To learn more about this meeting, visit hospitalmedicine2013.org

Comprehensive Care Physician/primary Care Hospitalist Cmmi Innovation Challenge Award

Background: Hospital medicine physicians may provide advantages in inpatient care compared with traditional ambulatory‐based primary care physicians (PCPs) because of hospitalists' greater focus and experience in inpatient care. However, hospitalists have disadvantages in inpatient care [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Comprehensive Care Physician/primary Care Hospitalist Cmmi Innovation Challenge Award

Clot Begets a Clot: Pfo As a Gateway to Paradoxical Arterial Embolism

Case Presentation: In patients with pulmonary embolism, patent foramen ovale (PFO) is associated with increased prevalence of silent brain infarcts (SBI). PFOs have been studied in patients with cryptogenic stroke with an increased likelihood of [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Clot Begets a Clot: Pfo As a Gateway to Paradoxical Arterial Embolism

Readdressing Vancomycin: A Case Study

Case Presentation: A 41‐year‐old man with a medical history significant for chronic osteomyelitis presented with generalized rash, high fever, scattered myalgias, and nonspecific right lower quadrant abdominal pain of two days duration. The rash was [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Readdressing Vancomycin: A Case Study

Diagnosis and Management of Infectious Mononucleosis‐Like Syndrome Presenting As Toxoplasmosis Infection

Case Presentation: A 25‐year‐old white man presented with a fever of 100.4°F, pharyngeal erythema lymphadenopathy, and flu‐like symptoms. Laboratory evaluations revealed lymphocytosis, monocytosis, neutropenia, and abnormal liver enzymes. Given his clinical picture and these laboratory [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Diagnosis and Management of Infectious Mononucleosis‐Like Syndrome Presenting As Toxoplasmosis Infection

Diabetes Insipidus As the Presenting Manifestation of a Rare Pituitary Disorder

Case Presentation: A 47‐year‐old man with a history of stroke presented after a fall without loss of consciousness. He reported increased thirst and urination as well as headaches without vision changes. Vital signs including orthostatics [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Diabetes Insipidus As the Presenting Manifestation of a Rare Pituitary Disorder

“Tips” for Avoiding Cavernous Sinus Thrombosis

Case Presentation: A 45‐year‐old man with no medical history presented for evaluation with 2 weeks of left eye swelling, double vision, headaches, and right‐sided neck pain. Review of systems was notable for fever and night [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on “Tips” for Avoiding Cavernous Sinus Thrombosis

Its All in the Rash: The Association of Parvovirus B‐19 and Type 1 Cryoglobulinemia

Case Presentation: A 62‐year‐old man with a history of exposure to his grandchild diagnosed with erythema infectiosum presented with a 1‐week history of fever, polyarthralgias, and myalgias. Evaluation revealed a platelet count of 68,000 and [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Its All in the Rash: The Association of Parvovirus B‐19 and Type 1 Cryoglobulinemia

Brain Abscess Caused by Listeria Monocytogenes

Case Presentation: A 49‐year‐old man presents with acute‐onset fever and confusion for one day. He has a history of type 2 diabetes mellitus and polycythemia vera complicated by myelofibrosis, and he underwent bone marrow transplant [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Brain Abscess Caused by Listeria Monocytogenes

Not Just Another Case of Cardiac Ischemia

Case Presentation: A 55‐year‐old woman presented with acute onset of chest pain at rest that radiated to her jaw and left arm. Her medical history was notable for hypertension, hyperlipidemia, OSA, and obesity status post [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Not Just Another Case of Cardiac Ischemia

Gastrointestinal Bleed As Initial Presentation of Catastrophic Antiphospholipid Syndrome

Case Presentation: A 56‐year‐old white man presented to an outlying hospital with abdominal pain, melanotic stool. He had hemoglobin of 14 g/dL, white cell count of 19,000, and platelets count of 879,000. Initially the INR [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Gastrointestinal Bleed As Initial Presentation of Catastrophic Antiphospholipid Syndrome

Hypereosinophilic Syndrome: A Case Report of the Rare Cause of Cardiac and Pulmonary Disease in a 40‐Year‐Old Man

Case Presentation: A 41‐year‐old man with no medical history presented for a second opinion for chest pain, cough, fevers, and an 80‐pound weight loss in 2 months. Previous evaluation revealed peripheral eosinophilia, pericarditis, and pneumonia. [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Hypereosinophilic Syndrome: A Case Report of the Rare Cause of Cardiac and Pulmonary Disease in a 40‐Year‐Old Man

Making a List, Checking It Twice, an Early Diagnosis of Arvc Is Awfully Nice

Case Presentation: A 62‐year‐old woman with no medical history presented with 1 month of recurrent palpitations and near‐syncope. Two weeks previously she had a normal EKG and exercise stress echocardiogram. The patient's symptoms continued to [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Making a List, Checking It Twice, an Early Diagnosis of Arvc Is Awfully Nice

Unsteady Gait and Weakness — a Tropical Threat

Case Presentation: Conditions affecting the spinal cord are diverse and sometimes present with atypical, vague symptoms that evolve overtime. Etiologies for these conditions include autoimmune, infectious, neoplastic, vascular, and hereditary‐degenerative diseases. We present a case [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Unsteady Gait and Weakness — a Tropical Threat

A Weak Diagnosis: Myasthenia Gravis Presenting with Severe Orthopnea

Case Presentation: A 68‐year‐old woman presented to our hospital with worsening orthopnea 3 times during 1 month. On her first hospitalization, she was diagnosed with diastolic heart failure in the setting of a normal B‐type [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on A Weak Diagnosis: Myasthenia Gravis Presenting with Severe Orthopnea

Laryngeal Mass and Pneumomediastinum — an Unusual Case of T‐Cell Lymphoma

Case Presentation: A 22‐year‐old El Salvadoran man presented with 2 months of fevers, night sweats, fatigue, cough with scant hemoptysis, hoarseness and a 60‐pound weight loss. Over the next month, he developed progressive dysphagia, odynophagia, [...]

By | 2013-05-16T01:00:02+00:00 May 16th, 2013|Uncategorized|Comments Off on Laryngeal Mass and Pneumomediastinum — an Unusual Case of T‐Cell Lymphoma