduction into the market, gabapentin was not thought to be a drug with abuse potential. Newer research is showing this to be possible, especially in the population of patients with a history of opioid addiction. ...
ECG dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-04)
"A 48-year-old white male presented to the emergency room (ER) with 5-day history of fever and chills. He also reported chest pain, which he described as heaviness and radiating to the left arm. He reports generalized weakness. He has no significant...
Hydromorphone precipitating serotonin syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
Opioid medications are an underappreciated cause of serotonin syndrome. Fentanyl, meperidine, and methadone are more commonly associated with this potentially life-threatening side effect. Here, we present the case of a 60-year-old man taking...
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)
"A 33-year-old woman, with a past medical history of polysubstance abuse and recently treated infective endocarditis, is admitted with septic shock due to pneumonia. The chest x-ray reveals right middle and lower lobe ...
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)
week prior to his presentation, the patient noted an ulcer proximal to the glans penis (Figure 1). Upon further questioning, he reported noticing a small tick attached to his thigh one week prior. He has no history of sexually transmitted illnesses...
Clotting vs. bleeding : the importance of pharmacologic thromboprophylaxis in IBD
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
under implemented owing to both a lack of awareness of the degree of thrombotic risk and concerns over adverse events (bleeding). The following case serves to illustrate the importance of initiating pharmacologic VTE prophylaxis in a patient with active...
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...