Hospital Medicine 2018

/Hospital Medicine 2018

‘Dark cloud before a thunderstorm’- A tricky diagnosis of malignant peritoneal mesothelioma.

Case Presentation: A 58 year old female with past medical history of microcytic hypochromic anemia and thrombocytosis presented with progressive abdominal distention and pedal edema of 5 months duration. There was no significant history of [...]

By | 2018-03-19T13:05:20+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on ‘Dark cloud before a thunderstorm’- A tricky diagnosis of malignant peritoneal mesothelioma.

‘DIARRHEA, THE TIP OF THE ICEBERG’ A FATAL CASE OF ENTEROPATHY ASSOCIATED T-CELL LYMPHOMA

Case Presentation: A 67 year old woman presented with right upper quadrant abdominal pain and was diagnosed with acute cholecystitis. She underwent elective cholecystectomy, complicated by Clostridium difficile colitis. Despite treatment with oral Vancomycin, she [...]

By | 2018-03-19T13:24:40+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on ‘DIARRHEA, THE TIP OF THE ICEBERG’ A FATAL CASE OF ENTEROPATHY ASSOCIATED T-CELL LYMPHOMA

‘GANG’ING UP ON THE SKIN: AN 11-MONTH-OLD WITH ULCERATIVE SKIN LESIONS

Case Presentation: A previously healthy 11-month-old female was admitted to the hospital with new onset of skin lesions. One month prior to admission, her parents noticed “bumps on her bottom.” They initially thought the bumps [...]

By | 2018-03-19T13:17:55+00:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on ‘GANG’ING UP ON THE SKIN: AN 11-MONTH-OLD WITH ULCERATIVE SKIN LESIONS

‘HAIRY’ KIDNEYS AND PERICARDIAL EFFUSION: A DIAGNOSTIC DILEMMA

Case Presentation: A 61 year-old-female presented to an outside institution with worsening exertional dyspnea, chest pressure, and fatigue. Echocardiogram revealed a large pericardial effusion bordering on tamponade which was drained with great improvement of symptoms. [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on ‘HAIRY’ KIDNEYS AND PERICARDIAL EFFUSION: A DIAGNOSTIC DILEMMA

‘REFLECTION ROUNDS:’ FOSTERING PROFESSIONAL DEVELOPMENT AND PHYSICIAN WELLNESS THROUGH SELF-REFLECTION

Background: Self-reflection is an essential tool to foster professional and personal development during medical training. The inpatient setting presents specific challenges to developing physicians, as housestaff grapple to negotiate death and dying, difficult patient interactions, [...]

By | 2018-03-19T12:54:05+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on ‘REFLECTION ROUNDS:’ FOSTERING PROFESSIONAL DEVELOPMENT AND PHYSICIAN WELLNESS THROUGH SELF-REFLECTION

‘SOMETIMES THEY ARE JUST SCARED:’ A QUALITATIVE STUDY EXPLORING NURSE PERSPECTIVES ABOUT MOBILITY IN HOSPITALIZED PATIENTS

Background: Few studies have demonstrated effective hospital mobility programs, despite the overwhelming evidence that hospital mobility leads to better patient outcomes. The objective of this study was to explore factors that contribute to whether or [...]

By | 2018-03-19T13:02:26+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on ‘SOMETIMES THEY ARE JUST SCARED:’ A QUALITATIVE STUDY EXPLORING NURSE PERSPECTIVES ABOUT MOBILITY IN HOSPITALIZED PATIENTS

‘WHAT’S IN A NAME?’ A HOSPITALIST BY ANY OTHER NAME DOESN’T SMELL AS SWEET

Background: Patients are frequently unable to identify their primary hospitalist in the complex hospital environment. Patients may have multiple primary inpatient physicians due to handoffs, may be seen by multiple specialists, and may see housestaff [...]

By | 2018-03-19T13:06:28+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ‘WHAT’S IN A NAME?’ A HOSPITALIST BY ANY OTHER NAME DOESN’T SMELL AS SWEET

“POSSESSED” OR FLU SHOT ENCEPHALITIS? A RARE COMPLICATION OF THE INFLUENZA VACCINE

Case Presentation: A 62 year old woman with a history of hypertension suddenly developed a headache starting 3 days after receiving the influenza vaccine. The headache worsened and was associated with nausea, photosensitivity and vomiting. [...]

By | 2018-03-19T12:52:42+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on “POSSESSED” OR FLU SHOT ENCEPHALITIS? A RARE COMPLICATION OF THE INFLUENZA VACCINE

“An untimely wear and tear ” A case of spontaneous coronary artery dissection in a young female .

Case Presentation: A 32 year old female presented with 2 month history of acute onset pressure-like chest pain occurring after yelling at her children and radiating to the back. The symptoms recurred and become progressive [...]

By | 2018-03-19T13:01:52+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on “An untimely wear and tear ” A case of spontaneous coronary artery dissection in a young female .

“MY THYROID CAUSED THE STROKE”: A CASE OF HYPERTHYROIDISM TRIGGERING A STROKE IN PATIENT WITH MOYAMOYA DISEASE

Case Presentation: Stroke in young patients are fortunately less common but have a disproportionately large economic and healthcare impact by leaving the victims disabled before their most productive years. Here we present a case of [...]

By | 2018-03-19T13:06:16+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on “MY THYROID CAUSED THE STROKE”: A CASE OF HYPERTHYROIDISM TRIGGERING A STROKE IN PATIENT WITH MOYAMOYA DISEASE

“TALKING HOSPITALIST:” A LEARNER-CENTERED PROFESSIONAL DEVELOPMENT SERIES FOR EFFECTIVE COMMUNICATION

Background: Multiple recent studies have demonstrated a link between effective clinician communication and patient experience of care in the hospital. Additionally, at a time of unprecedented rates of clinician burnout, communication challenges can negatively impact [...]

By | 2018-03-19T12:53:00+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on “TALKING HOSPITALIST:” A LEARNER-CENTERED PROFESSIONAL DEVELOPMENT SERIES FOR EFFECTIVE COMMUNICATION