Now showing items 1-10 of 10

  • Acute esotropia in the setting of heroin withdrawal 

    Satish, Bokka; Sivaprasad, Pesala; Bollu, Pradeep (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 ...
  • Case Reports : Topiramate, a concealed cause of severe metabolic acidosis 

    Lovinger, Daniel; Schroeder, Ryan; Ludwig, Kyle; Regunath, Hariharan (University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
    Severe metabolic acidosis is common among critically ill patients, and topiramate is a rare cause that may fail recognition. We report a lady with acute encephalopathy who had severe non-anion gap metabolic acidosis that ...
  • Case Reports : Two patients with parathyroid hormone suppression caused by proton pump inhibitors 

    Naqvi, Ali (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 ...
  • Elder mistreatment : a case report 

    Thyssen, Emil; Halsey, Julia (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. ...
  • Estrogen-induced pancreatitis : transgender females at risk 

    Goodwin, Nathan; Nolan, Nathanial; Chinnakotla, Bhavana (University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
    Estrogen therapy and the consideration of its potential side effects will continue to grow as the number of transgender females presenting to health care services continues to increase. The risks of estrogen therapy in ...
  • Feasibility of performing apnea test in a brain dead patient on veno-venous extracorporeal membrane oxygenation (ECMO) 

    Guerch, Meziane; Cueva, Wilson; Ardelt, Agnieszka; George, Pravin; Sarwal, Aarti; Nattanmai, Premkumar; Newey, Christopher (University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
    Extracorporeal membrane oxygenation (ECMO) is being increasingly used to provide support in patients with refractory cardiopulmonary distress syndromes. Neurological sequelae, either from the ECMO or the hypoxic/hypotensive ...
  • Gabapentin and buprenorphine nasal insufflation in a patient on buprenorphine for opiod use disorder 

    Embers, David; Ravishankar, Dheepthi Arakonam; Sethi, Roopa (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. ...
  • Headache : Could it be esophageal cancer? 

    Brahmbhatt, Mihir; Abdel-karim, Abdul-rahman; Arora, Navanshu (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.
  • Hydromorphone precipitating serotonin syndrome 

    Wang, Sijie (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 ...
  • Non-ketonic hyperglycemia presenting with acute hemichorea and ballism 

    Bollu, Pradeep C. (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 ...