Value of Repeat Testing for Clostridium difficile Infection (GDI) Using Enzyme Immunoassay Technique in a Large Tertiary Center

Background: Clostridium difficile infection (GDI) is one of the most common hospital‐acquired infections, and its prevalence and severity have been increasing. It is crucial to make a timely and accurate diagnosis so that treatment and [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Value of Repeat Testing for Clostridium difficile Infection (GDI) Using Enzyme Immunoassay Technique in a Large Tertiary Center

Patients with Hospital‐Acquired Pressure Ulcers: Inaccurate Documentation and Poor Outcomes

Background: Pressure ulcers are a significant source of morbidity in hospitalized patients. In 2006 the Centers for Medicare and Medicaid Services (CMS) identified the development of a stage 3 or 4 pressure ulcer while hospitalized [...]

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Why Do Physicians Prescribe Stress Ulcer Prophylaxis to Hospitalized General Medicine Patients?

Background: Although multiple studies have shown that inappropriate use of stress ulcer prophylaxis (SUP) is common for non‐intensive care unit (ICU) hospitalized patients, little is known about why physicians prescribe SUP without supporting evidence. This [...]

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Neutropenia and Low Platelets as a Result of Hydralazine

Background: Neutropenia is a serious and potentially fatal complication of drug therapy that can be induced by a number of medications. Failure to correctly identify and remove the offending agent can result in serious morbidity [...]

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A Description of Patient Safely Interventions Derived from Resident‐Run Modified Root Cause Analysis Conferences

Background: Teaching quality improvement (01} to house staff is still in its infancy. Using modified root cause analyses (RCAs) in monthly resident‐run conferences has been suggested as one manner to improve resident Ql exposure and [...]

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A Discharge Pharmacist to Improve Medication Safety and Cost Avoidance

Background: Hospitalization and discharge‐associated transitions often involve changes in medication regimens that can lead lo adverse drug events and possible avoidable health care utilization. Studies have shown that discharge adverse events are prevalent, and medication [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on A Discharge Pharmacist to Improve Medication Safety and Cost Avoidance

Implementation of a Hospitalist‐Based Internal Medicine Ward System at a Community‐Based Teaching Hospital

Background: The literature consistently demonstrates that trainees are more satisfied when hospitalist teaching models are implemented. Before implementation of our ward system, house staff Teams cared for patients with different attendingsof record, and each attending [...]

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The Trouble with Double: Clinical Implications of Double SVC

Case Presentation: A 20‐year‐old healthy female presented with history of dizziness for 1 year, with recent increase in frequency and duration. She had no vertigo and no aggravating or relieving factors. She denied any hearing [...]

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The Curse of Medusa — An Unusual Presentation

Case Presentation: We present a patient with massive cutaneous bleeding from a collateral site — Ihe caput medusa. A43‐year‐old man with history of alcoholic liver disease, Child‐Pugh class B, presented to the hospital with cutaneous [...]

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“Cluck, Cluck … It's Stuck”: Esophageal Perforation by a Chicken Bone, Leading to Septic Thrombophlebitis of the Internal Jugular Vein

Case Presentation: A 90‐year‐old female with a history of Alzheimer's presented with a 1‐day history of fever and confusion. Initial blood pressure was 91/56, and temperature was 102.8°F. The patient was oriented but had difficulty [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on “Cluck, Cluck … It's Stuck”: Esophageal Perforation by a Chicken Bone, Leading to Septic Thrombophlebitis of the Internal Jugular Vein

When Plasmapheresis Fails

Case Presentation: A 57‐year‐old Hispanic male presented with altered mental status associated with progressive weakness over the preceding 2 months. On admission, he was found to have hypercalcemia, thrombocytopenia, hemolytic anemia and acute renal failure [...]

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Fever, Rash, and Acute Renal Failure: Making of a Perfect Storm

Case Presentation: A 66‐year‐old male with a PMH of Charcot‐Marie‐Tooth disease and asbestosis presented with a 7‐day history of bilateral leg swelling with a painful rash. The patient also gave a history of having an [...]

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Splenic Abscess — A Rare But Lethal Disease

Case Presentation: An active 83‐year‐old white female presented to Ihe emergency department (ED) with fever rigors and dyspnea for 1 day. The patient was discharged home about 5 days prior to presentation for right leg [...]

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High‐Output Heart Failure in a Patient with Exfoliative Erythrodermic Psoriasis

Case Presentation: The patient is a 53‐year‐old female with a past medical history of psoriasis on methotrexate and pulmonary hypertension who presented with worsening psoriasis for several weeks with the appearance of erythroderma involving her [...]

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Narrow‐Complex Tachycardia: An Unusual Cause of Acquired Hemiplegia in Childhood

Case Presentation: A previously healthy 2‐year‐old Asian girl presented on day of admission with left upper‐ and lower‐extremity weakness and facial droop. On arrival to ER her exam was benign except for: HR 260. dysarthria, [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Narrow‐Complex Tachycardia: An Unusual Cause of Acquired Hemiplegia in Childhood