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Promotion of academic hospitalists : room for improvement
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)Introduction: Academic hospitalist medicine has grown rapidly and often focuses on clinical rather than academic productivity. Hospitalist faculty may face challenges achieving academic promotion. Materials and Methods: ... -
Diagnosis and treatment of moccasin-type/hyperkeratotic tinea pedis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)CASE: A man in his 70s was referred to infectious diseases for evaluation of a clinically unresponsive fungal infection. Eight months ago, the patient noticed bilateral erythematous papules and patches on both feet with ... -
Length of stay and its impact on hospitals, physicians and patients : an economic perspective
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)INTRODUCTION: Patient's inpatient Length of stay (LOS) is a frequently used metric in hospital medicine. Decreased in LOS has been correlated with lower risk of opportunistic infections and medication side effects [1]. In ... -
The importance of early reconigition : a case of DRESS Syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)This case examines the presentation, diagnosis, and treatment of an otherwise healthy 22-year-old female who presented to urgent care with abdominal pain and fever 27 days after her first exposure to trimethoprim/sulfamethoxazole ... -
“Who? What? Is that a test?” African Americans in non-metropolitan Midwest U.S. identify knowledge gaps and opportunities for PrEP for HIV prevention
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)A substantive gap exists in understanding the knowledge and perception of Pre-exposure prophylaxis (PrEP) among African Americans overall and especially those in non-urban areas. Thus, this analysis explores these issues ... -
Transcutaneous carbon dioxide monitoring could reduce physical contact with COVID-19 patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)Background: Transcutaneous carbon di-oxide (TcCO2) monitoring can be valuable to allow non-invasive monitoring of plasma carbon dioxide (PaCO2) levels in patients with acute respiratory failure including those with novel ... -
Review of Obesity Paradox
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)Introduction: Obesity is a risk factor for many health conditions and complications but may be regarded as a prognostic factor in other conditions. This has been described as the "obesity paradox." The debate whether this ... -
Malignant Mesothelioma Manifesting in an Elderly Female without Occupational Asbestos Exposure
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)Case Presentation: A 71-year-old Caucasian female with a history of SARS-CoV-2 pneumonia, chronic obstructive pulmonary disease (COPD) and 50 pack-years smoking presented with dyspnea, cough, fever, anorexia, and 12-pound ... -
Two encephalopathic patients with COVID-19 and elevated intracranial pressure
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)COVID-19, the disease caused by infection with SARS-Cov-2, has proven capable of affecting the central nervous system. Encephalopathy is a well-described phenomenon among COVID-19 patients, but there are few cases in the ... -
Mandating vaccination -- is it justified?
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)"The answer is yes…and no. It depends... Personal and Public Obligations: Freedom from oppression, the right to choose, and self-determination are bedrock values upon which our country was founded. They are also central ... -
Rothman Index as a predictor of 30-day hospital readmission
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)Introduction: The Centers for Medicare and Medicaid services financially penalize hospitals for elevated 30-day readmission rates. Identifying patients at high risk for short-term readmission would allow health systems to ... -
Duodenal dieulafoy's lesion
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)Case: A 92-year-old female presented to hospital with one week history of black tarry stools that was associated with generalized weakness and fatigue. She denied dizziness, hematemesis, hematochezia, or abdominal pain. ... -
Disseminated cysticercosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)Case presentation: A 49-year-old male refugee from Uganda with a history significant only for hypothyroidism and hypertension presented to the neurology clinic with an eight-year history of seizures. He has not had a seizure ... -
Non-Caucasian race, chronic opioid use and lack of insurance or public insurance were predictors of hospitalizations in cyclic vomiting syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)"Cyclic vomiting syndrome (CVS) is a chronic disorder of gut brain interaction (DGBI) characterized by recurrent episodes of vomiting and is diagnosed with Rome criteria (1). CVS is treated with prophylactic medications ... -
Missed opportunities : the case for inpatient lung cancer screening
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)"Over the past twenty years, the hospitalist field has grown from an uncommon metropolitan profession to a ubiquitous, broad specialty focused on the rapidly evolving field of inpatient medicine 1. Hospitalists are no ... -
Voriconazole-induced Periostitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)"CASE: A woman in her 60s presented with complaints of severe multifocal bone pain, including the shoulders, sternum, and hips, which had persisted for several months. Two years earlier, the patient had undergone heart ... -
Pyogenic liver abscess and gastrointestinal lemierre syndrome due to fusobacterium nucleatum
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)Pyogenic liver abscess (PLA) affects men disproportionately to women and is occurring with increasing incidence. The mortality associated with PLA nears 15% in the Western world. PLA constitutes a significant number of ... -
Conference calendar (AJHM, volume 3, issue 1, 2019)
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01) -
Fluoroquinolones : more and more warnings
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)"Fluoroquinolones can be the drug of choice in several clinical situations due to their antibacterial spectrum, good tissue penetration, and excellent oral bioavailability. However, side effects, drug interactions and the ... -
Dangerous use of loperamide to counteract withdrawal symptoms from prescription opiates
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2019-01)Increased awareness of opioid overuse in recent years has brought a new set of problems for both patients and clinicians. A 36-year-old woman with severe opioid use disorder began self-treating withdrawal symptoms with ...