Baclofen‐lnduced Psychosis in a Pediatric Patient

Case Presentation: This is the first case report in the literature of a pediatric patient with psychosis attributed to therapeutic doses of intrathecal (IT) baclofen. We present a case report of a pediatric patient treated [...]

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Cutaneous Histoplasmosis Lesions Associated with Immune Reconstruction Inflammatory Syndrome

Case Presentation: A 31‐year‐old man with AIDS and disseminated MAC presented with 2 weeks of pruritic rash. Rash was associated with fever, cough, and weight loss. The patient lived in southeastern Louisiana but had recently [...]

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Fatal Herpes Simplex Hepatitis in an Immunocompetent Patient: A Case Report and Review of the Literature

Case Presentation: A 78‐year‐old man with hypertension, diabetes mellitus, and hyperlipidemia presented to the ER for a 3‐day history of generalized malaise and fever. He denied headache, cough, abdominal pain, nausea, or vomiting. Medications included [...]

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Whipple's Disease — An Unusual Cause of Severe Pancytopenia

Case Presentation: A 53‐year‐old man presented with new‐onset pedal edema and memory loss of 1 month's duration. He also complained of a 1‐year history of generalized weakness, joint pains, neck stiffness, watery diarrhea, and significant [...]

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A Case of Algid Malaria

Case Presentation: A 49‐year‐old African American woman presented to the emergency room (ER) with a 3‐day history of high‐grade fevers, chills, and generalized muscie aches after returning from a 3‐week trip to Nigeria without malaria [...]

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Creutzfeldt‐Jacob Disease: A Diagnostic Dilemma

Case Presentation: A 50‐year‐old Chinese woman with a medical history of hepatitis B was brought to the emergency department by her family for a 6‐week history of hypersomnolence, irritability, and confusion. Other presenting symptoms included [...]

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Medical Error and Self‐Reflection: Analysis of Internal Medicine Residents' Adverse Event Self‐Reflective Exercises

Background: The Institute of Medicine (IOM) report released in 1999 estimated between 44,000 and 98,000 inpatient hospital deaths resulted from medical errors within the United States annually. Although we have made advances during the past [...]

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Obtaining Successful IV Placement in Pediatric Patients: The Number of IV Attempts by Age Comparison

Background: Most pediatric patients admitted to inpatient wards require peripheral intravenous (PIV) access for the administration of fluids, medications, or other intravenous therapy. Even though peripheral intravenous insertion can be painful, time‐consuming, and often difficult, [...]

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Quality‐of‐Life Scores, Not New York Heart Association Classification, Predict Symptomatic Improvement among Patients with Acute Decompensated Heart Failure

Background: Literature on measurement of symptomatic improvement in ADHF admitted to telemetry is sparse. Visual analog scales (VASs) are valid measures of dyspnea in ADHF. Because dyspnea is a complex psychobiologic phenomenon and the Minnesota [...]

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Teach‐to‐Goal Intervention to Teach Respiratory Inhaler Technique in Patients Hospitalized for Asthma or COPD

Background: Medications delivered through respiratory inhalers are the mainstay of treatment for patients with obstructive lung disorders (OLDs) such as asthma and chronic obstructive pulmonary disease (COPD). Unfortunately, respiratory inhalers are often used incorrectly, reducing [...]

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The Low Number of Therapeutic Initial Vancomycin Troughs in the Intensive Care Unit

Background: Vancomycin is commonly used in an empiric antimicrobial regimen. Clinical pharmacy at our institution has defined therapeutic vancomycin troughs in accordance with the existing literature. Still, there is no centralized protocol for initiation of [...]

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Expectations and Experiences of Provider Management Structure on a Medical Coman

Background: Although comanagement models of care are proliferating, the management structures of comanaging providers have not been characterized. Methods: Between April and October 2008, all eligible providers on a novel medical comanagement service (described elsewhere) [...]

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Inpatient Stroke Alert Program Improves Response Times for Ischemic Strokes Occurring During Hospitalization

Background: It is estimated that 7%–15% of all strokes occur in the hospital, yet these strokes have slower response times and longer time to thrombolysis compared with strokes that occur outside the hospital. We initiated [...]

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Treatment of Substance Dependence after Hospital Discharge

Background: Despite effective treatments, many hospitals lack systems to facilitate treatment for substance use disorders after hospital discharge. We provided infrastructure to increase substance dependence treatment after hospital discharge and evaluated predictors of addiction treatment [...]

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A Fatal Case of Necrotizing Fasciitis from Invasive Streptococcus pneumoniae: Support for Pneumococcal Vaccination

Case Presentation: A 60‐year‐old white woman with a history of sarcoidosis (remote and in remission), asthma, chronic obstructive pulmonary disease (COPD), and emphysema presented to the emergency department with a 1‐week history of worsening dyspnea, [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on A Fatal Case of Necrotizing Fasciitis from Invasive Streptococcus pneumoniae: Support for Pneumococcal Vaccination