West Nile Virus Myocarditis Causing a Fatal Arrhythmia

Case Presentation: A 65‐year‐old man presented to the emergency department in late summer complaining of fever, cough, and decreased oral intake for the past 7 days. His symptoms were associated with blurry vision and nausea. [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on West Nile Virus Myocarditis Causing a Fatal Arrhythmia

Hickam's Dictum

Case Presentation: A 34‐year‐old woman presented with 2 days of headache, nausea, vomiting, and bilateral eye pain. The headache was describes as throbbing and radiated from the base of her skull down the back of [...]

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A Rare Cause of Anemia in Inflammatory Bowel Diseases — A Case Report and Review of the Literature

Case Presentation: A 32‐year‐old man with no significant medical history presented with complaint of dark‐colored urine, jaundiced skin, and fatigue for the last 4 weeks. He also reported having diarrhea mixed intermittently with blood for [...]

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Use of Modified Early Warning Scores by a Rapid Response Team for the Purpose of Code Reduction in the Non‐ICU Patient Population

Background: Current research supports the fact that early recognition of vital sign deterioration provides the opportunity for early intervention and subsequent reduction of cardiac and respiratory arrest risk for non‐ICU patients. MEWS, or Modified Early [...]

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An Electronic Health Record (EHR) Based Tool to Aid in the Prevention of Potentially Avoidable Deaths in Non‐ICU Hospital Patients

Background: Many hospitals have instituted rapid response teams (RRTs) to prevent potentially avoidable deaths in general medical surgical unit patients. However, studies to date have not found consistent improvement in clinical outcomes as a result [...]

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Incidence and Implications of Postdischarge Adverse Events

Background: Patients are vulnerable during care transitions, and adverse patient events occur frequently after hospital discharge. The incidence and impact of such events has primarily been studied at single institutions. We sought to evaluate the [...]

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Maintaining Glycemic Control During Transition from Infusion Insulin to Subcutaneous Insulin Safely: A Protocol‐Driven, Multidisciplinary Approach

Background: The transition from insulin infusion is problematic. A pilot study in our institution revealed that uncontrolled hyperglyce‐mia was the rule in the first 48 hours after discontinuing insulin infusion and that basal subcutaneous (SC) [...]

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A Qualitative Study of Hospitalist and Nonhospitalist Work Relationships with Staff Nurses

Background: Hospitalists have the potential to interact with inpatient staff nurses more frequently than physicians who also provide ambulatory care. Despite the existence of this specialty for more than a decade and its burgeoning numbers, [...]

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Increased Utilization of Guideline‐Recommended Antibiotics for Health Care–Associated Pneumonia Following an Educational Intervention

Background: In 2005, the Infectious Diseases Society of America and the American Thoracic Society published guidelines regarding treatment of health care–associated pneumonia (HCAP). These guidelines recommend MRSA coverage as well as 2 antipseudo‐monal antibiotics for [...]

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Diagnostic Efficacy of Tagged White Blood Cell Scans in the Workup of Occult Infection

Background: Tagged white blood cell scans (TWBCSs) are often used as a diagnostic study when searching for an occult infection after most other studies have been performed. These studies are not inexpensive, averaging near $400 [...]

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Testing for Factor V Leiden and Prothrombin Gene 20210a Mutations in Patients with Venous Thromboembolism: A Systematic Review and Meta‐Analysis

Background: Factor V Leiden (FVL) and prothrombin (PT20210A) gene mutations are common genetic polymorphisms that have been associated with first‐time venous thromboembolism (VTE). These mutations have been associated with recurrent thromboses in some but not [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on Testing for Factor V Leiden and Prothrombin Gene 20210a Mutations in Patients with Venous Thromboembolism: A Systematic Review and Meta‐Analysis

Gut Amyloidosis: A Rare Cause of Iron Deficiency

Case Presentation: A case of malabsorption syndrome secondary to primary amyloidosis is presented here. A male in his forties presented with intermittent rectal bleeding, watery diarrhea, steatorrhea, dizziness and weight loss of 30 pounds over [...]

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A Punch in the Gut

Case Presentation: A 93‐year‐old man presented following acute onset of substemal and epigastric pain that progressed to crushing pressure over the course of 4 hours. He described a sensation of fullness in his throat, dysphagia, [...]

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Lemierre's Syndrome: Reemergence of a Forgotten Disease?

Case Presentation: A 27‐year‐old man with no prior medical history presented to the emergency department (ED) for a 2‐day history of sore throat, nonproductive cough, and fever. Physical exam revealed pharyngeal erythema and cervical lymphadenopathy. [...]

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The Eye of the Storm: A Severe Case of Immune Reconstitution Inflammatory Syndrome (IRIS)

Case Presentation: A 51‐year‐old man with a new diagnosis of HIV/AIDS complicated by cryptococcemia and toxopSasma brain abscess, with a CD4 count of 17 cells/μL, presented to our hospital 2 months after his initial diagnosis [...]

By | 2009-05-14T12:00:07+00:00 May 14th, 2009|Uncategorized|Comments Off on The Eye of the Storm: A Severe Case of Immune Reconstitution Inflammatory Syndrome (IRIS)