Never the Twain Shall Meet: Confusing Primary CNS Lymphoma with Neurosarcoidosis

Case Presentation: A 44‐year‐old African American man without a significant medical history presented to an outside hospital with 10 days of nausea, vomiting, weakness, and confusion. He was hydrated, stabilized, and subsequently discharged. Over the [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Never the Twain Shall Meet: Confusing Primary CNS Lymphoma with Neurosarcoidosis

Metamorphism: Crescentic Transformation with Anti‐GBM (Glomerular Basement Membrane) Antibodies Arising from Idiopathic Membranous Glomerulopathy

Case Presentation: Rapidly progressive glomerulonephritis (RPGN) is a well‐known cause of acute renal failure. However, its abrupt presentation with anti‐GBM antibodies in the setting of membranous nephropathy is quite uncommon, A 73‐year‐old man presented with [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Metamorphism: Crescentic Transformation with Anti‐GBM (Glomerular Basement Membrane) Antibodies Arising from Idiopathic Membranous Glomerulopathy

Drug Interaction Simulating Elusive Systemic Illness

Case Presentation: A 75‐year‐old white man with a medical history significant for fibromyalgia and self‐medication with chronic acetaminophen use for 2 years presented with bilateral knee pain and a flulike illness. On presentation his vital [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Drug Interaction Simulating Elusive Systemic Illness

Cardiac Arrest after Percutaneous Transthoracic Needle Biopsy: A Consideration Other Than Pneumothorax

Case Presentation: A 59‐year‐old man with a medical history significant for congestive heart failure and diabetes mellitus presented with a new right upper lobe nodule (positive on PET scan), for which he underwent a CT‐guided [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Cardiac Arrest after Percutaneous Transthoracic Needle Biopsy: A Consideration Other Than Pneumothorax

Acute Ischemic Stroke and Pseudosubarachnoid Hemorrhage in a HIV‐Negative Patient Presenting with Cryptococcal Meningitis

Case Presentation: A 75‐year‐old man with a history of chronic myeloid leukemia presented to the emergency room with bifrontal headache, syncope, and double vision of the right eye. Physical examination was unremarkable. He was afebrile, [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Acute Ischemic Stroke and Pseudosubarachnoid Hemorrhage in a HIV‐Negative Patient Presenting with Cryptococcal Meningitis

Peer Group Mentoring of Pediatric Hospitalists

Background: Pediatric hospital medicine is a rapidly growing field. The growth occurring at academic institutions reflects a rise in the number of pediatricians who are choosing careers in academic pediatric hospital medicine. As this number [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Peer Group Mentoring of Pediatric Hospitalists

Promoting Hospital Medicine: The Undergraduate Preceptorship in Internal Medicine (UPIM)

Background: Interest in internal medicine (IM) has substantially decreased over the last decade. Although hospital medicine (HM) is currently the fastest‐growing specialty, many premedical and medical students are not aware of this field. With an [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Promoting Hospital Medicine: The Undergraduate Preceptorship in Internal Medicine (UPIM)

Automated Real‐Time Relay of Actionable Performance Data to a Medical Nursing Unit Improves Venous Thromboembolism Prophylaxis Rates

Background: Performance data in hospitals is typically derived from retrospective sampling, significantly restricting its relevance for active inpatients. If performance data could be relayed electronically in real‐time to the nursing unit, members of the frontline [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Automated Real‐Time Relay of Actionable Performance Data to a Medical Nursing Unit Improves Venous Thromboembolism Prophylaxis Rates

National Trends of UTI Hospitalizations

Background: Outpatient management of UTI as a treatment option was firmly established by Hoberman's study in 1999 and confirmed in Cochrane reviews in 2003 and 2007. However, UTI remains a common cause of pediatric hospitalization [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on National Trends of UTI Hospitalizations

Impact of a Nurse Care Coordinator on Hospitalist Work Flow

Background: Many large hospital medicine groups utilize nurse case managers to enhance efficiency and extend the capability of hospitalists to manage larger volumes of patients. As part of an ongoing time–work flow study, we evaluated [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Impact of a Nurse Care Coordinator on Hospitalist Work Flow

Hospital‐Based Health Care Utilization of Unfractionated and Low‐Molecular‐Weight Heparin

Background: Venous thromboembolism, unstable angina, and atrial fibrillation are diseases that utilize parenteral anticoagulant therapy, which is often associated with bleeding and thrombocytopenia that require management and a prolonged hospital stay and pose an economic [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Hospital‐Based Health Care Utilization of Unfractionated and Low‐Molecular‐Weight Heparin

Real‐Time Ultrasound Central Line Placement to Replace Postprocedural Chest X‐Ray: Is Post–Central Line Placement Chest X‐Ray Still Considered the Gold Standard?

Background: Central line placement is a common ICU procedure that aids in hemodynamic monitoring, as well as delivery of medical treatment and nutritional support. In the United States alone, more than 5 million central venous [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Real‐Time Ultrasound Central Line Placement to Replace Postprocedural Chest X‐Ray: Is Post–Central Line Placement Chest X‐Ray Still Considered the Gold Standard?

Profound Hyponatremia: Presenting Symptoms, Etiology, and Outcome

Background: Hyponatremia is a commonly identified electrolyte abnormality. In general, the lower is the serum sodium, the greater is the likelihood of serious sequelae. Published data on profound hyponatremia is lacking. The goal of this [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Profound Hyponatremia: Presenting Symptoms, Etiology, and Outcome

Carcinoid Heart Disease: An Uncommon Cause of Right Heart Failure

Case Presentation: A 67‐year‐old man presented to the emergency room with progressive bilateral lower extremity edema for 3 weeks. He denied any dyspnea, oliguria, or chest pain. His medical history was significant for an intestinal [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Carcinoid Heart Disease: An Uncommon Cause of Right Heart Failure