Effort Thrombosis in a Teenage Female

Case Presentation: A 17‐year‐old white female presented to the ER with a 5‐day history of right upper extremity swelling. The patient reported that she carried a heavy book bag on her right shoulder all day, [...]

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Utility of Continuous Renal Replacement Therapy in Extended‐Release Calcium Channel Blocker Overdose

Case Presentation: A 38‐year‐old woman with a history of depression and hypertension was transferred to our facility after an intentional overdose of extended‐release diltiazem, with coingestion of clinically insignificant amounts of clonazepam and acetaminophen. It [...]

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Meningitis Associated with IVIG: A Real Pain in the Neck

Case Presentation: The patient is a 33‐year‐old white woman with dermatomyositis who was well until she awoke one night with a severe frontal and bibasilar headache associated with neck stiffness, bilateral eye and neck pain [...]

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Catastrophe Unleashed: Cardiac Tamponade Due to Metastatic Melanoma

Case Presentation: A 29‐year‐old man with a medical history of melanoma was being treated in the hospital for radiation‐induced esophagitis. He was first diagnosed with melanoma in the axillary region 5 years ago and since [...]

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Strengthening Clinical Research in an Academic Hospitalist Program Via a Master Teacher Position

Background: Emphasis is shifting from the simple justification of hospital medicine to identifying/implementing steps enabling it to move more solidly into academia. Establishing a robust fundable research base — allowing for diversity in funding and [...]

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Can Tissue Models Be Used to Teach Central Line Placement? Phase II of the Procedure Patient Safety Initiative (PPSI)

Background: Legitimate concerns continue to mount with regard to having novice physicians learn and practice procedures on patients. It is incumbent on the education community to develop effective modalities for teaching proper procedure technique that [...]

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Status of Hospitalist Group Leaders' Knowledge of Hospital Participation in Payer to Hospital Pay for Performance Programs

Background: Hospital participation in pay‐for‐performance (P4P) programs with payers provides an opportunity for aligning incentives between hospitals and hospitalists. These programs may prompt hospitals to reward hospitalists for compliance with performance measures specified in payer‐to‐hospital [...]

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Avoided Unnecessary Admissions (AUA): A Value‐Added Service from a Well‐Integrated Health Care Team

Background: ER physicians tend to be risk averse. Out of fear for what cannot be determined in a short time and concerns over litigation, many ER doctors believe they are erring on the side of [...]

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Effect of an Inpatient Anticoagulation Service on Improving the Safe Use of Warfarin Sodium

Background: Anticoagulation with warfarin in the hospital has many challenges, including a narrow therapeutic range, variable metabolism, and drug‐related interactions. These factors, combined with illness and the complexities of hospitalization, have the potential for significant [...]

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Length of Stay Variation by Hospital Type

Background: Hospitals and hospitalists are increasingly being asked to measure their outcomes. An easy metric to assess is length of stay (LOS). However, there are no national standards for LOS in pediatrics. Furthermore, where some [...]

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Influence of Hospitalist Consultation on Antihypertensive Medication Prescribing for Surgical Inpatients

Background: Prior research suggests that elevated BP in hospitalized patients represents true hypertension (HTN) and that HTN and cardiovascular risk factors are prevalent among inpatients. Providers often fail to recognize and intensify treatment regimens for [...]

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Prosthetic Valve Endocarditis Due to Neiserria gonorrhoeae — Report of a Case and a Review

Case Presentation: A 46‐year‐old man presented with a 2‐month history of fatigue, worsening dyspnea, and lower extremity swelling. He had a prosthetic aortic valve implanted 10 years ago and was noncompliant with anticoagulation. His medical [...]

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Severe Asymptomatic Retropharyngeal Hematoma: A Delayed Complication of Failed Internal Jugular Vein Cannulation

Case Presentation: A 73‐year‐old man with diabetes and end‐stage renal disease was admitted with bilateral lower extremity cellulitis. He was also hypoglycemic, with a blood glucose of 29 mg/dL. Because of the difficulty obtaining peripheral [...]

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Spurious Thrombocytosis: a Rare Presentation of Cryoglobulinemia

Case Presentation: The patient is a 51‐year‐old man with history of IVDA and depression who presented with complaints of bilateral leg pain and swelling. He attributed his symptoms to cold weather during a snowstorm. A [...]

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