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Clostridium difficile infection : considerations for hospitalists
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
As hospitalists, we often care for patients who either present with diarrhea or develop diarrhea during their hospital visit. We have learned to think of Clostridium difficile infection (CDI) early. In the United States, administrative data...
Acute Care Update
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2016-04)
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 ...
A hill hidden by the clouds
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
of distal arterial filling (Figures 2, 3). Transverse images demonstrated a wedge-shaped density consistent with a pulmonary infarct (Figure 4)."...
Case analysis : Ethical issues in predictive genetic testing of minors for adult-onset hereditary conditions
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
Introduction: Predictive genetic testing for adult-onset conditions in children is an issue that has initiated ethical discussions and polarized views. Case Presentation: A genetic counselor is contacted by a mother requesting predictive genetic...
In pursuit of happiness : Creation of an academic hospitalist wellness committee and well-being survey
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
Physician burnout poses a critical threat to the delivery of healthcare. A solution to this problem is a leadership imperative. Managing demands on physicians can prevent burnout and foster engagement. This study assesses ...
Is it time for physician assistant (PA)/nurse practitioner (NP) hospital medicine residency training?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
The roles of non-physician providers, such as physician assistants (PA) and nurse practitioners (NP), are constantly evolving in the United States healthcare system. They are a vital part of many inpatient multi-disciplinary ...
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 ...
Case Reports : Non-traumatic muscle pain in a diabetic
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
The prevalence of diabetes in the adult population in United States is approximately 10[percent] and is expected to rise. The myriad of complexities of this entity, both microvascular and macrovascular is anticipated to ...
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 of initial antibiotic...
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-04)
This is a response to the question: I heard there is going to be a shortage of FFP [universal donor type AB plasma] from the American Red Cross during the next few months. What should I do when I need to urgently reverse anticoagulation in patients...
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 ...
Volunteerism among hospitalists and non-hospitalists at academic and community medical centers in North Carolina
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Volunteerism is common in the United States, though less is known about volunteerism among medical professionals. We aimed to record and compare volunteer activities among hospitalists and non-hospitalists in academic and ...
Alcoholic hepatitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
use. Alcohol is the leading cause of liver disease in the world and the third most common cause of preventable death in the United States (1, 2). This goes to show that alcohol use is a major problem and the clinical diseases that arise from its use...
Perceptions Towards the Discharge Process in a Community Teaching Hospital
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-04)
Background: Discharge process in the hospital is lengthy and with low efficiency, especially in teaching facilities. Our objective was to identify perceptions towards the current discharge process and possible ways to improve it in a community...
Nighttime resident supervision and education: results of a national survey of internal medicine residency program directors
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-04)
Over the past several years, the Accreditation Council for Graduate Medical Education (ACGME) has issued new restrictions on resident duty hours while calling for increased supervision to ensure patient safety. To meet these requirements, some...
Duodenal dieulafoy's lesion
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)
, followed by deployment of seven hemoclips (Figure 2). Post-procedure Hgb remained stable at 8.5 g/dL and subsequently, she was discharged home after 3-days of hospital stay...
The relationship between off-site inpatient gastroenterology consultations and timeliness of care delivery
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-06)
of stay (LOS). Materials and Methods: This retrospective cohort study included inpatient GI consultations over a three-year period performed at two hospitals within a single academic health system. One site, where complete endoscopic services are provided...
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)
in cerebrospinal fluid (CSF) volume, such as during external ventricular device (EVD) weaning in aneurysmal subarachnoid hemorrhage (aSAH) patients. This pilot study evaluated if changes in pupillary responses could be predictive of EVD weaning failure in a...
Disseminated cysticercosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)
on neurological and general physical examination were normal. Laboratory findings were notable for peripheral eosinophilia and thrombocytopenia present for a few months, which resolved in subsequent evaluations. Human immunodeficiency virus 1/2 Antigen...