Mesalamine Induced Pericardial Tamponade in Crohn's Disease

Case Presentation: 50‐year‐old white female with a past medical history significant for Crohn's disease was started on mesalamine two weeks earlier. She presented to her primary care physician with the chief complaint of chest pain. [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Mesalamine Induced Pericardial Tamponade in Crohn's Disease

Colonic Diverticulitis and Polycystic Kidney Disease: Common Diseases with an Atypical but Critical Relationship

Background: Polycystic kidney disease (PKD) is a common genetically linked renal disorder affecting one in 1000 people in the USA. Colonic Diverticular disease occurs in twenty percent of the population and the majority of acute [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Colonic Diverticulitis and Polycystic Kidney Disease: Common Diseases with an Atypical but Critical Relationship

Community Acquired Pneumonia Unresponsive to Antibiotics

Case Presentation: A 22 year old previously healthy woman presented to the Emergency room with a 6‐8 week history of increasing shortness of breath and fevers. She had been previously hospitalized and treated with ceftriaxone, [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Community Acquired Pneumonia Unresponsive to Antibiotics

Resident Education Quandaries in a Teaching Hospital Unit‐Based Hospitalist System

Background: With the continued evolution of the hospitalist movement, medical residency programs are utilizing hospitalists in a variety of educational settings. In a unit‐based hospitalist system, the omnipresence of a hospitalist teaching attending may diminish [...]

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DVT Prevention ‐ Can We do Better? Implementing a Risk Assessment Tool to Improve Adherence to Guidelines for Medical Inpatients

Background: Deep venous thrombosis (DVT) and pulmonary embolism (PE) are common events in hospitalized patients. The American College of Chest Physicians (ACCP) guidelines endorse routine pharmacologic prophylaxis for all medical patients at risk. At our [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on DVT Prevention ‐ Can We do Better? Implementing a Risk Assessment Tool to Improve Adherence to Guidelines for Medical Inpatients

What Effect Does an Educational Intervention Have on Interns' Confidence and Knowledge of Acute Dyspnea Management? A Randomized Controlled Trial

Background: Acute dyspnea is commonly encountered in the hospitalized patient. Inappropriate management can adversely affect patient care. Interns often receive only informal instruction in managing patients with acute dyspnea; such instruction is provided by senior [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on What Effect Does an Educational Intervention Have on Interns' Confidence and Knowledge of Acute Dyspnea Management? A Randomized Controlled Trial

Preventing Potentially Inappropriate Medication Use in Hospitalized Elders with a Computerized Provider Order Entry Drug Warning System

Background: The elderly population is particularly vulnerable to adverse drug events. As the population ages preventing these ADEs will become increasingly important. Our objective was to decrease the use of potentially inappropriate medication in hospitalized [...]

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The Impact of Transitional Care and Continuity of Care in an Older Population on Hospitalist Practice

Background: A substantial proportion of older patients in hospitalist practice require post‐acute transitional care (TC) in a nursing facility. We examined demographic characteristics, utilization and healthcare outcomes for patients 65 years of age and older [...]

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Emphysematous Pyelonephritis with an Unusual Causative Organism

Case Presentation: An 81year old man with renal cell carcinoma (RCC) underwent left renal artery embolization. 3 weeks after the procedure he presented with left sided back pain, hiccups and confusion. On exam T = 96.5° F, [...]

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An Atypically Sweet Case

Presentation: A 44 year old woman presented with a two week history of myalgias and fevers. Three weeks prior to admission the patient received a 10 day course of trimethoprim‐sulfamethoxazole (T‐S) for sinusitis. Her symptoms [...]

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Pneumoperitoneum Due to Sexual Activity

Case Presentation: A 27‐year‐old female was admitted to the hospital with the chief complaint of periumbilical abdominal pain and fever for 2 days. The pain was sharp, exacerbated by food and she denied nausea, vomiting, [...]

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Improving the Inpatient Consultation Process in a Pediatric Hospital

Background: Communication problems between medical providers contribute to sentinel events among hospitalized children. Effective communication is particularly important when consultants are involved. Improving communication effectiveness among caregivers is a JCAHO 2006 National Patient Safety Goal. [...]

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Modified Admission and Discharge Orders to Include Centers for Medicare and Medicaid Services Indicators

Background: Our hospitalist group felt that achieving 100% compliance with Centers for Medicare and Medicaid Services (CMS) indicators for pneumonia, AMI, and CHF was important not only to patient care but also for financial gain [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Modified Admission and Discharge Orders to Include Centers for Medicare and Medicaid Services Indicators

Patterns of Error Reporting at a County Teaching Hospital

Background: The Institute of Medicine's report, “To Err is Human,” identified the magnitude of the problem of medical errors in the United States. Unfortunately, there is no universal system in the U.S. to define, categorize, [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Patterns of Error Reporting at a County Teaching Hospital

Physician Characteristics, Attitudes, and Use of Computerized Order Entry

Background: Computerized physician order entry (CPOE) is a widely advocated patient safety intervention yet little is known about its adoption by attending physicians or at community hospitals. Method: We measured order entry rates of attending [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Physician Characteristics, Attitudes, and Use of Computerized Order Entry