Hospital Medicine 2019

/Hospital Medicine 2019

‘A SIGHT TO BE SEEN’ – OCULAR SYPHILIS IN A PATIENT WITH NEWLY DIAGNOSED HIV

Case Presentation: A 40-year-old man presents with painful, progressive bilateral vision loss which began two months prior, and was described as the patient feeling as if he were “looking through a straw”. He noted excruciating [...]

By | 2019-03-18T17:12:27+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘A SIGHT TO BE SEEN’ – OCULAR SYPHILIS IN A PATIENT WITH NEWLY DIAGNOSED HIV

‘ACHY BREAKY HEART’: A CASE REPORT OF AUTOIMMUNE MYOCARDITIS AND CONSTRICTIVE PERICARDITIS DUE TO SYSTEMIC SCLEROSIS

Case Presentation: 59 year old woman with a history of recently diagnosed rheumatoid arthritis (RA) not on therapy presents with substernal non radiating chest pain and right upper quadrant pain worsening with inspiration and dyspnea [...]

By | 2019-03-11T14:38:42+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘ACHY BREAKY HEART’: A CASE REPORT OF AUTOIMMUNE MYOCARDITIS AND CONSTRICTIVE PERICARDITIS DUE TO SYSTEMIC SCLEROSIS

‘CLOSE ENCOUNTER OF THE TICK KIND’: A CASE OF ANAPLASMOSIS MIMICKING SEPTIC SHOCK

Case Presentation: An 87-year-old man with a history of osteoarthritis with recent knee injection presented with malaise, chills, and fever to 102.2°F for three days. He described an abrupt onset of chills and fever at [...]

By | 2019-03-11T14:44:34+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘CLOSE ENCOUNTER OF THE TICK KIND’: A CASE OF ANAPLASMOSIS MIMICKING SEPTIC SHOCK

‘HOW A WOMAN WITH RHEUMATOID ARTHRITIS FOUND HERSELF IN A PSYCH WARD’

Case Presentation: A 39 year old Indian female with a medical history of rheumatoid arthritis, maintained on bi-weekly Adalimumab for the past year, presented with anxiety and forgetfulness, which had progressed to extreme paranoia and [...]

By | 2019-03-11T14:41:04+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘HOW A WOMAN WITH RHEUMATOID ARTHRITIS FOUND HERSELF IN A PSYCH WARD’

‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

Background: Many hospitalized patients spend most of their time in bed leading to increased complications. For elderly patients, hospitalization results in decreased post-hospital independence up to 1 month after discharge, which can be prevented with [...]

By | 2019-03-11T14:24:39+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

‘ISABEL’ TO THE RESCUE!

Case Presentation: A female of 70-years with a history of osteoarthritis presented with four weeks of fever, weight loss, night sweats, and fatigue. She was hypotensive, febrile, tachycardic and tachypneic. She was initially managed per [...]

By | 2019-03-11T14:45:06+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘ISABEL’ TO THE RESCUE!

‘MYCARE CARD’: A COST EFFECTIVE MEASURE TO IMPROVE PHYSICIAN-PATIENT COMMUNICATION AND HCAHPS SCORES

Background: During hospitalization, many patients cannot identify the physician responsible for their care. Among patients cared for by a hospitalist, many of them are meeting their hospitalist for the first time. Previous work has shown [...]

By | 2019-03-11T14:17:05+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on ‘MYCARE CARD’: A COST EFFECTIVE MEASURE TO IMPROVE PHYSICIAN-PATIENT COMMUNICATION AND HCAHPS SCORES

‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to [...]

By | 2019-03-11T14:23:05+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

Background: Several studies have shown increased mortality and readmission rate in patients admitted to hospitals over the weekend. This “weekend effect” has been well-described for several medical conditions and has been attributed to several factors. [...]

By | 2019-03-11T14:20:31+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

‘STUCK IN A BAD PLACE’: A RARE CAUSE OF SMALL BOWEL OBSTRUCTION

Case Presentation: A 78-year-old male with a past medical history of atrial fibrillation presented with abdominal pain, nausea, and vomiting. His surgical history includes hernia repair, appendectomy, and cholecystectomy. He endorsed symptoms of anorexia and [...]

By | 2019-03-11T14:39:20+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘STUCK IN A BAD PLACE’: A RARE CAUSE OF SMALL BOWEL OBSTRUCTION

‘TAKE 5’ TO IMPROVE RESIDENT SATISFACTION WITH CDI

Background: The Accreditation Council for Graduate Medical Education (ACGME) includes “Systems Based Practice” as part of its six core competencies for resident education. Clinical documentation is a primary resource of patient safety and quality metrics [...]

By | 2019-03-11T14:23:39+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘TAKE 5’ TO IMPROVE RESIDENT SATISFACTION WITH CDI

‘THE MILKY WAY TO MY HEART’ – A UNIQUE PRESENTATION OF AMYLOID CARDIOMYOPATHY

Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left [...]

By | 2019-03-11T14:32:43+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘THE MILKY WAY TO MY HEART’ – A UNIQUE PRESENTATION OF AMYLOID CARDIOMYOPATHY

‘THOSE WORMS DID NOT WANT TO BE EXTRACTED’: A CASE OF ASCARIS LUMBRICOIDES BILIARY OBSTRUCTION AND CHOLANGITIS

Case Presentation: A 24 year old, Chuukese-speaking woman visiting the United States from Micronesia, with no known past medical history, presented with complaint of 24 hours of acute epigastric pain. Patient was on no medications. [...]

By | 2019-03-11T14:37:03+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘THOSE WORMS DID NOT WANT TO BE EXTRACTED’: A CASE OF ASCARIS LUMBRICOIDES BILIARY OBSTRUCTION AND CHOLANGITIS