Emphysematous Pyelonephritis

Case Presentation: A 62‐year‐old woman with diabetes presented with 4 days of crampy, epigastric pain exacerbated by urination and radiating to the right and left upper quadrants. She endorsed nausea and emesis but denied fever [...]

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Vancomycin‐lnduced Linear IgA Bullous Dermatosis

Case Presentation: A 77‐year‐old man with a history of colon cancer was admitted with early sepsis. He was given vancomycin and ceftriaxone. On hospital day 4, the vancomycin was discontinued because of a high drug [...]

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Intra‐arterial tPA Use in an Acute Embolic CVA in an Elderly Hospitalized Patient with Recent Gastrointestinal Bleeding

Case Presentation: An 89‐year‐old woman with a history of paroxysmal atrial fibrillation and gastrointestinal (GI) bleeding less than 2 weeks prior was admitted to the hospital with worsening dyspnea over the past 3 days. She [...]

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Miliary Tuberculosis Presenting as Postpartum Fever and Back Pain

Case Presentation: A 24‐year‐old Hispanic woman was admitted 2 weeks postpartum by the obstetricians with fever and back pain and treated empirically for postpartum endometritis. A medical consultation was requested to evaluate for other sources [...]

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Physician‐to‐Physician Handoff: The Veterans Affairs Cairo Project

Background: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) introduced a National Patient Safety Goal that states hospitals should “implement a standardized approach to ‘handoff’ communications, including an opportunity to ask and respond to [...]

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A Multidisciplinary Approach to Improving “Hospital Flow”

Background: In an attempt to improve the efficiency of patient care, the Institute for Healthcare Improvement (IHI) has studied “hospital flow.” This work suggests that a multidisciplinary approach using formulas that examine flow in a [...]

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The Inpatient Influenza Immunization Initiative — Using Computerized Provider Order Entry to Improve Screening and Immunization Rates

Background: Annual influenza vaccination is the most effective method for preventing influenza virus infection and its potentially severe complications, which account for 200,000 hospitalizations and 36,000 deaths in the United States each year. Patients age [...]

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Attending Physician and Medical Student Perception of Medical Jargon in Bedside Presentations

Background: In recent decades, patient “rounds” have largely shifted from the bedside to the conference room. The literature suggests that one reason may be the fear of provoking patient anxiety with the use of medical [...]

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Rifaximin Is Not Superior to Other Pharmacological Agents in the Treatment of Hepatic Encephalopathy

Background: Nonabsorbable disaccharides such as lactulose and poorly absorbed antibiotics such as neomycin and rifaximin are commonly used in the treatment of hepatic encephalopathy (HE). Although several studies have examined the efficacy of rifaximin in [...]

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Use of an Embedded Template Improves Discharge Summary Timeliness

Background: Patients are at high risk for adverse events following hospital discharge. A discharge summary (DCS) helps to prevent such events but is rarely available to primary care physicians (PCPs) at follow‐up; at our institution, [...]

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Deficits in Discharge Documentation in Patients Transferred to Rehabilitation Facilities on Anticoagulation: Results of a Systemwide Evaluation

Background: Effective communication among providers and patients during the hospital discharge process is critical to patient care. Anticoagulation has proven to be an effective therapy for several medical conditions, but communication deficits regarding anticoagulation may [...]

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High‐Fidelity Simulation Fails to Improve Clinical Performance in a Randomized Study of Actual In‐Hospital Cardiac Resuscitation

Background: Simulation is increasingly being incorporated into cardiopulmonary resuscitation (CPR) training. This educational method has been shown to improve trainee performance in simulated settings, but the effect on actual patient care remains unknown. Methods: Matriculating [...]

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A Case of Salty Voluminous Urine

Case Presentation: A 51‐year‐old woman with a history of glioblastoma multiforme resection and meningitis presented with mental status changes. Ventriculostomy was performed for hydrocephalus, and CSF revealed recurrent staph meningitis. Antibiotics were started. The RNs [...]

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A Penetrating Odor from a Comatose Patient: A Case of Severe Organophosphate Poisoning

Case Presentation: An 82‐year‐old woman with a history of depression presented to the ER unconscious with a report of seizurelike activity and urinary incontinence. On exam she had copious oral secretions, pinpoint pupils, tachycardia, diffuse [...]

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Acute Stroke Mimicking as Postpartum Depression

Case Presentation: A 31‐year‐old woman with history of depression was 7 days postpartum with no peripartum complications and presented with depressed mood and aphasia. Her family reported depressed mood, decreased verbal communication, and fatigue. She [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Acute Stroke Mimicking as Postpartum Depression