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Physician and patient perspectives on inpatients’ understanding of their care and mixed messages during hospitalization
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-12)Patient understanding, improved communication between providers and patients, and patient engagement have been linked to improved patient health outcomes. However, factors such as the complexity and ever-changing nature ... -
Cranial impalement : a late discovery of a non-metal foreign object
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-12)A 64-year-old farmer was brought to the emergency department after he was found lying on the ground. He had been herding sheep in the fields prior to being found. He was disoriented, and left facial edema was seen, as well ... -
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)Introduction: Gastroenterologists are increasingly responsible for providing inpatient care at multiple facilities. Here, we hypothesized that a single gastroenterology team covering two facilities impacts care delivery ... -
Shared decision making : a win-win situation for both patients and physicians
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-04)"Shared decision making (SDM) is a bidirectional, interactive approach that provides a structured pathway for physicians to collaborate with patients to arrive at healthcare decisions based on their goals, preferences, and ... -
Patient with persistent left superior vena cava presenting as acutely decompensating cardiac arrhythmia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-04)A 75-year-old female presented to an outlying emergency room with dizziness, nausea and vomiting. She was noted to be in complete heart block and rapidly deteriorated clinically with pulseless ventricular tachycardia needing ... -
Social media : an opportunity for fidelity in extension of the traditional physician-patient relationship
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01)Social media (SM) sites are a critical component of our modern society, increasingly present not only in our personal lives, but also in professional spheres.1 Within the medical profession, particularly during the ongoing ... -
A new health emergency : monkeypox outbreak
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01)Monkeypox, caused by a double-stranded DNA Orthopox virus has recently increased in non-endemic countries outside of Africa. At the time of this writing, 80,850 cases have been reported globally and 29,248 cases in the ... -
Clinical outcomes associated with Hypoxia in hospitalized patients with COVID-19
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01)The coronavirus disease 2019 (COVID-19) has majorly impacted millions of people worldwide. The clinical course and outcomes of infection with COVID-19 have been studied, but there remain knowledge gaps. This study aims to ... -
Severe babesiosis in an asplenic patient requiring red cell exchange
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2023-01)Babesiosis is a rare, tick-borne infectious disease, caused mostly by the parasite Babesia microti in the United States. It is frequently transmitted through the bite of the Ixodes scapularis tick. Babesiosis is characterized ... -
Acute chest syndrome : a narrative review to guide inpatient management
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-10)Introduction: Acute Chest Syndrome (ACS) is a leading complication of sickle cell disease (SCD) with significant morbidity and mortality. The current practice guidelines lack sufficient detail on the evidence behind our ... -
Do no harm : health systems' duty to promote clinician well-being
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-06)Burnout and mental health disorders plague the health care workforce. Since the pandemic began, there has been an uptick in symptoms of anxiety, depression, and suicidality among health care professionals.1 These threats ... -
In-hospital mortality rate and predictors of 30-day readmission in patients with iron deficiency anemia and diastolic heart failure : a cross-sectional study
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)Introduction: There is currently strong evidence of the adverse effects of anemia on the prognosis of heart failure with reduced ejection fraction. Unfortunately, the data on the effects of anemia on a large sample of ... -
Partial anomalous pulmonary venous return mimics arterial positioning after central line placement for plasmapheresis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-10)A 61-year-old male who was status post right single lung transplant complicated by grade three primary graft dysfunction was admitted and mechanically ventilated for hypoxic respiratory failure. Donor specific antibody ... -
Severe hypothyroidism presenting as cardiac tamponade
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-10)Wide-spread availability of thyroid stimulating hormone assays and routine screening have resulted in early diagnosis of hypothyroidism. Affordable thyroid hormone replacement therapy has ensured that the prevalence of ... -
Persistent meningeal signs despite previous treatment for cryptococcal meningitis -- a case report
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)Cryptococcal meningitis continues to be a life-threatening fungal infection in patients with HIV. Treatment involves a year of antifungal therapy, and persistent meningeal signs months after treatment initiation are uncommon. ... -
Intradermal moving tracks
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)A 64-year-old female presented in August of 2022 to the infectious disease clinic for pruritic lesion and seeing worms on her left foot. Her medical history includes hyperlipidemia, seborrheic keratosis, actinic keratosis ... -
Interventions that can improve the retention in care among patients with HIV: A review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)Introduction: Despite the transformation in healthcare outcomes with the availability of effective antiretroviral therapy, retention in human immunodeficiency virus (HIV) care remains a challenge. Patients with poor retention ... -
In-hospital mortality rate and predictors of 30-day readmission in patients with iron deficiency anemia and diastolic heart failure: A cross-sectional study
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)Introduction: There is currently strong evidence of the adverse effects of anemia on the prognosis of heart failure with reduced ejection fraction. Unfortunately, the data on the effects of anemia on a large sample of ... -
Campylobacter fetus meningitis and bacteremia in a well-controlled HIV patient
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-07)We present a case of Campylobacter fetus meningitis and bacteremia in an HIV patient. He was initially admitted due to concern for meningitis. After brief observation, the patient was discharged--once infectious etiologies ... -
Acute chest syndrome: a narrative review to guide inpatient management
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2022-04)ACS is defined as a new infiltrate in a chest radiograph involving at least one broncho-pulmonary segment in an individual with one additional clinical finding. There are multiple causes of ACS which include infections, ...