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Journals Journal of Community Hospital ...

Journal of Community Hospital Internal Medicine Perspectives

https://read.qxmd.com/read/38966519/pituitary-apoplexy-pitfalls-in-diagnosis
#1
JOURNAL ARTICLE
Victor Rivera-Hernandez, Emiliya Zareva, Santh Silparshetty
Headache is a common presenting complaint in the emergency department. A rare cause is pituitary apoplexy - a complication of pituitary adenoma consisting of hemorrhage or infarction of the primary tumor accounting for approximately 1 % of headaches. A 44-year-old female presented with intractable headache, nausea, photophobia and later - signs of meningeal irritation. Initial imaging demonstrated no mass or hemorrhage, labs showed only leukocytosis and elevated CRP. Patient was started on empiric acyclovir and methylprednisolone...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966518/a-rare-case-of-acquired-factor-viii-inhibition-in-an-elderly-female
#2
JOURNAL ARTICLE
Bilal Niazi, Paul Millhouse, Amer Jarri, Ahmad Al-Awwa, Bhavna Gupta, Benjamin Perrella
Acquired hemophilia A is a rare condition characterized by the development of autoantibodies against coagulation factor VIII. It often initially presents as serious bleeding in the absence of risk factors and carries high morbidity and mortality if not diagnosed early. Due to its rare nature, data is limited, and guidelines are primarily based on expert opinion. Here we present a case of an elderly patient with severe gastrointestinal bleeding found to have activated partial thromboplastin times, plasma mixing studies, and coagulation factor activity levels consistent with acquired hemophilia A...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966517/uremic-pericarditis-and-cardiac-tamponade-resolving-with-intensive-hemodialysis
#3
JOURNAL ARTICLE
Mayuri Patel, Shiavax J Rao, Abhinandan R Chittal, Khalid Al-Talib, Sriram Padmanabhan
We present an interesting and complex case of cardiac tamponade due to uremic pericarditis (UP), resolving with intensive hemodialysis (HD). HD should be considered as first line management for patients with UP and pericardial effusion. Intensification of HD should be considered based on clinical presentation and severity of presentation.
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966516/effect-on-diabetes-control-in-a-resident-clinic-following-the-integration-of-a-clinic-pharmacist
#4
JOURNAL ARTICLE
Febronia Dawoud, Madeline Fitzpatrick, Kajal Jain, Jonathan Hughes, Tracey Doering, Melissa Scalise
The impact of a pharmacist has been evaluated within the primary care setting but not within a resident-managed internal medicine clinic. This retrospective study found that the integration of a clinical pharmacist within a resident clinic improved the mean HbA1c of a high-risk patient group by 3% in 3 months and 2.6% in 6 months. None of the residents surveyed reported that the presence of a clinical pharmacist hindered their learning experience. The study also found the residents perceived the clinical pharmacist to be helpful with co-management of diabetes...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966515/act-now-the-global-threat-of-candida-auris-and-the-urgent-need-for-effective-countermeasures
#5
JOURNAL ARTICLE
Usman Ali, Hafsa Khan Tareen, Zouina Sarfraz, Azza Sarfraz, Shehar Bano
No abstract text is available yet for this article.
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966514/outcomes-of-upper-gastrointestinal-bleeding-in-hospitalized-covid-19-patients-in-the-united-states-a-propensity-score-matched-analysis-of-a-large-national-database
#6
JOURNAL ARTICLE
Moon Ryu, Mohammed Quazi, Niloy Ghosh, Karthik Gangu, Amir H Sohail, Asif Farooq, Babu S Maringanti, Aman Goyal, Anupa Patel, Muhammad S Khan, Abu B Sheikh
Patients with cirrhosis that are hospitalized with COVID-19 infection have been found to have worse outcomes. No comparative study has been conducted between gastrointestinal (GI) bleeding in patients with cirrhosis who are diagnosed with COVID-19. We utilized the National Inpatient Sample (NIS) database to perform a retrospective analysis of 24, 050 patients diagnosed with cirrhosis and COVID-19. The identified patients were separated into variceal bleeding, nonvariceal bleeding, and no (or neither) GI bleeding groups...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966513/outcome-comparison-in-hospitalized-covid-19-patients-with-and-without-aki
#7
JOURNAL ARTICLE
Sanjivani Shrestha, Yani Zhang, Wajehe Najafi, Abraham Halik, JiLing Chou, Man K Michael Siu, Monika Dhillon, David S Weisman
AIM: Patients hospitalized with COVID-19 have a higher incidence of Acute Kidney Injury (AKI) compared with non-COVID patients. Previous observational studies showed AKI in hospitalized patients with COVID-19 was associated with significant increased mortality rate. We conducted a retrospective cohort study in a large mid-Atlantic health system to investigate whether COVID-19 associated AKI during hospitalization would lead to worse outcomes in a predominant Black patient population, compared to COVID-19 without AKI...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966512/an-ancient-disease-hepatosplenic-schistosomiasis
#8
JOURNAL ARTICLE
Anthony Asta, John Dahl, David Bryant, Hussam Ammar
Schistosomiasis is an ancient disease still affecting more than 200 million people worldwide; calcified Schistosome eggs were discovered in Egyptian mummies (1200-900 BC). A 25-year-old man presented to the emergency department with heartburn. He immigrated to the United States from Sub-Saharan Africa. His physical exam revealed hepatosplenomegaly, and he was eventually diagnosed with Schistosomiasis.
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966511/when-diagnosis-curls-a-little-partial-bowel-obstruction-due-to-ascaris-l-in-a-young-man
#9
JOURNAL ARTICLE
Hanieh Radkhah, Mehrnia Omidali, Sadaf Parvin, Bahareh Shateri Amiri
Ascaris lumbricoides is a helminth commonly infecting humans, particularly in developing countries. It causes a range of clinical symptoms; However, many patients are asymptomatic. This article presents a case study of a young man who experienced diffuse abdominal pain and constipation, eventually being diagnosed with partial bowel obstruction due to Ascaris lumbricoides infection. The article emphasizes the importance of considering helminthic infections like ascariasis as a potential cause of intestinal obstruction, especially in endemic areas...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966510/identifying-the-trigger-of-takotsubo-syndrome-is-challenging-when-several-of-them-are-present
#10
COMMENT
Josef Finsterer, Claudia Stollberger
No abstract text is available yet for this article.
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966509/-streptococcus-canis-native-aortic-valve-endocarditis-linked-to-cat-exposure-a-case-report-and-review
#11
JOURNAL ARTICLE
Michael S Wang, Maria E Huaringa, Lauren N Feld, Ken Ochiai, Tiffany E Whelan, Nicholas M Frazier
Streptococcus canis is an uncommon human pathogen, but documented infections have been mostly associated with exposure to dogs. There are only five documented cases of endocarditis secondary to streptococcus canis , with all cases except one documenting exposure to a canine. We present a 74-year-old male with a history of Type 2 diabetes mellitus, CKD 3, moderate aortic stenosis and remote exposure to agent orange, who was found to have Streptococcus canis native valve endocarditis without exposure to a dog...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966508/efficacy-and-safety-of-bempedoic-acid-in-patients-with-hyperlipidemia-and-non-alcoholic-fatty-liver-disease
#12
JOURNAL ARTICLE
Sibtain Nisar, Sidra Sohail, Saman Fatima, Muhammad T Akhtar, Muhammad Ahmad, Muhammad W Hanif, Masood Khan, Amin Mehmoodi, Jahanzeb Malik
Hyperlipidemia and its association with cardiovascular diseases have been significant public health concerns for many decades. Statins have long been the primary therapeutic option for lowering cholesterol levels and reducing cardiovascular mortality. However, a substantial number of patients either do not achieve optimal lipid goals with maximally tolerated statin doses or experience statin intolerance. In recent years, there have been remarkable developments in the field of hyperlipidemia management, leading to the approval of novel hypolipidemic drugs in North America and Europe...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966507/lower-extremity-peripheral-nerve-blocks-for-post-operative-pain-control-in-a-multi-trauma-patient-with-brugada-syndrome-a-literature-review-and-case-report
#13
JOURNAL ARTICLE
Emily A S Bergbower, Andrea S Lorico, Kiranjot Kaur, Jason Brookman, Guy Weinberg, Samuel Onyewu
We describe the case of a 28-year-old man with Brugada syndrome who received single-shot adductor canal and sciatic nerve blocks for the management of post-operative pain related to extensive orthopedic injuries. Low-dose ropivacaine with glucocorticoid additives was administered without any EKG changes, arrhythmias, or syncopal sensations. The patient experienced pain relief for over 24 h and was monitored on telemetry with defibrillator pads as a cardiac precaution. This case adds a valuable data point in the limited canon of information on the safety and efficacy of regional anesthesia in Brugada syndrome for the perioperative physician...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966506/a-tale-of-two-diagnoses-gout-vs-chronic-osteomyelitis-a-case-report
#14
JOURNAL ARTICLE
Mashal I Khan, Wajiha Ali, Ali Javed, Saadia Haleema, Yasir Ahmed
Gout can potentially be diagnosed clinically and treated, if classical symptoms are present. In some cases, gout and osteomyelitis can have similar presenting signs and symptoms and it may be difficult to differentiate just on clinical presentation, routine laboratory workup and imaging like radiography or ultrasound. Arthrocentesis can be crucial in such scenarios to differentiate the two entities as missed opportunity to treat infectious etiology can have detrimental outcomes. We present a case of patient with ankle pain and swelling treated as recurrent gout, as there were no risk factors for osteomyelitis...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966505/impact-of-the-covid-19-pandemic-on-hospital-admission-rate-length-of-stay-and-mortality-rate-for-patients-with-chronic-obstructive-pulmonary-disease-exacerbation-a-retrospective-study
#15
JOURNAL ARTICLE
Omar Abdulfattah, Akshay Kohli, Peter White, Cynthia Michael, Zainab Alnafoosi
UNLABELLED: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common cause of hospital admissions. Coronavirus disease 2019 (COVID-19) has large impact on patients with pulmonary diseases. The purpose of the study is to evaluate the impact of COVID-19 on patients with AECOPD. METHOD: Retrospective study with two cohorts, the first period included patients with AECOPD before COVID-19 pandemic; the second period included patients with AECOPD since the beginning of COVID-19 pandemic...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966504/global-perspective-on-covid-19-therapies-cardiovascular-outcomes-and-implications-for-long-covid-a-state-of-the-art-review
#16
REVIEW
Azza Sarfraz, Zouina Sarfraz, Shehar Bano, Muzna Sarfraz, Ali Jaan, Amna Minhas, Aminah Abdul Razzack, Gaurav Patel, K C Manish, Sarabjot Singh Makkar, Radhika Garimella, Krunal Pandav, Jose Almonte, Trissa Paul, Tahlianna Almonte, Lissandra Jimenez, Juan C Pantoga, Nada El Mazboudi, George Yatzkan, George Michel, Jack Michel
The COVID-19 pandemic has resulted in many therapies, of which many are repurposed and used for other diseases in the last decade such in Influenza and Ebola. We intend to provide a robust foundation for cardiovascular outcomes of the therapies to better understand the rationale for the clinical trials that were conducted during the COVID-19 pandemic, and to gain more clarity on the steps moving forward should the repurposing provide clinical benefit in pandemic situations. With this state-of-the-art review, we aim to improve the understanding of the cardiovascular involvement of the therapies prior to, during, and after the COVID-19 pandemic to provide meaningful findings to the cardiovascular specialists and clinical trials for therapies, moving on from the period of pandemic urgency...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966503/metachronous-and-synchronous-triple-primary-lung-cancers-in-a-chronic-smoker
#17
JOURNAL ARTICLE
Xin Ya See, Ahmed Omer, Zhiting Tang, Fahad Eid, Margaret Zambon
Multiple primary lung cancers (MPLCs), characterized by the presence of more than one distinct primary lung tumors, may develop either synchronously (simultaneously) or metachronously (after initial cancer treatment). This case describes a rare occurrence of three primary lung cancers in a chronic smoker. After a lobectomy for right middle lobe adenocarcinoma (ADC), the patient was diagnosed with synchronous small cell carcinoma (SCLC) in the right upper lobe and squamous cell carcinoma (SCC) in the right lower lobe...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966502/the-latest-evidence-on-bempedoic-acid-meta-analysis-of-safety-and-efficacy-in-high-cardiovascular-risk-patients-with-hypercholesterolemia-%C3%A2
#18
JOURNAL ARTICLE
Muhammad A Afzal, Noman Khalid, Muhammad Abdullah, Ata U Haiy, Mubariz A Hassan, Hania Sana, Sherif Elkattawy, Ahmad A Malik, Patrick Michael, Rahul Vasudev, Fayez Shamoon
BACKGROUND: Bempedoic Acid (BA) is a novel drug that has a potential to serve as an alternative to statins to decrease lipid levels and improve cardiovascular disease (CVD) outcomes, particularly for statin-intolerant individuals. However, insufficient statistical power has limited our understanding of the efficacy and safety of BA. This meta-analysis utilizes the latest data to improve our knowledge of BA's effects on lipids and CVD with increased statistical power. METHODS: MEDLINE, Embase, Cochrane Central, Clinicaltrials...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966501/endoscopic-management-of-boerhaave-syndrome-are-outcomes-better-than-surgery-a-case-report-and-review-of-literature
#19
JOURNAL ARTICLE
Ammar Qureshi, Uvesh Mansuri, Mona Roknsharifi, Youssef Ghobrial, Artin Asgeri, Mehrdad Asgeri
Boerhaave syndrome (BS) is a rare clinical diagnosis associated with a high morbidity and mortality rate. Diagnosis of this condition is usually delayed which can lead to a very poor outcome. The timing of presentation and time to management plays a very important role in the prognosis and selection of the management method. With the advances seen in therapeutic endoscopy, many authors have been exploring the possibility of shifting the focus of management from surgery to interventional endoscopy. We present a case report of a patient presenting with BS that was successfully managed endoscopically...
2024: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/38966500/gastric-cancer-clinical-features-screening-diagnosis-treatment-and-prevention
#20
REVIEW
Rajarajeshwari Ramachandran, Tyler Grantham, Swetha Parvataneni, Deepa Budh, Sindhu Gollapalli, Madhavi Reddy, Vinaya Gaduputi
The objective of this article is to highlight the clinical features, screening, diagnosis, treatment, and prevention of gastric cancer (GC). Early GC is often asymptomatic leading to frequent delays in diagnosis. Weight loss and persistent abdominal pain are the most common symptoms at initial diagnosis. The diagnosis of GC typically involves a combination of endoscopy, biopsy, and imaging studies. Endoscopic resection techniques are emerging as successful treatment options for early GC. Treatment options for advanced GC include surgery and chemotherapy...
2024: Journal of Community Hospital Internal Medicine Perspectives
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