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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Between a Rock and a Hard Place: Tumoral Calcinosis in a Dialysis Patient

Case Presentation: A 54‐year old African American man with history of dialysis‐dependent renal failure secondary to diabetes, presented with a large, painful swelling in his right buttock. Three years ago, his primary physician noted it [...]

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Coronary Stent Infection: An Esoteric Complication of a Common Procedure

Case Presentation: A 58‐year‐old white man underwent primary percutaneous transluminal intervention (PCI) with 2 stents for acute coronary syndrome (ACS). On the second day he developed fever. Antecubital thrombophlebitis was noted, and the peripheral catheter [...]

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A Rare Cause of Hyperthyroidism Metastatic Testicular Choriocarcinoma

Case Presentation: Choriocarcinoma accounts for 1% of testicular carcinomas. Choriocarcinoma primarily spreads hematogeneously into viscera and lungs and involves retroperitoneal lymph nodes and liver. Human chorionic gonadotropin (HCG)‐induced hyperthyroidism in germ‐cell cancers is rare, and [...]

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It May Look Like Malignancy … But the Truth Lies in the Tissue!

Case Presentation: A 51‐year‐old woman with a medical history of congestive heart failure, hepatitis B, and hypothyroidism was transferred from an outside hospital for a workup of an abdominal mass. The patient had presented several [...]

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The Comanagement Teaching Physician: A Promising New Role for the Hospitalist on the Academic Surgical Service

Background: Although surgical comanagement is a rapidly expanding role for hospitalists, the growing challenge is to create a clinical experience that is rewarding to hospitalists long term particularly in academic medical centers. Purpose: To implement [...]

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Ambulatory Connections Clinic—Bridging the Divide Between Inpatient and Outpatient Medicine in a Predominantly Indigent Population

Background: One of the greatest frustrations for health care providers is obtaining timely follow‐up appointments. Hospitalists often feel compelled to extend a patient's length of stay because of their concern for patients being lost to [...]

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Comparing the Effectiveness of Telephone and Palmtop Computer‐Based Experience Sampling Methods to Measure the Quality of Pain Control in Hospitalized General Medicine Patients

Background: Pain control is a key part of care for hospitalized patients. Despite calls from major health care organizations to improve provider awareness and training about pain control, pain management remains inadequate for many hospitalized [...]

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Effects of Computerized Order Sets on Inpatient Management of Hyperglycemia: A Randomized Controlled Trial

Background: Inpatient hyperglycemia is common and associated with adverse patient outcomes. Current guidelines recommend treatment to achieve glucose levels below 180 mg/dL in the inpatient non‐ICU setting. Previous research has suggested various approaches to improving [...]

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Impact of Localizing Physicians to Hospital Units on Nurse‐Physician Communication and Agreement on the Plan of Care

Background: A significant barrier to communication between providers on hospital units is the fluidity and geographic dispersion of team members. Geographically localizing physicians to specific units may improve collaboration with other unit‐based team members and [...]

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Improving Antibiotic Utilization in the Emergency Department via Academic Detailing by Hospitalists 57

Background: Inappropriate antibiotic use is a major clinical problem in hospitals. The initial prescribing choices made by emergency department (ED) providers may be partially responsible for this situation. Unlike hospitalists, ED providers do not have [...]

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As Length of Stay Fell, Did 15‐Day Hospital Readmission Rate Increase in Veterans Administration Hospitals 1997‐2007?

Background: Increasing hospital efficiency has resulted in lower hospital length of stay (LOS); however, the impact of reduced LOS and hospital readmission rates has not been well described. Our objective was to determine trends in [...]

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Hospitalist Comanagement of Elderly Patients with Traumatic Falls

Background: There is an increase in opportunities for hospitalists to comanage hospitalized patients. The benefits in regard to LOS, costs, and utilization of manpower are still being evaluated. As the elderly population with multiple comorbidities [...]

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Internal Medicine Residents' Knowledge of Asthma Management, Respiratory Inhaler Technique, and Inhaler Policy Change

Background: Hospitalization rates in Chicago are double the national average for asthma and triple that among African Americans compared with whites in Chicago. In 2009, to protect the ozone layer, the familiar easy‐to‐use metered dose [...]

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Tuberculosis: A Gutless Opportunist

Case Presentation: A 55‐year‐old man with a history of peptic ulcer disease, status post‐Bill roth I gastrectomy in 1997, presented with a 15‐day history of fevers, chills, night sweats, weight loss, productive cough, and progressive [...]

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