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Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-01)
This article answers the question: My patient carries a diagnosis of chronic anemia and has been treated for irondeficiency in the past with minimal to no improvement. How can I differentiate between iron-deficiency anemia and [alpha]-thalassemia?...
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.
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 : 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 decide what to do with it? I...
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.
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 ...
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 ...
Development of acute kidney injury with concomitant use of Vancomycin and Piperacillin-Tasobactam : A review of recent literature
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
This article explores the potential association between co-administration of vancomycin and piperacillin-tazobactam with the development of acute kidney injury (AKI) when compared with vancomycin and other beta lactam antibiotics or vancomycin...
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. ...
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. ...
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)
"The patient is a 75-year-old Caucasian male who was admitted in May for management of a penile ulceration and a generalized rash. He has a medical history of Type II Diabetes Mellitus, tobacco abuse, and Rheumatoid Arthritis ...
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 ...
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 ...
Review Article : Sacubitril/valsartan use for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-10)
The mainstays of therapy for heart failure with reduced ejection fraction (HFrEF) have traditionally been angiotensin converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB), beta-blockers, aldosterone ...
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, ...