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HM2018 Abstract Number: 155

Measuring and Reporting Central Line-Associated Bloodstream Infection: More Than Meets the Eye?

Background: Although central line-associated bloodstream infection (CLABSI) rates are publicly reported, whether these data correlate to clinical documentation or practice is not known. Using data from a large hospital collaborative, we hypothesized that physician [...]

By | 2018-03-21T16:17:45+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on Measuring and Reporting Central Line-Associated Bloodstream Infection: More Than Meets the Eye?

HM2018 Abstract Number: 110

TWO HURRICANES IN ONE YEAR-LESSONS LEARNED FOR HOSPITALIST STAFFING AND DISASTER PLANNING

Background: Situated in coastal Florida, the four hospitals/1,000 beds in the Health First Integrated delivery network are located right in hurricane alley. Our hospitalist program had to plan for, communicate, and execute our hurricane staffing [...]

By | 2018-03-19T15:43:49+00:00 March 19th, 2018|Innovations, Other, Uncategorized|Comments Off on TWO HURRICANES IN ONE YEAR-LESSONS LEARNED FOR HOSPITALIST STAFFING AND DISASTER PLANNING

HM2018 Abstract Number: 154

Does EKG-Guided Peripherally Inserted Central Catheter Insertion Reduce Risk of Deep Vein Thrombosis?

Background: The position of the tip of a peripherally inserted central catheter (PICC) is associated with deep vein thrombosis (DVT). Optimal position of the tip is the cavoatrial junction; more proximal tip positions are associated [...]

By | 2018-03-19T15:43:52+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on Does EKG-Guided Peripherally Inserted Central Catheter Insertion Reduce Risk of Deep Vein Thrombosis?

HM2018 Abstract Number: 334

OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

Background: Due to the complexity of patient discharge needs leading to increased length of stay within a large academic medical center, a specialized inpatient unit became a priority. Purpose: The University of Kentucky Healthcare created [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

HM2018 Abstract Number: 126

STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

Background: There is an estimated 160,000 individuals that have been diagnosed with Hepatitis C Virus (HCV) in New Jersey. HCV is a well-known and widespread challenge to personal, societal, and governmental resources and ultimately, human [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Outcomes Research, Uncategorized|Comments Off on STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

HM2018 Abstract Number: 645

Pituitary Apoplexy with Binasal Visual Defect

Case Presentation: A 67-year-old Japanese man was brought to our hospital because of a headache. He had noticed his headache and retroorbital pain four days before and they had been getting worse gradually. Subsequently, he [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Pituitary Apoplexy with Binasal Visual Defect

HM2018 Abstract Number: 66

PREPARING FOR INDEPENDENT PRACTICE: AN EDUCATIONAL INTERVENTION PROMOTING STRUCTURED CHART REVIEW, REFLECTION, AND FEEDBACK ON NIGHT ADMITTING ROTATIONS

Background: Feedback on clinical management and diagnostic accuracy may enhance physicians’ learning and reduce diagnostic error. Residents on night admitting rotations rarely receive feedback on their clinical management and seldom have the opportunity to reflect [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Education, Innovations, Uncategorized|Comments Off on PREPARING FOR INDEPENDENT PRACTICE: AN EDUCATIONAL INTERVENTION PROMOTING STRUCTURED CHART REVIEW, REFLECTION, AND FEEDBACK ON NIGHT ADMITTING ROTATIONS

HM2018 Abstract Number: 911

NON-TRAUMATIC COMPARTMENT SYNDROME DUE TO STREPTOCOCCUS AGALACTIAE IN AN IMMUNOCOMPROMISED HOST

Case Presentation: A 34-year-old male with recently diagnosed Philadelphia chromosome-positive acute lymphoblastic leukemia developed neutropenic fever with right arm pain on day thirteen of induction chemotherapy. He was placed on empiric piperacillin-tazobactam. Blood cultures grew [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on NON-TRAUMATIC COMPARTMENT SYNDROME DUE TO STREPTOCOCCUS AGALACTIAE IN AN IMMUNOCOMPROMISED HOST

HM2018 Abstract Number: 278

TWICE DAILY INTERDISCIPLINARY ROUNDS AND ITS EFFECT ON TEAM SATISFACTION AND HOSPITAL LENGTH OF STAY

Background: Interdisciplinary rounds (IDR) have become widely implemented in hospital settings in recent years due to proposed positive impact on various outcome measures such as length of stay, frequency of adverse effects, patient and team [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on TWICE DAILY INTERDISCIPLINARY ROUNDS AND ITS EFFECT ON TEAM SATISFACTION AND HOSPITAL LENGTH OF STAY

HM2018 Abstract Number: 203

EFFECTIVENESS OF CLINICAL DECISION SUPPORT FOR REDUCING UNNECESSARY HYPERCOAGULABILITY EVALUATIONS IN A LARGE COMMUNITY HOSPITAL

Background: Venous Thromboembolism (VTE) is a potentially life-threatening disorder and in some cases, is related to underlying hypercoagulability which may be congenital or acquired. Guidelines suggest performing extensive work -up for hypercoagulability only in select [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on EFFECTIVENESS OF CLINICAL DECISION SUPPORT FOR REDUCING UNNECESSARY HYPERCOAGULABILITY EVALUATIONS IN A LARGE COMMUNITY HOSPITAL

HM2018 Abstract Number: 80

A NOVEL APPROACH TO IMPROVE FELLOWSHIP INTERVIEW SKILLS

Background: The process by which medical residents apply for subspecialty fellowship is a rigorous one that often involves multiple interviews per day. Data regarding the preparedness of residents who go through the interview process is [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Education, Innovations, Uncategorized|Comments Off on A NOVEL APPROACH TO IMPROVE FELLOWSHIP INTERVIEW SKILLS

HM2018 Abstract Number: 423

ATRAUMATIC SPLENIC RUPTURE SECONDARY TO BABESIOSIS: A STEALTHY DEADLY DISEASE

Case Presentation: A 66 year-old Caucasian male presented to the emergency department with intermittent fevers, chills, fatigue and dyspnea of 1 week duration. He denied any nausea, vomiting, abdominal pain, changes in bowel habit or [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on ATRAUMATIC SPLENIC RUPTURE SECONDARY TO BABESIOSIS: A STEALTHY DEADLY DISEASE

HM2018 Abstract Number: 109

Non-Critical Care Telemetry Monitoring for Non-Cardiac Related Diagnoses: Are We Overdoing it?

Background: Telemetry is an essential tool for real-time monitoring of the heart rhythm and QRS morphology of a patient. American College of Cardiology and American Heart Association had published their respective practice standards for in-hospital [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Other, Research, Uncategorized|Comments Off on Non-Critical Care Telemetry Monitoring for Non-Cardiac Related Diagnoses: Are We Overdoing it?

HM2018 Abstract Number: 595

DIFFUSE ALVEOLAR HEMORRHAGE FROM ATYPICAL HEMOLYTIC UREMIC SYNDROME SECONDARY TO LUPUS NEPHRITIS.

Case Presentation: A 20 year old man with history of Systemic Lupus erythematous (SLE) with Lupus nephritis presented to the hospital with cough and hemoptysis for the past few days. He was found to have [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on DIFFUSE ALVEOLAR HEMORRHAGE FROM ATYPICAL HEMOLYTIC UREMIC SYNDROME SECONDARY TO LUPUS NEPHRITIS.

HM2018 Abstract Number: 604

My sinuses problems made me swollen all over!!

Case Presentation: A 40-year-old male of Hispanic/Asian origin with a history of diabetes mellitus type II, hypertension, dyslipidemia, recurrent sinusitis and bilateral otitis media presented to the emergency department complaining of acute hand joints pain, [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on My sinuses problems made me swollen all over!!

HM2018 Abstract Number: 497

An Unnecessary Procedure in a Sickle Cell Patient with Acute Chest Syndrome

Case Presentation: A 28-year-old woman with sickle cell disease and chronic pain who required inpatient care several times yearly presented with worsening nausea, emesis and uncontrolled pain to the emergency department (ED). Symptoms were typical [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on An Unnecessary Procedure in a Sickle Cell Patient with Acute Chest Syndrome

HM2018 Abstract Number: 70

THE IMPACT OF A HIGH VALUE CARE CURRICULUM FOR INTERNAL MEDICINE SUB-INTERNS

Background: Healthcare expenditures in the United States have grown from 5% of the gross domestic product in 1960 to nearly 18% in 2015. Despite spending more for healthcare than any other industrialized country, healthcare outcomes [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on THE IMPACT OF A HIGH VALUE CARE CURRICULUM FOR INTERNAL MEDICINE SUB-INTERNS

HM2018 Abstract Number: 813

WHILE TISSUE IS THE ISSUE, INFECTIONS ALWAYS COME DOWN TO LOCATION, LOCATION, LOCATION!

Case Presentation: A 25 year-old white man with no significant past medical history presented with gradually progressive dyspnea on exertion and dry cough for approximately two months. He was treated for community-acquired pneumonia with various [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on WHILE TISSUE IS THE ISSUE, INFECTIONS ALWAYS COME DOWN TO LOCATION, LOCATION, LOCATION!

HM2018 Abstract Number: 210

A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

Background: CSD’s are an integral component of the inpatient admission process. However, despite their importance, CSD’s are not performed during all admissions. Residents physicians, who are at the forefront of the admission process, are rarely [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

HM2018 Abstract Number: 661

OF ULCERS AND ESCHAR

Case Presentation: A 62-year-old man presented with 5 weeks of progressive right lower extremity ulceration associated with pain, swelling, erythema, fevers, and diaphoresis. Initially, outpatient providers diagnosed patient with cellulitis following minor trauma and complicated [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on OF ULCERS AND ESCHAR

HM2018 Abstract Number: 425

MISS UNDERSTOOD: A CASE OF HASHIMOTO’S ENCEPHALOPATHY

Case Presentation: A 75-year-old African-American female with a past medical history of hypothyroidism, hypertension, and Alzheimer’s dementia presented to the emergency room with altered mental status and concern for possible stroke; family also reported new [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on MISS UNDERSTOOD: A CASE OF HASHIMOTO’S ENCEPHALOPATHY

HM2018 Abstract Number: 503

ACNE? NOT SO MUCH: A RARE CLINICAL MANIFESTATION OF PROPIONIBACTERIUM ACNES

Case Presentation: A 69-year-old immune-competent male presented with one-month history of fatigue and weakness. Patient endorsed decreased oral intake. He also noted dyspnea on exertion, non-productive cough and peripheral edema. Past medical history was significant [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on ACNE? NOT SO MUCH: A RARE CLINICAL MANIFESTATION OF PROPIONIBACTERIUM ACNES

HM2018 Abstract Number: 343

Patterns of opioid prescribing practices in a teaching hospital

Background: Opioids are widely prescribed for cancer and non-cancer related pain in hospitalized patients. The opioid usage increased roughly three times in the past two decades. Pain is a feeling of distress evoked by sensory [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Research, Translating Research into Practice, Uncategorized|Comments Off on Patterns of opioid prescribing practices in a teaching hospital

HM2018 Abstract Number: 200

ADVANCE CARE PLANNING IN THE PERIOPERATIVE CLINIC: A RETROSPECTIVE CHART REVIEW

Background: High risk patients undergoing elective surgery are at increased risk of life-threatening complications. Also, most are under anesthesia, lacking capacity for at least that time. Despite this they often lack advance directives (ADs) or [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on ADVANCE CARE PLANNING IN THE PERIOPERATIVE CLINIC: A RETROSPECTIVE CHART REVIEW

HM2018 Abstract Number: 765

LEVOFLOXACIN-INDUCED MYOCLONUS

Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a [...]

By | 2018-03-19T15:43:57+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on LEVOFLOXACIN-INDUCED MYOCLONUS

HM2018 Abstract Number: 38

PATIENT PERCEPTIONS OF PROVIDER BEDSIDE COMMUNICATION AND USE OF THE WHITEBOARD COMMUNICATION TOOL

Background: The use of whiteboards in the inpatient setting has become increasingly prevalent as a potentially effective tool for prevention of communication failures and improved multidisciplinary care. Provider and nursing surveys indicate that this tool [...]

By | 2018-03-19T15:43:59+00:00 March 19th, 2018|Communication, Research, Uncategorized|Comments Off on PATIENT PERCEPTIONS OF PROVIDER BEDSIDE COMMUNICATION AND USE OF THE WHITEBOARD COMMUNICATION TOOL

HM2018 Abstract Number: 342

LOW PROCALCITONIN CAN EFFECTIVELY RULE OUT BACTEREMIA

Background: Blood stream infection is associated with high mortality and morbidity. Blood cultures are considered the gold standard for diagnosing bacteremia in sepsis patients. However, blood culture results may take at least 12 to 24 [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Research, Translating Research into Practice, Uncategorized|Comments Off on LOW PROCALCITONIN CAN EFFECTIVELY RULE OUT BACTEREMIA

HM2018 Abstract Number: 338

SLEEP FOR HOSPITALIZED PATIENTS – TRANSLATING RESEARCH INTO PRACTICE

Background: Evidence-based medicine and research are the backdrops to our everyday practice of medicine. Although there are defined steps in carrying research project to publication, there is paucity in the translation of research to practice.(1,2) [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Innovations, Translating Research into Practice, Uncategorized|Comments Off on SLEEP FOR HOSPITALIZED PATIENTS – TRANSLATING RESEARCH INTO PRACTICE

HM2018 Abstract Number: 533

CATATONIA WITH WAXY FLEXIBILTY IN A HOSPITALIZED WOMAN WITH LUPUS

Case Presentation: A 32 year-old female with history of systemic lupus erythematosus, depression and anxiety was admitted to the medical ward with cytomegalovirus pneumonitis and viremia. On hospitalization day 21, patient had an acute change [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on CATATONIA WITH WAXY FLEXIBILTY IN A HOSPITALIZED WOMAN WITH LUPUS

HM2018 Abstract Number: 524

OPSOCLONUS MYOCLONUS SYNDROME IN A PATIENT WITH VIRAL ENCEPHALITIS

Case Presentation: A 39 year-old woman presented to our hospital in late August with non-neutropenic fever and a diffuse maculopapular rash involving her palms and soles. Past medical history was significant for HER2 positive, locally [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on OPSOCLONUS MYOCLONUS SYNDROME IN A PATIENT WITH VIRAL ENCEPHALITIS

HM2018 Abstract Number: 606

A RARE CASE OF SELECTIVE IGM DEFICIENCY IN AN OTHERWISE HEALTHY ADULT

Case Presentation: 59 yo Caucasian male presented from an outside hospital (OSH) with primary complaint of “leg abscesses” of 1 wk duration. Patient was afebrile, vital signs stable and in no acute distress complaining of [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A RARE CASE OF SELECTIVE IGM DEFICIENCY IN AN OTHERWISE HEALTHY ADULT

HM2018 Abstract Number: 228

THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

HM2018 Abstract Number: 331

PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE WITH RIFAXIMIN ALONE VERSUS RIFAXIMIN PLUS LACTULOSE THERAPY: IMPACT ON QUALITY OF LIFE AND CAREGIVER BURDEN IN PATIENTS WITH CIRRHOSIS

Background: Rifaximin, a nonsystemic antibiotic, may be used alone or in combination with lactulose for reducing the risk of overt hepatic encephalopathy (OHE) recurrence in adults. This analysis evaluated rifaximin alone and rifaximin + lactulose [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE WITH RIFAXIMIN ALONE VERSUS RIFAXIMIN PLUS LACTULOSE THERAPY: IMPACT ON QUALITY OF LIFE AND CAREGIVER BURDEN IN PATIENTS WITH CIRRHOSIS

HM2018 Abstract Number: 525

Worsening headache after first-time dialysis

Case Presentation: A 53 year old man presented with a global headache and difficulty concentrating for one week. The patient’s past medical history included systemic amyloidosis status post autologous stem cell transplant, hypertension, and end [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Worsening headache after first-time dialysis

HM2018 Abstract Number: 187

DATABASE DEVELOPMENT FOR PEDIATRIC HOSPITAL MEDICINE AND ORTHOPEDIC COMANAGEMENT OF PATIENTS UNDERGOING POSTERIOR SPINAL FUSION

Background: The care of surgical patients is becoming more complex as patients with increasing comorbidities require surgical procedures. In adult hospital medicine, co-management of complex medical patients by hospital medicine and surgery has been shown [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Innovations, Pediatrics, Uncategorized|Comments Off on DATABASE DEVELOPMENT FOR PEDIATRIC HOSPITAL MEDICINE AND ORTHOPEDIC COMANAGEMENT OF PATIENTS UNDERGOING POSTERIOR SPINAL FUSION

HM2018 Abstract Number: 366

CHOOSING WISELY? A COST CONSCIOUS APPROACH WHEN ORDERING IMAGING STUDIES FOR RAPID RESPONSE PATIENTS WITH ALTERED MENTAL STATUS

Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on CHOOSING WISELY? A COST CONSCIOUS APPROACH WHEN ORDERING IMAGING STUDIES FOR RAPID RESPONSE PATIENTS WITH ALTERED MENTAL STATUS

HM2018 Abstract Number: 199

A MULTI-CENTER STUDY OF PRE-OPERATIVE NON-INVASIVE CARDIAC TESTING IN OLDER PATIENTS WITH HIP FRACTURE

Background: Current guidelines for the use pre-operative non-invasive cardiac testing, especially in older patients with multi-morbidity and poor functional capacity are unclear. Our study aimed to evaluate the use of nuclear stress test (NST) and [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on A MULTI-CENTER STUDY OF PRE-OPERATIVE NON-INVASIVE CARDIAC TESTING IN OLDER PATIENTS WITH HIP FRACTURE

HM2018 Abstract Number: 549

RADIATION INDUCED CONDUCTIVE HEART DISEASE: A NEED FOR REGISTRIES

Case Presentation: 72-year-old male with history of hypertension, Stage IIIB squamous cell cancer of the right lung status post chemo-radiation presented to the clinic for a routine annual physical. He was found to be bradycardic [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on RADIATION INDUCED CONDUCTIVE HEART DISEASE: A NEED FOR REGISTRIES

HM2018 Abstract Number: 439

Rethinking the Diagnosis: A Case of Vertigo

Case Presentation: 80 year-old-male with past medical history of hypertension, coronary artery disease, chronic systolic heart failure, diabetes mellitus type 2, chronic kidney disease stage 2 presented with acute onset of constant vertigo for 1 [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Rethinking the Diagnosis: A Case of Vertigo

HM2018 Abstract Number: 452

All JAK’d up on Budd

Case Presentation: A 66 year-old woman with a prior history of alcohol abuse presented from an outside hospital for further evaluation of a one week history of increasing abdominal distension, lower extremity edema and a [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on All JAK’d up on Budd

HM2018 Abstract Number: 283

TECHNOLOGY TRENDS AMONG PARENTS OF HOSPITALIZED CHILDREN

Background: Technology within the inpatient setting is an opportunity to improve communication between patients, families, and their care team. Prior studies identified barriers to patient use of existing healthcare portals and patient preferences for functionality [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on TECHNOLOGY TRENDS AMONG PARENTS OF HOSPITALIZED CHILDREN

HM2018 Abstract Number: 884

Provoked DVT- Is It May Thurner Syndrome?

Case Presentation: 28F PMH of cholelithiasis s/p recent lap cholecystectomy presented with chest pain and lower extremity edema for 2 days. Chest pain was not associated with shortness of breath or diaphoresis. It was relieved [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Provoked DVT- Is It May Thurner Syndrome?

HM2018 Abstract Number: 85

PHYSICIAN PRACTICES SURROUNDING CONSTIPATION MANAGEMENT IN HOSPITALIZED OLDER ADULTS

Background: Despite its prevalence, constipation is frequently under-recognized and treated with ineffective agents in hospitalized older adults.Methods: An anonymous survey was distributed to physicians regarding constipation management in hospitalized older adults. Chi-square or Fisher’s exact, [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Geriatrics, Research, Uncategorized|Comments Off on PHYSICIAN PRACTICES SURROUNDING CONSTIPATION MANAGEMENT IN HOSPITALIZED OLDER ADULTS

HM2018 Abstract Number: 13

THE EFFECTIVENESS OF MEDICAL ASSISTANT SUPPORT ON RESIDENT INPATIENT TEAMS TO ADDRESS THE HIGH SERVICE VS. EDUCATION IMBALANCE

Background: On the 2016 ACGME survey, our Internal Medicine residents indicated that our service vs. education rating was at 47% compared to the national average of 69%.Purpose: To decrease resident physician workload to improve our [...]

By | 2018-03-22T15:12:50+00:00 March 19th, 2018|Finalist Posters, Innovations, Quality Improvement, Uncategorized|Comments Off on THE EFFECTIVENESS OF MEDICAL ASSISTANT SUPPORT ON RESIDENT INPATIENT TEAMS TO ADDRESS THE HIGH SERVICE VS. EDUCATION IMBALANCE

HM2018 Abstract Number: 535

TISSUE IS THE ISSUE: A RARE PRESENTATION OF DIFFUSE DERMAL ANGIOMATOSIS IN A BODY BUILDER

Case Presentation: A 49-year-old actively competing male powerlifter presented to our institution for a second opinion of swelling, painful purpura, and necrotic skin ulcerations of the arms and legs. One month prior to presentation, he [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on TISSUE IS THE ISSUE: A RARE PRESENTATION OF DIFFUSE DERMAL ANGIOMATOSIS IN A BODY BUILDER

HM2018 Abstract Number: 880

A CASE OF BILATERAL FACIAL PALSY

Case Presentation: A healthy 33-year-old woman presented with bilateral facial palsy for one week. Three weeks prior to presentation, she developed fevers, headache, diffuse myalgias, and distal limb paresthesias. One week prior to admission, she [...]

By | 2018-03-19T15:44:04+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A CASE OF BILATERAL FACIAL PALSY

HM2018 Abstract Number: 672

A RARE CASE OF MACROPHAGE ACTIVATION SYNDROME IN A PATIENT WITH JUVENILE RHEUMATOID ARTHRITIS

Case Presentation: A 21M with a PMHx of juvenile rheumatoid arthritis on chronic prednisone and Ilaris presented with fevers and diarrhea. He was seen by his rheumatologist on morning of presentation for his monthly Ilaris [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A RARE CASE OF MACROPHAGE ACTIVATION SYNDROME IN A PATIENT WITH JUVENILE RHEUMATOID ARTHRITIS

HM2018 Abstract Number: 61

HEALTH SYSTEMS, INFORMATICS AND QUALITY IMRPOVEMENT CURRICULUM PROVIDES FRESH IDEAS TO HOSPITAL MEDICINE QI PROJECTS

Background: Identifying system failures and contributing to a culture of safety and improvement has been recognized by the AAMC as a Core Entrustable Professional Activity (EPA) for entering residency. The AAMC has endorsed increased quality [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Education, Innovations, Uncategorized|Comments Off on HEALTH SYSTEMS, INFORMATICS AND QUALITY IMRPOVEMENT CURRICULUM PROVIDES FRESH IDEAS TO HOSPITAL MEDICINE QI PROJECTS

HM2018 Abstract Number: 5

MOVING THE BAR, EVEN IF YOU CAN’T MOVE THE BED

Background: The Institute for Healthcare Improvement tells us that successful discharge planning starts at admission; however, when that admission occurs to a closed Intensive Care Unit (ICU), traditional discharge planning can be delayed until the [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Other, Research, Uncategorized|Comments Off on MOVING THE BAR, EVEN IF YOU CAN’T MOVE THE BED

HM2018 Abstract Number: 312

Long Stay Committee finds Innovative Discharge Plans for Difficult Discharges

Background: Hospital length of stay has been an important measure of hospital efficiency and resource utilization. Increase length of stay results in higher cost and increased morbidity to patients. Length of stay outliers or “long [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on Long Stay Committee finds Innovative Discharge Plans for Difficult Discharges

HM2018 Abstract Number: 570

A CASE OF CONCURRENT BACTERIAL AND VIRAL MENINGITIS IN AN IMMUNOCOMPETENT ADULT PATIENT

Case Presentation: A 35 year-old undomiciled male with a history of epilepsy and recurrent aseptic meningitis was brought in to the emergency department after being found unresponsive. Initial vital signs were notable for temperature of [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A CASE OF CONCURRENT BACTERIAL AND VIRAL MENINGITIS IN AN IMMUNOCOMPETENT ADULT PATIENT

HM2018 Abstract Number: 135

PHOSPHATIDYLETHANOL LEVEL AS A PREDICTOR OF ACUTE ALCOHOL WITHDRAWAL

Background: Acute alcohol withdrawal syndrome (AWS) is a common complication in hospitalized patients, but its occurrence and severity is difficult to predict based on clinical indicators alone. Phosphatidylethanol (PEth) is an abnormal phospholipid incorporated into [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on PHOSPHATIDYLETHANOL LEVEL AS A PREDICTOR OF ACUTE ALCOHOL WITHDRAWAL

HM2018 Abstract Number: 247

Being A Lean Mean Discharging Machine

Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Being A Lean Mean Discharging Machine

HM2018 Abstract Number: 567

A CASE OF RECURRENT HEPATIC ENCEPHALOPATHY: LACTULOSE IS NOT THE ANSWER

Case Presentation: A 51-year-old woman presented with recurrent confusion and altered mental status over the past 6 months. She reported associated hallucinations, altered sleep cycle and hyper-arousal symptoms. She was treated with lactulose and rifaximin [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A CASE OF RECURRENT HEPATIC ENCEPHALOPATHY: LACTULOSE IS NOT THE ANSWER

HM2018 Abstract Number: 67

ATTITUDES, KNOWLEDGE, AND CLINICAL APPLICATION OF POINT OF CARE ULTRASOUND: A NEEDS ASSESSMENT OF INTERNS IN INTERNAL MEDICINE

Background: Point of care ultrasound (POCUS) significantly augments physical exam and improves medical management, and many medical schools across the United States are implementing undergraduate POCUS curricula. As a result, internal medicine (IM) residency programs [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on ATTITUDES, KNOWLEDGE, AND CLINICAL APPLICATION OF POINT OF CARE ULTRASOUND: A NEEDS ASSESSMENT OF INTERNS IN INTERNAL MEDICINE

HM2018 Abstract Number: 269

Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

Background: The use of IV insulin is one of the primary therapeutic options for the treatment of hyperkalemia. Unfortunately the available literature reports that hypoglycemia is a common occurrence as a result of the treatment [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

HM2018 Abstract Number: 130

Hypertriglyceridemia – Induced Pancreatitis Management, Community-Based Teaching Hospital Experience

Background: Severe hypertriglyceridemia (triglyceride >1000 mg/dl) occurs at a rate of 0.4% and is associated with a range of medical complications including severe pancreatitis and its complications like acute kidney injury . Hypertriglyceridemia (HTG) is [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on Hypertriglyceridemia – Induced Pancreatitis Management, Community-Based Teaching Hospital Experience

HM2018 Abstract Number: 120

ASSOCIATION BETWEEN STEROID MODALITY AND LENGTH OF STAY IN ACUTE COPD EXACERBATIONS

Background: Chronic obstructive pulmonary disease (COPD) is associated with significant morbidity, mortality, and cost with the greatest proportion incurred treating acute exacerbations of COPD (AECOPD). While guidelines recommend oral steroids for the treatment of AECOPD, [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on ASSOCIATION BETWEEN STEROID MODALITY AND LENGTH OF STAY IN ACUTE COPD EXACERBATIONS

HM2018 Abstract Number: 121

AN INVESTIGATIVE BIOFIRE SPUTUM FILM ARRAY PANEL IMPROVES RAPID DIAGNOSTICS IN PATIENTS HOSPITALIZED WITH COMMUNITY ACQUIRED PNEUMONIA

Background: With standard diagnostic methods, the etiologic pathogen of community acquired pneumonia (CAP) is detected in ≤ 50% hospitalized CAP patients. In our previous studies using a diagnostic “bundle”, we were able to detect etiologic [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on AN INVESTIGATIVE BIOFIRE SPUTUM FILM ARRAY PANEL IMPROVES RAPID DIAGNOSTICS IN PATIENTS HOSPITALIZED WITH COMMUNITY ACQUIRED PNEUMONIA

HM2018 Abstract Number: 298

Effect of Default Order Set Settings on Telemetry Ordering: Helping Residents Choose More Wisely

Background: Over the past fifty years, remote cardiac monitoring (“telemetry”) has become routine for many patients admitted to the hospital. Telemetry has many clinical benefits and is recommended by the American Heart Association for a [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on Effect of Default Order Set Settings on Telemetry Ordering: Helping Residents Choose More Wisely

HM2018 Abstract Number: 536

ACUTE KIDNEY INJURY: A COLD CASE

Case Presentation: A 56 year-old woman with a history of untreated Hepatitis C, anal cancer status post chemotherapy and radiation, current IV heroin use, and MRSA tricuspid valve endocarditis presented with lethargy, jaundice, abdominal pain, [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on ACUTE KIDNEY INJURY: A COLD CASE

HM2018 Abstract Number: 582

THE CASE OF THE VANISHING POTASSIUM: REFRACTORY HYPOKALEMIA WITH ACUTE OGILVIE’S SYNDROME

Case Presentation: A 59 year-old male with intellectual disability presented with abdominal pain and distension following a fecal impaction. Imaging revealed diffuse gaseous colonic distension with colonic wall thickening suggestive of inflammatory colitis and colonic [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on THE CASE OF THE VANISHING POTASSIUM: REFRACTORY HYPOKALEMIA WITH ACUTE OGILVIE’S SYNDROME

HM2018 Abstract Number: 725

BLACK ESOPHAGUS: A CASE OF ACUTE ESOPHAGEAL NECROSIS

Case Presentation: Acute esophageal necrosis (AEN) is a rare condition which presents as acute-onset gastrointestinal bleeding. AEN is associated with vasculitis, coronary artery disease, malignancy, and other conditions which impair maintenance of the esophageal protective [...]

By | 2018-03-19T15:44:11+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on BLACK ESOPHAGUS: A CASE OF ACUTE ESOPHAGEAL NECROSIS

HM2018 Abstract Number: 726

HUMAN HERPES VIRUS 6 MENINGOENCEPHALITIS PRESENTING AS REFRACTORY SEIZURES IN AN IMMUNOCOMPETENT ADULT

Case Presentation: Human Herpes Virus 6 (HHV-6) is a member of the herpesviridae family. HHV-6 is the causative agent in roseola infantum, a usually mild and self-limiting childhood exanthem. HHV-6 is also associated with a [...]

By | 2018-03-19T15:44:13+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on HUMAN HERPES VIRUS 6 MENINGOENCEPHALITIS PRESENTING AS REFRACTORY SEIZURES IN AN IMMUNOCOMPETENT ADULT

HM2018 Abstract Number: 509

A CASE OF URTICARIAL VASCULITIS DUE TO PRIMARY EPSTEIN-BARR VIRUS INFECTION IN A PREGNANT PATIENT

Case Presentation: A 36-year-old Dominican female, G3P2002, at six weeks gestation and no significant medical history presented with complaints of fever, headache, myalgias, nausea, vomiting, diarrhea, and diffuse abdominal pain for two days. She denied [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A CASE OF URTICARIAL VASCULITIS DUE TO PRIMARY EPSTEIN-BARR VIRUS INFECTION IN A PREGNANT PATIENT

HM2018 Abstract Number: 815

This Friendship Isn’t Working For Me: Septic Shock Secondary to Lactobacillus acidophilus Bacteremia

Case Presentation: A 37 year old woman with past medical history of septic shock secondary to urinary tract infection (UTI), systemic lupus erythematosus treated with oral prednisone 10 mg/day, functional quadriplegia due to transverse myelitis, [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on This Friendship Isn’t Working For Me: Septic Shock Secondary to Lactobacillus acidophilus Bacteremia

HM2018 Abstract Number: 173

CONCURRENT NSAID AND WARFARIN USE IS ASSOCIATED WITH INCREASED BLOOD TRANSFUSIONS IN HOSPITALIZED PATIENTS

Background: Warfarin is commonly used in long-term anticoagulation and has a narrow therapeutic index. Dosing is dependent on intrinsic patient variables including cytochrome P450 2C9 (CYP2C9) and VKORC1 polymorphisms. High protein binding and CYP-dependent clearance [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on CONCURRENT NSAID AND WARFARIN USE IS ASSOCIATED WITH INCREASED BLOOD TRANSFUSIONS IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 250

APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious public health problem causing over 90,000 deaths each year. VTE rates at our institution have been high and costly, with insurer [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

HM2018 Abstract Number: 370

MORNING HEADACHES IN CHILDREN: WHAT LURKS BENEATH THE SURFACE?

Case Presentation: An 11 year old boy was admitted to the hospital due to 4 days of headache and vomiting. He described the pain as constant, sharp, occipital/frontal in location, and worse in the morning [...]

By | 2018-03-22T12:34:08+00:00 March 19th, 2018|Clinical Vignettes, Finalist Posters, Pediatric, Uncategorized|Comments Off on MORNING HEADACHES IN CHILDREN: WHAT LURKS BENEATH THE SURFACE?

HM2018 Abstract Number: 601

AN UNUSUAL CASE OF MYCOBACTERIUM AVIUM COMPLEX-ASSOCIATED TENOSYNOVITIS

Case Presentation: 64-year-old female with non-insulin-dependent type 2 diabetes mellitus presented to the emergency room with a 2-week history of progressive pain and swelling of her left index finger. Prior outpatient evaluation with X-rays and [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on AN UNUSUAL CASE OF MYCOBACTERIUM AVIUM COMPLEX-ASSOCIATED TENOSYNOVITIS

HM2018 Abstract Number: 600

A RARE CASE OF RAPID GROWING NON-TUBERCULOUS MYCOBACTERIAL INFECTION AFTER A COSMETIC PROCEDURE

Case Presentation: A 43-year-old female patient with no medical history presented with multiple abdominal wall abscesses. She attended a cosmetic spa four months prior where she received weight loss injections known as “carboxy therapy” to [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A RARE CASE OF RAPID GROWING NON-TUBERCULOUS MYCOBACTERIAL INFECTION AFTER A COSMETIC PROCEDURE

HM2018 Abstract Number: 795

The “SSA”fest Way To Approach A Case Of Acute Transverse Myelitis

Case Presentation: A 61 year old female presented to the ED with rapidly progressing lower extremity weakness, gait abnormalities, and urinary incontinence. Her neurologic exam was pertinent for bilateral lower extremity motor deficits, diminished reflexes, [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on The “SSA”fest Way To Approach A Case Of Acute Transverse Myelitis

HM2018 Abstract Number: 76

CLOSING THE LOOP: A MULTI-CENTER INITIATIVE THAT USES PEER-TO-PEER FEEDBACK TO IMPROVE DIAGNOSTIC REASONING IN MEDICAL TRAINEES

Background: Development of diagnostic reasoning is a critical component of medical education, and feedback related to clinical outcomes is an important means of calibrating one’s diagnostic decision-making. The hospital is a key training ground for [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on CLOSING THE LOOP: A MULTI-CENTER INITIATIVE THAT USES PEER-TO-PEER FEEDBACK TO IMPROVE DIAGNOSTIC REASONING IN MEDICAL TRAINEES

HM2018 Abstract Number: 209

A QUALITY IMPROVEMENT INTERVENTION: A HIGH-VALUE APPROACH TO HEPARIN-INDUCED THROMBOCYTOPENIA

Background: Heparin-Induced Thrombocytopenia (HIT) is an antibody-mediated pro-thrombotic disorder which occurs after exposure to heparin product. Diagnosis of HIT type II is rather challenging as affected individual often has other causes of thrombocytopenia and a [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on A QUALITY IMPROVEMENT INTERVENTION: A HIGH-VALUE APPROACH TO HEPARIN-INDUCED THROMBOCYTOPENIA

HM2018 Abstract Number: 349

PHYSICIAN PERCEPTIONS OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ON HOSPITALIST TEAMS

Background: Physician Assistants (PAs) and Nurse Practitioners (NPs) play a growing role within hospital medicine groups. We studied physician perceptions of NPs and PAs in Hospital Medicine and identified factors that impact these perceptions.Methods: Data [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on PHYSICIAN PERCEPTIONS OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ON HOSPITALIST TEAMS

HM2018 Abstract Number: 89

INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Geriatrics, Research, Uncategorized|Comments Off on INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

HM2018 Abstract Number: 695

CLOZAPINE-INDUCED MYOCARDITIS: A RARE ADVERSE DRUG EFFECT THAT MUST BE RECOGNIZED

Case Presentation: We present a case of a 24-year-old male with a history of schizophrenia who presented from a psychiatric facility for fever and tachycardia. The patient had been admitted to the facility for failure [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on CLOZAPINE-INDUCED MYOCARDITIS: A RARE ADVERSE DRUG EFFECT THAT MUST BE RECOGNIZED

HM2018 Abstract Number: 696

PIPERACILLIN-TAZOBACTAM CAUSING NEPHROGENIC DIABETES INSIPIDUS: AN OLD DRUG, BUT A NEW ADVERSE DRUG EFFECT

Case Presentation: We present a case of a 50-year-old male with a history of developmental disability and hypothyroidism who presented from a nursing home with fatigue and cough for three days. The patient was found [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on PIPERACILLIN-TAZOBACTAM CAUSING NEPHROGENIC DIABETES INSIPIDUS: AN OLD DRUG, BUT A NEW ADVERSE DRUG EFFECT

HM2018 Abstract Number: 683

ATYPICAL HEMOLYTIC-UREMIC SYNDROME – WHEN DIARRHEA BECOMES LIFE THREATENING

Case Presentation: Atypical (complement-mediated) Hemolytic-Uremic Syndrome is a rare but life threatening thrombotic microangiopathy that affects patients of all ages. About 33-40% of patients sustain end-stage renal disease, stroke, myocardial infarction or have mortality during [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on ATYPICAL HEMOLYTIC-UREMIC SYNDROME – WHEN DIARRHEA BECOMES LIFE THREATENING

HM2018 Abstract Number: 918

Who done it: Is lupus really to blame?

Case Presentation: A 60-year-old woman presented with non-healing bilateral lower extremity ulcers. She had a history of systemic lupus erythematosus (SLE) treated with prednisone, azathioprine, methotrexate, and hydroxychloroquine. She previously took warfarin for treatment of [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Who done it: Is lupus really to blame?

HM2018 Abstract Number: 413

Great Toes as the Diagnostic Secret for Fibrodysplasia Ossificans Progressiva

Case Presentation: A 12-year-old female presented to the ER with a 1-week history of painful swelling of her right upper back not alleviated by NSAIDs or warm packs. She denied a history of recent trauma [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on Great Toes as the Diagnostic Secret for Fibrodysplasia Ossificans Progressiva

HM2018 Abstract Number: 92

YOU CAN’T HAVE IT ALL: THE EXPERIENCE OF ACADEMIC HOSPITALISTS DURING PREGNANCY, PARENTAL LEAVE, AND THE RETURN TO WORK

Background: Among Society of Hospital Medicine (SHM) members, 40% are women, and most of them are assistant professors, which suggests that a significant proportion of hospitalists are women of childbearing age. The United States lags [...]

By | 2018-03-19T15:44:18+00:00 March 19th, 2018|Other, Research, Uncategorized|Comments Off on YOU CAN’T HAVE IT ALL: THE EXPERIENCE OF ACADEMIC HOSPITALISTS DURING PREGNANCY, PARENTAL LEAVE, AND THE RETURN TO WORK

HM2018 Abstract Number: 314

EMR based sign-out: A tool that improves efficiency and satisfaction

Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content [...]

By | 2018-03-19T15:44:20+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on EMR based sign-out: A tool that improves efficiency and satisfaction

HM2018 Abstract Number: 215

Development and Implementation of an Electronic Health Record based Medication Reconciliation Risk Stratification Tool to Optimally Deploy Limited Pharmacy Resources

Background: Medication errors occur frequently at transitions of care and lead to significant patient harm. Robust medication reconciliation practices can mitigate these errors, but this process is complex and time-consuming. One of the conclusions of [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Development and Implementation of an Electronic Health Record based Medication Reconciliation Risk Stratification Tool to Optimally Deploy Limited Pharmacy Resources

HM2018 Abstract Number: 675

A RARE CASE OF VASCULITIS-ASSOCIATED CVA IN AN ADULT PATIENT WITH HENOCH-SCHONLEIN PURPURA

Case Presentation: A 64 year-old male with a past medical history significant for COPD presented with fever, abdominal pain and rash. Patient endorsed fever and chills for 2 weeks prior to inpatient hospitalization. Patient subsequently [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A RARE CASE OF VASCULITIS-ASSOCIATED CVA IN AN ADULT PATIENT WITH HENOCH-SCHONLEIN PURPURA

HM2018 Abstract Number: 676

INSANE IN THE MEMBRANE: A RARE CASE OF VIABLE NEUROCYSTICERCOSIS

Case Presentation: A 23 year-old Central American male with a past medical history significant for an isolated seizure one year prior to present admission presents with seizure and headache. Vital signs, examination and laboratory studies [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on INSANE IN THE MEMBRANE: A RARE CASE OF VIABLE NEUROCYSTICERCOSIS

HM2018 Abstract Number: 273

Effect of Unit-Level Cessation of Intravenous Push Opiate Use on Patients’ Pain Experience and Hospital Length of Stay

Background: Opiates, frequently used to provide analgesia, are associated with post-analgesia related tolerance effects such as hyperalgesia and hyperkatifeia, which lead to worsening of the pain experience. Patients can subsequently experience dissatisfaction with their care [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Effect of Unit-Level Cessation of Intravenous Push Opiate Use on Patients’ Pain Experience and Hospital Length of Stay

HM2018 Abstract Number: 647

VASCULITIS THROWS A CURVEBALL

Case Presentation: A 19 year-old man presented with two days of non-radiating left testicular pain. He denied associated symptoms or trauma. His past medical and surgical histories were unremarkable. He denied sexual activity and denied [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on VASCULITIS THROWS A CURVEBALL

HM2018 Abstract Number: 172

HOW OFTEN ARE HEALTHCARE PERSONNEL HANDS COLONIZED WITH MULTI-DRUG RESISTANT ORGANISMS? A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: The hands of hospitalists are often the source for transmitting multidrug resistant organisms (MDROs), and as such are the target of numerous hand hygiene interventions. Despite this focus, the prevalence of various MDROs on [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on HOW OFTEN ARE HEALTHCARE PERSONNEL HANDS COLONIZED WITH MULTI-DRUG RESISTANT ORGANISMS? A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 704

BOOT CAMP INDUCED ATTACK OF ACUTE INTERMITTENT PORPHYRIA

Case Presentation: A 21-year-old otherwise healthy female army recruit undergoing basic training was admitted to an outside hospital with severe abdominal pain, nausea, and vomiting. An abdominal CT was unremarkable. Laboratory results revealed hyponatremia (Na [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on BOOT CAMP INDUCED ATTACK OF ACUTE INTERMITTENT PORPHYRIA

HM2018 Abstract Number: 193

Proportion of patients seen in perioperative clinic on optimal statin dose prior to surgery

Background: Recent data suggest that there are mortality benefits from preoperative statin therapy in patients at high risk for atherosclerotic cardiovascular disease (ASCVD). Current guidelines recommend moderate or high intensity statin for all patients with [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on Proportion of patients seen in perioperative clinic on optimal statin dose prior to surgery

HM2018 Abstract Number: 752

YOU’RE GETTING ON MY NERVES: A CASE OF EOSINOPHILIC GRANULOMATOSIS WITH POLYANGIITIS

Case Presentation: A 27-year-old white male with adult-onset asthma and recurrent pneumonia presented to a rural hospital with a one month history of ascending lower extremity numbness. He also reported fever, fatigue, night sweats, and [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on YOU’RE GETTING ON MY NERVES: A CASE OF EOSINOPHILIC GRANULOMATOSIS WITH POLYANGIITIS

HM2018 Abstract Number: 565

Malignant Epistaxis: A case of wandering metastasis

Case Presentation: A 79-year-old male with metastatic prostate cancer status post multiple systemic agents presented with recurrent episodes of epistaxis with associated anemia and fatigue. The patient had a pertinent history of multifactorial CKD stage [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Malignant Epistaxis: A case of wandering metastasis

HM2018 Abstract Number: 416

Recollections of the Past: Recurrent Anti-NMDAr Encephalitis

Case Presentation: 17 year-old-male with a history of anti-NMDAr encephalitis three years prior presented with two days of confusion, agitation and insomnia. Associated symptoms included anorexia, blunted affect, slow movements and, though awake, refusal to [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on Recollections of the Past: Recurrent Anti-NMDAr Encephalitis

HM2018 Abstract Number: 750

Hemobilia due to Mycotic Hepatic Artery Aneurysm

Case Presentation: A 58 year old man with history of Enterococcus faecalis endocarditis and mechanical aortic valve replacement on oral anticoagulation presented to the emergency department with epigastric and right upper quadrant abdominal pain, melena, [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Hemobilia due to Mycotic Hepatic Artery Aneurysm

HM2018 Abstract Number: 237

IMPROVING RESPIRATORY RATE MEASUREMENT ACCURACY IN THE HOSPITAL: A QUALITY IMPROVEMENT INITIATIVE

Background: Respiratory rate (RR) is a predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalized adults. Despite its clinical value, RRs are often inaccurate and may lead to misclassification [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on IMPROVING RESPIRATORY RATE MEASUREMENT ACCURACY IN THE HOSPITAL: A QUALITY IMPROVEMENT INITIATIVE

HM2018 Abstract Number: 783

EYE’M MELTING

Case Presentation: A 50 year-old gentleman with seronegative rheumatoid arthritis on leflunamide presented with foreign body sensation, irritation, pain and photophobia in bilateral eyes which acutely worsened to bilateral vision loss. Funduscopic and slit-lamp examination [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on EYE’M MELTING

HM2018 Abstract Number: 864

REVENGE OF THE RABBIT

Case Presentation: A 60-year-old female presented to the emergency department with a chief complaint of dyspnea, fevers, and malaise that had worsened over two days. She was found to be in acute hypoxic respiratory failure, [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on REVENGE OF THE RABBIT

HM2018 Abstract Number: 320

A MULTI-DISCIPLINARY, MULTI-PRONGED APPROACH TO IMPROVING HANDOFFS FOR MEDICINE PATIENTS ADMITTED FROM THE EMERGENCY DEPARTMENT

Background: The high volume of handoffs between the Emergency Department (ED) team and the inpatient team on a daily basis makes this a ripe area for care improvement. Effective, safe and organized transitions facilitate high [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on A MULTI-DISCIPLINARY, MULTI-PRONGED APPROACH TO IMPROVING HANDOFFS FOR MEDICINE PATIENTS ADMITTED FROM THE EMERGENCY DEPARTMENT

HM2018 Abstract Number: 22

IMPROVING CARE TEAM COMMUNICATIONS AND WORKFLOW EFFICIENCY IN HOSPITAL MEDICINE

Background: High volume communications to physicians for non-emergent issues can disrupt workflows and cause delays and inefficiencies. The frustration caused by unnecessary communication can also affect the job satisfaction of the Care Team. Physicians at [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Communication, Research, Uncategorized|Comments Off on IMPROVING CARE TEAM COMMUNICATIONS AND WORKFLOW EFFICIENCY IN HOSPITAL MEDICINE

HM2018 Abstract Number: 784

‘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

HM2018 Abstract Number: 386

CARDIAC AMYLOIDOSIS MISTAKEN FOR ANGIOEDEMA: A DELAY TO DIAGNOSIS

Case Presentation: A 57 year old man with a history of heart failure with preserved ejection fraction (HFpEF), chronic kidney disease (CKD) and hypertension presented with two weeks of exertional dyspnea and lower extremity edema, [...]

By | 2018-03-22T15:50:13+00:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Posters, Uncategorized|Comments Off on CARDIAC AMYLOIDOSIS MISTAKEN FOR ANGIOEDEMA: A DELAY TO DIAGNOSIS

HM2018 Abstract Number: 329

HOMECOMING: PATIENT CENTRIC NEXT SITE OF CARE RECOMMENDATIONS

Background: Currently, Physical and Occupational Therapy (PT/OT) documentation dictates next site of care. PT/OT recommends how much therapy is needed upon discharge and where the therapist believes these services should be provided, which is often [...]

By | 2018-03-19T15:44:27+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on HOMECOMING: PATIENT CENTRIC NEXT SITE OF CARE RECOMMENDATIONS

HM2018 Abstract Number: 65

THE USE OF STANDARDIZED DISCHARGE EDUCATION ACROSS THE CONTINUUM OF CARE REDUCES HOSPITAL READMISSIONS

Background: Hospital readmission rates may be influenced by the level of healthcare literacy. Patients who lack an understanding of their diagnosis and warning signs have the potential to not seek medical care in a timely [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on THE USE OF STANDARDIZED DISCHARGE EDUCATION ACROSS THE CONTINUUM OF CARE REDUCES HOSPITAL READMISSIONS

HM2018 Abstract Number: 134

THE IMPACT OF GOALS OF TREATMENT ON MORTALITY OUTCOMES

Background: Reversing the life trajectory of hospitalized patients can be challenging. Sixty percent of Americans die in acute care hospitals. Identification of the patient care goals and directives frequently happens after many days of aggressive, [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on THE IMPACT OF GOALS OF TREATMENT ON MORTALITY OUTCOMES

HM2018 Abstract Number: 39

A PALLIATIVE/SURPRISE SCREEN TEST HELPS IMPROVE TRANSITION OF CARE

Background: Early palliative care can be beneficial for patients and the health system alike. The principle of palliative care is to improve quality of life through patient-centric treatment goals and comfort measures. However, many patients [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Communication, Research, Uncategorized|Comments Off on A PALLIATIVE/SURPRISE SCREEN TEST HELPS IMPROVE TRANSITION OF CARE

HM2018 Abstract Number: 596

The Good Patient: A case of B12 deficiency anemia caused by metformin use

Case Presentation: 44 year old male with insulin dependent type 2 Diabetes mellitus and hypothyroidism presented with fatigue, weakness, dyspnea on exertion and light headedness for several weeks. He denied bloody stools or melena. Medications [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on The Good Patient: A case of B12 deficiency anemia caused by metformin use

HM2018 Abstract Number: 240

THE CREATION OF A DEDICATED HOSPITAL MEDICINE TEAM TO CARE FOR MEDICAL PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT

Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on THE CREATION OF A DEDICATED HOSPITAL MEDICINE TEAM TO CARE FOR MEDICAL PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT

HM2018 Abstract Number: 620

LYMPHOCYTIC COLITIS MIMICKING HYPERPLASTIC POLYPOSIS SYNDROME

Case Presentation: 25 year-old female with past medical history of irritable bowel syndrome and asthma was evaluated for one year of watery diarrhea. She reported 3-4 watery bowel movement daily associated with abdominal cramping. No [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on LYMPHOCYTIC COLITIS MIMICKING HYPERPLASTIC POLYPOSIS SYNDROME

HM2018 Abstract Number: 774

FEVER INDUCED TYPE I BRUGADA PATTERN IN AN ASYMPTOMATIC MAN – A CLINICAL CONUNDRUM

Case Presentation: 59 year old man with past medical history of renal cell carcinoma, with right nephrectomy 20 years ago, presented to the Emergency Department with fever and dysuria. Upon presentation, he was found to [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on FEVER INDUCED TYPE I BRUGADA PATTERN IN AN ASYMPTOMATIC MAN – A CLINICAL CONUNDRUM

HM2018 Abstract Number: 455

NARROWING THE DIAGNOSIS: A CASE OF AN 18 YEAR OLD WITH SEVERE CARDIOMYOPATHY

Case Presentation: An 18 year old Spanish speaking male from Honduras presented following a motor vehicle accident. Initial assessment in the ED included a CXR and bedside Echocardiogram which noted cardiomegaly and a reduced EF [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on NARROWING THE DIAGNOSIS: A CASE OF AN 18 YEAR OLD WITH SEVERE CARDIOMYOPATHY

HM2018 Abstract Number: 659

FROM A BURN SCAR TO MALIGNANCY! MARJOLIN’S ULCER, A DISEASE OF WOUND NEGLECT

Case Presentation: A 63-year-old gentleman with a past medical history of hypertension and remote history of left middle finger burn injury. He was admitted to the hospital with a 2-month history of painless left third [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on FROM A BURN SCAR TO MALIGNANCY! MARJOLIN’S ULCER, A DISEASE OF WOUND NEGLECT

HM2018 Abstract Number: 353

ATTENDING PHYSICIAN DELIVERED SEVEN-DAY CARE ON A GENERAL INTERNAL MEDICINE INPATIENT TEACHING SERVICE: RESULTS FROM A NEW MODEL OF CARE IN QATAR

Background: Inadequate access to seven-day inpatient medicine services, particularly at weekends, can lead to poor outcomes. Most evidence in this area is from North America and Europe but there is little or no evidence from [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Innovations, Uncategorized, Value in Hospital Medicine|Comments Off on ATTENDING PHYSICIAN DELIVERED SEVEN-DAY CARE ON A GENERAL INTERNAL MEDICINE INPATIENT TEACHING SERVICE: RESULTS FROM A NEW MODEL OF CARE IN QATAR

HM2018 Abstract Number: 282

Primum non nocere: Is Measuring Daily BNP Harmless?

Background: Serum B-type natriuretic peptide (BNP) levels, measured on admission and discharge, have been a prudent predictor of outcomes among patients with heart failure. However, daily BNP measurements have no benefits for the management of [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Primum non nocere: Is Measuring Daily BNP Harmless?

HM2018 Abstract Number: 167

A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

Background: Adverse drug events (ADEs) are responsible for up to 770,000 inpatient injuries and deaths annually in the United States, most of which are from prescribing errors. Electronic order sets are designed to improve quality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

HM2018 Abstract Number: 102

CARING FOR REFUGEES AND OTHER MIGRANTS IN NEW MEXICO: A SIMPLE HANDOUT FOR HOSPITALISTS

Background: In 2016, the United States resettled 96,900 refugees. In addition to its share of US resettled refugees, New Mexico was among the 10 states with the largest share of undocumented migrants (85,000) in 2014. [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Innovations, Other, Uncategorized|Comments Off on CARING FOR REFUGEES AND OTHER MIGRANTS IN NEW MEXICO: A SIMPLE HANDOUT FOR HOSPITALISTS

HM2018 Abstract Number: 906

AN ANATOMICAL EXPLANATION FOR A CHRONIC GASTROINTESTINAL COMPLAINT

Case Presentation: 75 yo female with a 20 year history of chronic dyspepsia, H. pylori, and C. difficile presented to the Emergency Department complaining of worsening nausea and two days of hematochezia. The patient stated [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on AN ANATOMICAL EXPLANATION FOR A CHRONIC GASTROINTESTINAL COMPLAINT

HM2018 Abstract Number: 870

CLONUS AND CONFUSION: A CASE OF SEROTONIN SYNDROME AND SYNDROME OF INAPPROPRIATE ANTIDIURETIC HORMONE

Case Presentation: A 23-year-old woman with generalized anxiety disorder presents with 1 day of altered mental status. She had been taking duloxetine and fluoxetine chronically; however, fluoxetine was abruptly stopped for several weeks and then [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on CLONUS AND CONFUSION: A CASE OF SEROTONIN SYNDROME AND SYNDROME OF INAPPROPRIATE ANTIDIURETIC HORMONE

HM2018 Abstract Number: 729

REINFORCING THE ATTACK AGAINST THE BODY: THE ASSOCIATION OF TWO AUTOIMMUNE DISORDERS

Case Presentation: We present a case of acquired hemophilia A (AHA) in an elderly patient with longstanding rheumatoid arthritis (RA). An 85-year-old woman was transferred from an outside hospital for further evaluation of spontaneous soft [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on REINFORCING THE ATTACK AGAINST THE BODY: THE ASSOCIATION OF TWO AUTOIMMUNE DISORDERS

HM2018 Abstract Number: 869

A CASE OF PEMBROLIZUMAB-INDUCED COMPLETE HEART BLOCK AND MYASTHENIA GRAVIS

Case Presentation: A 60-year-old man with coronary artery disease and metastatic renal cell carcinoma presents with worsening dyspnea on exertion 3 weeks after his first infusion of pembrolizumab. On presentation, he was tachycardic and in [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A CASE OF PEMBROLIZUMAB-INDUCED COMPLETE HEART BLOCK AND MYASTHENIA GRAVIS

HM2018 Abstract Number: 255

Improving Oncology Handoffs with Standardized Elements

Background: Standardizing inter-shift handoff procedures enhances continuity of care and quality with an associated reduction in preventable medical errors. This is particularly relevant in the inpatient oncology population where patients have a relatively high morbidity/mortality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Improving Oncology Handoffs with Standardized Elements

HM2018 Abstract Number: 230

REDUCING DISCHARGE DELAYS AND ROOM TURNOVER TIME: DECREASING INEFFICIENCIES IN THE DISCHARGE PROCESS

Background: As a group of medical students in a five-week leadership program, we were charged with making a medicine inpatient unit at an urban quaternary care academic medical center the best unit in the hospital. [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on REDUCING DISCHARGE DELAYS AND ROOM TURNOVER TIME: DECREASING INEFFICIENCIES IN THE DISCHARGE PROCESS

HM2018 Abstract Number: 928

Unrecognized Staphylococcal Vertebral Osteomyelitis and Epidural Abscess Leading to Meningitis, Infective Endocarditis, Cerebrovascular Accident, Sepsis and Death in a Previously Healthy Patient

Case Presentation: A 71-year-old Caucasian female with no known past medical history complained of insidious onset low back pain that became constant and severe, associated with generalized weakness and diffuse pain over the course of [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Unrecognized Staphylococcal Vertebral Osteomyelitis and Epidural Abscess Leading to Meningitis, Infective Endocarditis, Cerebrovascular Accident, Sepsis and Death in a Previously Healthy Patient

HM2018 Abstract Number: 853

COMMON DRUG REACTION LEADS TO ALMOST FATAL CONCLUSION

Case Presentation: A 46-year-old Hispanic male with acquired immunodeficiency syndrome (AIDS), history of lymphoma in remission and hypertension presented with fever, generalized weakness and 20 pounds of weight loss over a month. On arrival, he [...]

By | 2018-03-19T15:44:32+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on COMMON DRUG REACTION LEADS TO ALMOST FATAL CONCLUSION

HM2018 Abstract Number: 440

BREAKTHROUGH INVASIVE PULMONARY SCOPULARIOPSIS IN AN IMMUNOCOMPROMISED HOST

Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic [...]

By | 2018-03-19T15:44:34+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on BREAKTHROUGH INVASIVE PULMONARY SCOPULARIOPSIS IN AN IMMUNOCOMPROMISED HOST

HM2018 Abstract Number: 826

A CASE OF LOPERAMIDE-INDUCED VENTRICULAR TACHYCARDIA

Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A CASE OF LOPERAMIDE-INDUCED VENTRICULAR TACHYCARDIA

HM2018 Abstract Number: 456

IS DABIGITRAN EFFECTIVE IN THE MORBIDLY OBESE?

Case Presentation: A 50 year-old African American female with medical history of morbid obesity (BMI 40.8), hypertension, hyperlipidemia, diabetes mellitus, obstructive sleep apnea, atrial fibrillation, right MCA infarct one year prior to admission, and right [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on IS DABIGITRAN EFFECTIVE IN THE MORBIDLY OBESE?

HM2018 Abstract Number: 875

WHIPPIT ABUSE: NOT A LAUGHING MATTER

Case Presentation: 46 year old woman presented with 1 week of bilateral lower extremity tingling, numbness, abnormal gait, leg spasms and impaired concentration. Exam revealed a disheveled, confused appearing Caucasian woman with a spastic, unsteady [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on WHIPPIT ABUSE: NOT A LAUGHING MATTER

HM2018 Abstract Number: 36

Unexpected Roadblocks with the Implementation of a Code Status Educational Video Tool for Hospitalized Patients

Background: Many patients and their surrogates have a poor understanding of the process of cardiopulmonary resuscitation (CPR), its limitations, and its complications. Lack of knowledge about CPR may lead patients to choose a code status [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Communication, Innovations, Uncategorized|Comments Off on Unexpected Roadblocks with the Implementation of a Code Status Educational Video Tool for Hospitalized Patients

HM2018 Abstract Number: 812

NOT YOUR AVERAGE GASTROINTESTINAL BLEED: WHEN AORTIC DISSECTION REPAIR GOES AWRY

Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on NOT YOUR AVERAGE GASTROINTESTINAL BLEED: WHEN AORTIC DISSECTION REPAIR GOES AWRY

HM2018 Abstract Number: 924

NOT ALL LACTATES ARE CREATED EQUAL: THE CASE OF A TYPE B LACTIC ACIDOSIS CAUSED BY INHALED ALBUTEROL

Case Presentation: A 90-year-old female presented with 3 weeks of cough and dyspnea despite a course of antibiotics prescribed by her primary care provider. She was admitted for management of pneumonia. On hospital day 2 [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on NOT ALL LACTATES ARE CREATED EQUAL: THE CASE OF A TYPE B LACTIC ACIDOSIS CAUSED BY INHALED ALBUTEROL

HM2018 Abstract Number: 292

Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

HM2018 Abstract Number: 737

A KIDNEY’S CRISIS

Case Presentation: A 46-year-old female presented for evaluation of two days of nausea and vomiting. She also described swelling in her legs and decreased urination over that time. Exam revealed blood pressure of 150/100 (baseline [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A KIDNEY’S CRISIS

HM2018 Abstract Number: 47

LESSONS LEARNED FROM A RESIDENT-CREATED EXPERIENTIAL QUALITY IMPROVEMENT AND PATIENT SAFETY CURRICULUM FOR MEDICAL AND NURSING STUDENTS AT THE UNIVERSITY OF NEW MEXICO

Background: Quality improvement and patient safety (QI/PS) methods are being used to drive positive change in healthcare. To date, these efforts have led to slow and inconsistent change. Insufficient expertise remains a significant rate-limiting step [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on LESSONS LEARNED FROM A RESIDENT-CREATED EXPERIENTIAL QUALITY IMPROVEMENT AND PATIENT SAFETY CURRICULUM FOR MEDICAL AND NURSING STUDENTS AT THE UNIVERSITY OF NEW MEXICO

HM2018 Abstract Number: 599

Blocking a Rash Diagnosis: An Unusual Case of Infective Endocarditis

Case Presentation: An 82-year-old man with a history of hypertension and known aortic insufficiency presented with bilateral lower extremity rash, ankle edema, and bradycardia. The ankle edema began two weeks prior to presentation followed by [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Blocking a Rash Diagnosis: An Unusual Case of Infective Endocarditis

HM2018 Abstract Number: 41

Aren’t Adults Just Big Kids?: Standardizing Care of Adults in Pediatric Hospitals

Background: Nationally, the number of adult patients (18+ years of age) with chronic congenital and childhood conditions being admitted to children’s hospitals has been increasing, and in some cases outpacing the rate of increase in [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Consultative Medicine, Innovations, Uncategorized|Comments Off on Aren’t Adults Just Big Kids?: Standardizing Care of Adults in Pediatric Hospitals

HM2018 Abstract Number: 401

Eye See You Noticed: Being a Pupil of the Physical Exam

Case Presentation: A healthy 11-year old female presented with 5 days of fever, headache, and progressive symptoms that included blurry vision, photophobia, lightheadedness, nausea, and intermittent vomiting. Family history was positive for migraine headaches. On [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on Eye See You Noticed: Being a Pupil of the Physical Exam

HM2018 Abstract Number: 896

BILATERAL GIANT CELL ARTERITIS WITH RENAL ANCA-ASSOCIATED VASCULITIS

Case Presentation: 72-year-old Caucasian woman with PMH of cervical spinal stenosis presented with one-month history of worsening generalized weakness and soreness in all her extremities. Three months prior she had complained of persistent headaches for [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on BILATERAL GIANT CELL ARTERITIS WITH RENAL ANCA-ASSOCIATED VASCULITIS

HM2018 Abstract Number: 131

HOW DOES GEOGRAPHIC COHORTING IMPACT THE WORK DAY?

Background: Background: Geographic cohorting (GCh) of clinicians to a single unit may improve teamwork and improve outcomes. The physical proximity between the care team is purported to mediate these positive effects. We conducted an exploratory [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on HOW DOES GEOGRAPHIC COHORTING IMPACT THE WORK DAY?

HM2018 Abstract Number: 390

SYPHILITIC HEPATITIS: AN UNCOMMON AND OVERLOOKED MENIFESTATION OF SECONDARY SYPHILIS

Case Presentation: An otherwise healthy 31 years old Brazilian male presented to the hospital with two months history of constitutional symptoms, diffuse pruritic rash on torso and extremities, and diffuse lymphadenopathy. He lived with his [...]

By | 2018-03-22T15:50:13+00:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Posters, Uncategorized|Comments Off on SYPHILITIC HEPATITIS: AN UNCOMMON AND OVERLOOKED MENIFESTATION OF SECONDARY SYPHILIS

HM2018 Abstract Number: 654

HICC-UP THE ANTE: A CATASTROPHIC CASE OF BABESIOSIS

Case Presentation: An 82 year-old male with atrial fibrillation, hypertension, and Type 2 Diabetes Mellitus presented with hiccups for five days. He also endorsed non-productive cough for weeks, chills, dysuria, and dark urine, for which [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on HICC-UP THE ANTE: A CATASTROPHIC CASE OF BABESIOSIS

HM2018 Abstract Number: 309

Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

Background: Patients, particularly the elderly and those who have chronic illnesses, often experience adverse events when transitioning from the hospital to home. An estimated 20% of all discharged patients suffer a preventable adverse event (e.g., [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

HM2018 Abstract Number: 97

THE HOSPITALIST FACULTY SCHOLARS PROGRAM: “TOPSOIL” TO NURTURE HOSPITALIST SCHOLARSHIP AND CAREER DEVELOPMENT

Background: Academic hospital medicine faculty often seek career paths in medical education, quality improvement, and/or research. However, few have formal training to develop scholarship in those domains. In recognition of the desire from faculty within [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Innovations, Other, Uncategorized|Comments Off on THE HOSPITALIST FACULTY SCHOLARS PROGRAM: “TOPSOIL” TO NURTURE HOSPITALIST SCHOLARSHIP AND CAREER DEVELOPMENT

HM2018 Abstract Number: 316

HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

Background: Communication is critical to high-quality care transitions, yet little is known about the quality of information transfer from the hospital to home health care (HHC) setting. We performed a cross-sectional survey of HHC nurses [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

HM2018 Abstract Number: 176

CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

Background: Inconsistent transitions of care from the inpatient to outpatient setting may lead to preventable readmissions. Critical processes completed at discharge shown to reduce readmissions at our institution include admission and discharge medication reconciliation, clinically [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Pediatrics, Research, Uncategorized|Comments Off on CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

HM2018 Abstract Number: 558

VASODILATOR TESTING FOR IDIOPATHIC PULMONARY HYPERTENSION: IS IT REALLY NECESSARY?

Case Presentation: A 72 year old male presented with worsening shortness of breath and increasing oxygen requirement for six weeks. The patient had been on supplemental oxygen for the past 2 years for hypoxia. As [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on VASODILATOR TESTING FOR IDIOPATHIC PULMONARY HYPERTENSION: IS IT REALLY NECESSARY?

HM2018 Abstract Number: 587

LISTEN TO YOUR GUT

Case Presentation: 60-year-old woman with a twelve-year history of presumed gastroparesis of unclear etiology, was admitted for worsening chronic abdominal pain, nausea and vomiting with unintentional weight loss of over 80 pounds over a year. [...]

By | 2018-03-19T15:44:39+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on LISTEN TO YOUR GUT

HM2018 Abstract Number: 578

A 50-YEAR-OLD MAN WITH MULTIPLE AND VARIED SYMPTOMS: HICKHAM VERSUS OCCAM – THE END-GAME

Case Presentation: A 50-year-old man visited our hospital with complaints of malaise, appetite loss, diarrhea, and arthralgia, all of which he had experienced for 5 days before the visit. Although he had been previously healthy [...]

By | 2018-03-19T15:44:41+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A 50-YEAR-OLD MAN WITH MULTIPLE AND VARIED SYMPTOMS: HICKHAM VERSUS OCCAM – THE END-GAME

HM2018 Abstract Number: 4

Duke Hospital Medicine Academic Engagement Improvement Project

Background: Many academic hospital medicine programs have reached a critical transition point as they attempt to sustain and develop growth in their non-clinical, academic missions. To meet increasing clinical needs, the Duke Hospital Medicine Program [...]

By | 2018-03-22T15:45:07+00:00 March 19th, 2018|Finalist Posters, Other, Research, Uncategorized|Comments Off on Duke Hospital Medicine Academic Engagement Improvement Project

HM2018 Abstract Number: 591

EBV Double Whammy

Case Presentation: A 19 year old African American male with no significant history presented to the emergency room with complaints of scleral icterus and epigastric abdominal pain after a week of headaches, fatigue and fevers. [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on EBV Double Whammy

HM2018 Abstract Number: 429

MOYAMOYA WITH DVT AND TRANSIENT ANTIPHOSPHOLIPID ANTIBODIES

Case Presentation: A 60 -year old Caucasian female presented to the emergency department with right-sided hemiparesis and dysarthria. The patient had been admitted to an outside facility one week prior to presentation for left foot [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on MOYAMOYA WITH DVT AND TRANSIENT ANTIPHOSPHOLIPID ANTIBODIES

HM2018 Abstract Number: 377

ATYPICAL PRESENTATION OF ANTI-SYNTHETASE SYNDROME IN A YOUNG WOMAN WITH REFRACTORY HYPOXIC RESPIRATORY FAILURE

Case Presentation: A 36-year-old female with a history of morbid obesity and hypertension presented with three weeks of progressive dyspnea and productive cough. She was previously diagnosed with community-acquired pneumonia and completed two five-day courses [...]

By | 2018-03-22T15:52:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Posters, Hospital Medicine 2018, Uncategorized|Comments Off on ATYPICAL PRESENTATION OF ANTI-SYNTHETASE SYNDROME IN A YOUNG WOMAN WITH REFRACTORY HYPOXIC RESPIRATORY FAILURE

HM2018 Abstract Number: 174

IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Innovations, Patient Safety, Uncategorized|Comments Off on IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 658

CMV-INDUCED ACUTE PANCREATITIS IN IMMUNOCOMPETENT PATIENT

Case Presentation: A 29-year-old otherwise healthy male presented to the emergency department with a 1-day history of abdominal pain radiating to his back and associated with nausea and nonbilious vomiting. He denied any fever, chills, [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on CMV-INDUCED ACUTE PANCREATITIS IN IMMUNOCOMPETENT PATIENT

HM2018 Abstract Number: 897

HIGH IGG4 ANTIBODY LEVELS IN TISSUES WITH NORMAL CIRCULATING LEVELS IN SERUM: A PARADOX OF IGG4-RELATED DISEASE

Case Presentation: 41-year-old Hispanic man presented for reevaluation of the swellings on his forearms newly associated with Raynaud’s phenomenon on his fingers. He initially presented 5 years prior with swellings on his forearms and groin, [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on HIGH IGG4 ANTIBODY LEVELS IN TISSUES WITH NORMAL CIRCULATING LEVELS IN SERUM: A PARADOX OF IGG4-RELATED DISEASE

HM2018 Abstract Number: 12

HOSPITALIST DIRECTED TRANSFERS IMPROVE EMERGENCY ROOM LENGTH OF STAY

Background: Emergency room (ER) crowding remains a widespread problem. Hospitalist led transfers for stable patients may be one intervention to improve patient flow and ER overcrowding. There are no prior studies assessing the impact of [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Quality Improvement, Research, Uncategorized|Comments Off on HOSPITALIST DIRECTED TRANSFERS IMPROVE EMERGENCY ROOM LENGTH OF STAY

HM2018 Abstract Number: 907

A RECURRENT PAIN IN THE REAR

Case Presentation: 23 year-old woman presenting with left thigh pain and erythema. Reported rapid onset of pain in left upper thigh and buttock one day prior to admission with no associated fever or chills and [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A RECURRENT PAIN IN THE REAR

HM2018 Abstract Number: 420

MILK INDUCED HEART FAILURE

Case Presentation: A 23 month old female with minimal primary care visits presented to the ED after a syncopal episode. She was found to be tachycardic, tachypneic, and hypoxic. Physical exam revealed an irritable, pale [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on MILK INDUCED HEART FAILURE

HM2018 Abstract Number: 362

Low-value use of procalcitonin testing after introduction at an academic medical center

Background: Procalcitonin (PCT) is a biomarker that correlates with the presence of bacterial infection in certain clinical scenarios; it has increasingly accepted indications for antibiotic stewardship. Most sources suggest that antibiotics should be considered for [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on Low-value use of procalcitonin testing after introduction at an academic medical center

HM2018 Abstract Number: 921

RECURRENT CARDIAC ARREST – AN UNEXPECTED CAUSE

Case Presentation: A 52-year-old African-American male was admitted to the hospital with sepsis secondary to urinary tract infection and pneumonia. His past medical history is significant for gunshot wound to C6-C7 region of the spine [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on RECURRENT CARDIAC ARREST – AN UNEXPECTED CAUSE

HM2018 Abstract Number: 514

COMMON VARIABLE IMMUNODEFICIENCY WITH GRANULOMATOUS-LYMPHOCYTIC INTERSTITIAL LUNG DISEASE

Case Presentation: A 34 year old male with a history of CVID subclass 2 and 4, with low IgG level, absent IgA, liver nodular regenerative hyperplasia with portal hypertension, and immune thrombocytopenic purpura status post [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on COMMON VARIABLE IMMUNODEFICIENCY WITH GRANULOMATOUS-LYMPHOCYTIC INTERSTITIAL LUNG DISEASE

HM2018 Abstract Number: 922

SALICYLATE TOXICITY- WHEN INTUBATION BECOMES NECESSARY

Case Presentation: A 54-year-old female with past medical history significant for major depression with prior suicide attempt was brought to the hospital after a repeat attempted suicide. She reportedly consumed several aspirin pills, but the [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on SALICYLATE TOXICITY- WHEN INTUBATION BECOMES NECESSARY

HM2018 Abstract Number: 754

Don’t Leave Me Hanging Out to Dry

Case Presentation: A 49-year old man with no significant medical history presented with dyspnea and presyncope. He presented similarly six weeks prior and was diagnosed with constrictive pericarditis thought to be of a viral etiology. [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on Don’t Leave Me Hanging Out to Dry

HM2018 Abstract Number: 891

DYSPHAGIA AORTICA WITH LEFT ATRIAL COMPRESSION: A RARE CAUSE OF DYSPHAGIA IN AN ELDERLY MAN

Case Presentation: An 80 years old male with pertinent history of coronary artery disease, descending fusiform thoracic aortic aneurysm and systolic heart failure presented with shortness of breath and chest pain. Exam revealed bibasilar lung [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on DYSPHAGIA AORTICA WITH LEFT ATRIAL COMPRESSION: A RARE CAUSE OF DYSPHAGIA IN AN ELDERLY MAN

HM2018 Abstract Number: 299

DIAGNOSING DISCHARGE BARRIERS WITH A VIRTUAL MULTIDISCIPLINARY ROUNDING TOOL

Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Innovations, Technology in Hospital Medicine, Uncategorized|Comments Off on DIAGNOSING DISCHARGE BARRIERS WITH A VIRTUAL MULTIDISCIPLINARY ROUNDING TOOL

HM2016 Abstract Number:

Dominoqq Diakui, Buatlah Ini Mesin Penghasil Uang Anda

Dominoqq Diakui, Buatlah Ini Mesin Penghasil Uang Anda! Domino yaitu kelas permainan yg popular di permainan judi poker online. Permainan domino di cintai serta dimainkan oleh kebanyakan pemain poker online baru serta memiliki pengalaman. Dalam [...]

By | 2019-10-05T17:02:29+00:00 October 5th, 2016|Uncategorized|Comments Off on Dominoqq Diakui, Buatlah Ini Mesin Penghasil Uang Anda

HM2016 Abstract Number:

Bandarqq Online Mempesona Dari Banyak Sudut pandang

Bandarqq Online Mempesona Dari Banyak Sudut pandang! Sebagian besar orang di penjuru dunia main di website kendati memakai Bandarqq online yg terkait dengan periode waktu website yg luas di dunia. Mereka serius suka dengan operasi [...]

By | 2019-10-05T17:00:46+00:00 October 5th, 2016|Uncategorized|Comments Off on Bandarqq Online Mempesona Dari Banyak Sudut pandang

HM2016 Abstract Number:

Cara Cepat Untuk Mendapatkan Keuntungan dari Bermain Casino Online

  Bermain taruhan online sudah menjadi kebiasaan bagi sebagian orang. Ada beberapa jenis permainan judi online yang sangat maju dan kemudian menjadikan Anda seorang jutawan dalam waktu singkat. Salah satu jenis taruhan online yang terutama [...]

By | 2019-09-13T21:35:45+00:00 September 13th, 2016|Uncategorized|Comments Off on Cara Cepat Untuk Mendapatkan Keuntungan dari Bermain Casino Online