Acute Porphyria in a 14‐Year‐Old Presenting with Hypertension and Hyponatremia

Case Presentation: A 14‐year‐old boy with mental retardation, seizure disorder, and spastic quadriplegia was admitted with a 5 day history of lethargy, constipation, and reddish urine. He also had increased seizure frequency, which was usually [...]

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Hospitalist Dilemma Facing the Forgotten Disease

Case Presentation: A 30‐year‐old African American woman with an unremarkable medical history presented to the emergency room with 14 days of progressive sore throat, high fever, malaise, voice changes, and dysphagia to solids. Positive findings [...]

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The Concrete Heart

Case Presentation: A 52‐year‐old man with a history of heavy alcohol use was admitted for cellulitis and chronic edema attributed to cirrhotic liver disease. Exam findings included significant peripheral edema, ascites, and jugular venous distention. [...]

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Thrombotic Thrombocytopenic Purpura and Positive Coombs Test — Not Mutually Exclusive!

Case Presentation: A 48‐year‐old man was hospitalized with fatigue, dyspnea, mild confusion, and faint lower extremity petechiae that followed an upper respiratory infection. At admission, his blood pressure was normal, and his temperature was 100.8°F. [...]

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Chest Pain … Add Another Life‐Threatening Condition!

Case Presentation: Chest pain is the second most common reason for visiting an emergency department in the United States. Ruling out medical emergencies is crucial. We are presenting a case of chest pain due to [...]

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The Hospitalist Scholars Training Program: Leveraging Nonacademic Clinical Service into Fellowship Training for Academic Hospitalists

Background: The advancement of academic hospital medicine requires that academic hospitalists receive training that allows them to become leaders in research, education, quality improvement, and other scholarly aspects of academic medicine. However there are few [...]

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A Nomogram for Prediction of Survival for Patients Undergoing Elective Major Noncardiac Surgery

Background: An accurate prediction model for perioperative outcomes of patients who have been clinically optimized prior to elective noncardiac surgery has not been well studied. We sought to develop a nomogram that would help physician [...]

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The HCAP Gap: Differences Between Physicians' Self‐Reported Practice Patterns and Published Guidelines for Treatment of Health Care‐Associated Pneumonia

Background: Health care‐associated pneumonia (HCAP) is prevalent among hospitalized patients. In contrast to community‐acquired pneumonia (CAP), patients with HCAP are at increased risk for multidrug‐resistant organisms such as methicillin‐resfstant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa. [...]

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Hospitalized Patients' Understanding of Their Plan of Care

Background: The relationship between a patient and his or her health care providers is fundamental in providing effective care. Studies in ambulatory settings have shown that agreement between patients and their physicians is associated with [...]

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Hyperuricemia and Its Clinical Correlates in Hispanic Patients with Metabolic Syndrome

Background: Beyond the well‐known complication of gout and nephroiithiasis, there is a mounting body of evidence that hyperuricemia is associated with hypertension and chronic renal disease and is an independent risk factor for coronary artery [...]

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Innovative Strategies That Improve Clinical Handoff (I‐Switch) Phase II: Randomized Controlled Trial Evaluating Educational Modalities Including Cognitive Simulation

Background: Few studies have investigated how to optimally educate physicians on the cognitive skills required for effective clinical handoffs. Methods: A single‐institution, prospective, randomized, controlled trial was conducted to explore the effectiveness of different educational [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Innovative Strategies That Improve Clinical Handoff (I‐Switch) Phase II: Randomized Controlled Trial Evaluating Educational Modalities Including Cognitive Simulation

Effect of a Faculty Development Program on Bedside Teaching Behavior of Academic Hospitalists

Background: Bedside teaching is the ideal venue for teaching interpersonal skills and physical examination techniques and modeling professionalism. Hospitalists have an increasing influence on the inpatient education of internal medicine residents and medicine clerkship students [...]

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Lack of Recognition and Treatment of Osteoporosis in Post‐Hip Fracture Patients

Background: Approximately 300,000 hip fractures occur in the United States each year with 1‐year refracture and mortality rates as high as 12% and 25%, respectively. Bisphosphonate use after hip fracture reduces morbidity and mortality. Expert [...]

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Early Recognition of Stroke in Sickle Cell Disease: Don't Blame the Pain Meds!

Case Presentation: A 19‐year‐old woman with a history of sickle cell disease (HgbSC) presented to the hospital with an acute pain crisis. Initial vital signs were stable with normal oxygen saturation. Examination was unremarkable. The [...]

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