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Diagnostic dilemma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-07)
Questions: 1) A 37 year old female is admitted with increasing dyspnea and orthopnea of 1 week duration. 2) A 68 year old male with history of hypertension was admitted with a blood pressure of 220/120 mm/Hg.
Laboratory diagnosis of infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-10)
Ever wonder what type of culture or test to order to diagnose an infection? Well, the IDSA haspublished guidelines which are arranged by anatomical site, with lots of tables that tell you what culture, Smear, PCR or serologic ...
Challenges in comparative oral epic
(2012-10)
Missouri ACP 2015 Abstract Winners
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2016-10)
Rash in a Returning Traveler
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2016-10)
Monitoring home BP readings just got easier
(Family Physicians Inquiries Network, 2016)
Monitoring home BP readings just got easier. This novel method of identifying patients with uncontrolled hypertension correlates well with ambulatory BP monitoring. Practice changer: Use this easy "3 out of 10 rule" to ...
When can exercise supplant surgery for degenerative meniscal tears?
(Family Physicians Inquiries Network, 2017)
When can exercise supplant surgery for degenerative meniscal tears? PRACTICE CHANGER: Recommend supervised exercise therapy to your patients with a medial, degenerative meniscal tear and a minimal history of osteoarthritis ...
Do ACE inhibitors or ARBs help prevent kidney disease in patients with diabetes and normal BP?
(Family Physicians Inquiries Network, 2017)
Q: Do ACE inhibitors or ARBs help prevent kidney disease in patients with diabetes and normal BP? Evidence-based answer: Yes for angiotensin-converting enzyme (ACE) inhibitors, no for angiotensin receptor blockers (ARBs). ...
Which patients with metabolic syndrome benefit from metformin?
(Family Physicians Inquiries Network, 2016)
Q Which patients with metabolic syndrome benefit from metformin? Evidence-based answer: Patients at highest risk for progression to diabetes benefit from metformin. In patients with metabolic syndrome who are in the ...
How do clinical prediction rules compare with joint fluid analysis in diagnosing gout?
(Family Physicians Inquiries Network, 2016)
Q: How do clinical prediction rules compare with joint fluid analysis in diagnosing gout? Evidence-based answer: Clinical prediction rules effectively diagnose gout without joint fluid analysis. The American College of ...
Which SSRIs most effectively treat depression in adolescents?
(Family Physicians Inquiries Network, 2016)
Q: Which SSRIs most effectively treat depression in adolescents? Evidence-based answer: We don' t know which selective serotonin reuptake inhibitors (SSRIs) are the most effective and safe because no studies have compared ...
Imaging modalities in acute ischemic stroke
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
As "time is brain", acute ischemic stroke is considered a medical emergency. With the introduction of thrombolytic therapy and availability of modern neuroimaging modalities, timely diagnosis of an ischemic lesion, exclusion ...
Atypical hemolytic uremic syndrome : when the environment and mutations affect organ systems. A case report with review of literature
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Atypical hemolytic uremic syndrome (aHUS) is a rare thrombotic microangiopathy (TMA) with a genetic predisposition. Like other TMAs, it presents clinically with thrombocytopenia and microangiopathic hemolytic anemia, which ...
Hospital Medicine Virtual Journal Club
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-06)
Abstracts and full-text links from recent journals of interest to Hospitalists. Hospitalists are invited to peruse the articles and to post comments.