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Missouri hospitalist, issue 48 (2013 July-September)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2013-07)
Missouri hospitalist, issue 36 (2011 January-February)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2011-01)
Case of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-03)
A 72 year old male presented to the MU Internal Medicine inpatient service with a two month history of fatigue and malaise. He reported URI symptoms and low grade fevers during this period for which he had been seen at ...
Missouri hospitalist, issue 46 (2013 January-March)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2013-01)
Case of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-05)
A 46 year old female, with a past medical history of hypertension and hypothyroidism, presented to the Emergency Department with abdominal pain. The pain was described as epigastric, sharp, 7/10 and radiating around to the ...
Inpatient Management of Bronchial Asthma for the Hospitalist -A Concise Review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
Asthma is a common inflammatory disease of the airways that leads to significant hospital utilization and health care cost around the world. Despite published guidelines, the diagnosis and treatment of acute asthma ...
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, ...
Crohn's disease and enterocutaneous fistulas
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2012-03)
Fistulas that arise in association with Crohn's Disease are classified as those with no evidence of active disease (type 1) and those associated with intra-abdominal abscess formation (type 2). This distinction is important ...
Real warfarin resistance or medication noncompliance?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-01)
The word noncompliance comes too many times in the physicians' notes, particularly when the out-come is not in sync with the standard of care these days. True, many times, for various reasons, patients are noncompliant ...
Case of the Month : Stroke with fever : don't forget the heart!
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2010-09)
Case of the month : cocaine induced Moyamoya
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-08)
Moyamoya is a disease that was first reported in Japan, in the 1960s. It is a rare and progressive disorder that affects the arteries at the base of the brain, leading to the occlusion of the distal internal carotids and ...
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.
Monitoring and metabolic risks with second generation antipsychotics
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-07)
As the armamentarium of antipsychotic medications continues to grow, so does data supporting expansion of their use for conditions beyond schizophrenia. For this reason, providers other than psychiatrists may see increasing numbers of patients...
Case of the month
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2010-01)
This is a case of partially-treated, community acquired pneumonia (CAP), presenting with severe complications of parapneumonic effusion, empyema, hemolytic anemia and pancytopenia. Common pathogens of CAP that may present with hemolysis include...
Acute ischemic stroke management review for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
activator (rtPA) should be administered as soon as possible. Select patients may be eligible for mechanical thrombectomy. Stroke patients shouldbe admitted to a dedicated stroke service to determine stroke mechanism, manage risk factors, and initiate...
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...
Updates in Hospital Palliative Care
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-10)
to hospitalists on symptom management, advance care planning, and communication....
Experiences influencing physician rural practice and retention : a phenomenological study
(University of Missouri--Columbia, 2009)
A physician maldistribution exists when comparing rural with urban areas. It is necessary to ensure rural citizens have available, accessible, and acceptable quality medical care to remedy health disparities resulting from ...
Impact of 'Transition of Care Model' on hospital ketoacidosis readmission rates : A pilot study
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
To investigate if a" Transition of Care" (ToC) Model at the time of hospital discharge helps in achieving a timely outpatient follow-up and reducing hospital readmission rates with diabetic ketoacidosis (DKA).
Alcoholic hepatitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
Alcoholic hepatitis (AH) is a clinical manifestation on the spectrum of alcoholic liver diseases related to alcohol consumption. The mildest of these diseases is fatty liver, which can progress to AH and then lead to ...