Tylenol 'Round the Clock

Case Presentation: A 3‐week‐old was admitted to the pediatrics service for evaluation of fever and administration of parenteral antibiotics. Acetaminophen 15 mg/kg/dose every 4 hours was ordered. The infant received 6 daily doses of acetaminophen [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Tylenol 'Round the Clock

Not Always Is Preeclampsia: Viral Encephalitis in Pregnancy

Case Presentation: A 23‐year‐old woman with a 24‐week pregnancy presented to the ED with complaints of a progressively worsening headache of 2 weeks' duration. The headache was frontal, pounding in nature, rated 10/10 in severity, [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Not Always Is Preeclampsia: Viral Encephalitis in Pregnancy

Persistent Obstructive Jaundice in a 56‐Year‐Old Man

Case Presentation: A 56‐year‐old white man with history of gallstone cholecystitis status post‐ERCP 11 years ago with sphincterotomy presented with bilateral upper quadrant pain after meals for 2 days. He had dark urine but no [...]

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Unmasking of Brugada Syndrome by Lithium

Case Presentation: A 38‐year‐old man was brought by EMS after resuscitation following cardiac arrest. The patient was walking on the street when he collapsed and lost consciousness. EMS found the patient to be cold, clammy, [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Unmasking of Brugada Syndrome by Lithium

Morning Intake for Grownups: A Report on Peer and Practice‐Based, Small Group Continuing Clinical Education

Background: Continuing medical education is important not merely for the maintenance of certification but also for the ongoing growth and development of clinicians. This may be particularly relevant in the field of hospital medicine, where [...]

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Sickle Cell Quality Improvement Team: Improving the Quality, Consistency, and Coordination of Care for Patients with Sickle Cell Anemia

Background: Sickle cell anemia is a chronic disease punctuated by acute pain crises. Up to 60% of patients with sickle cell anemia will have an episode of severe pain in a given year, making their [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Sickle Cell Quality Improvement Team: Improving the Quality, Consistency, and Coordination of Care for Patients with Sickle Cell Anemia

A Targeted Intervention and Detection System to Detect Adverse Drug Events in Hospitalized Patients

Background: To implement an automated system that will identify impending and latent adverse drug events (ADEs) in hospitalized patients and to (1) assess the effectiveness of the system at identifying true‐positive ADEs and (2) assess [...]

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Physician Awareness of and Communication about Hospital Readmissions

Background: Patients recently discharged from inpatient medicine services often require hospital readmission and often are readmitted to a different physician or team, potentially without the knowledge of the prior caregivers. Thus, physicians may lose the [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Physician Awareness of and Communication about Hospital Readmissions

Optimal Duration of Antibiotic Treatment for Adult Patients with Community‐Acquired Pneumonia: A Systematic Review of Randomized Controlled Trials

Background: According to the 2007 guidelines from the Infectious Diseases Society of America and the American Thoracic Society, adult patients with community‐acquired pneumonia (CAP) should be treated for a minimum of 5 days, have no [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Optimal Duration of Antibiotic Treatment for Adult Patients with Community‐Acquired Pneumonia: A Systematic Review of Randomized Controlled Trials

Effect of Race on Length of Stay

Background: Ethnicity has been noted to have many effects on the delivery of health care. Race has been demonstrated as a factor in the appropriate treatment of many illnesses, a marker for access to care, [...]

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Anticoagulation and Cardiac Tamponade: Is There a Relationship?

Background: A pervasive belief exists in medicine that anticoagulation increases the risk of cardiac tamponade in patients with known pericardial effusions, especially when the effusion is malignancy related (MR). To our knowledge, there are no [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Anticoagulation and Cardiac Tamponade: Is There a Relationship?

Use of a Mastery Learning Model to Improve Internal Medicine Resident Skills in Central Venous Catheter Insertion: Results of a Pilot Study

Background: Central venous catheter (CVC) insertions are frequently performed by internal medicine residents. Research shows that complications including pneumothorax and arterial puncture diminish when operators require fewer needle passes and use ultrasound. We demonstrated previously [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Use of a Mastery Learning Model to Improve Internal Medicine Resident Skills in Central Venous Catheter Insertion: Results of a Pilot Study

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, [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Effort Thrombosis in a Teenage Female

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 [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Utility of Continuous Renal Replacement Therapy in Extended‐Release Calcium Channel Blocker Overdose

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 [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Meningitis Associated with IVIG: A Real Pain in the Neck