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Recurrent Hypoglycemia in a Patient with Advanced Hepatocellular Carcinoma.
J Community Hosp Intern Med Perspect
November 2024
Kaiser Permanente Hospital, California, USA.
Background: Nonislet cell tumor hypoglycemia (NICTH) is a rare but serious complication of malignancy. Various causes of this type of hypoglycemia include excessive tumor burden resulting in destruction of the liver or adrenal glands, production of autoantibodies against insulin and tumoral production of incompletely processed IGF-2.
Objectives: Objective of this case report is to explore pathogenic mechanisms for hypoglycemia in hepatocellular carcinoma (HCC), and evidence-based treatment options.
Type B Aortic Dissection Secondary to Non-typhoidal Salmonella Aortitis: A Case Report and Literature Review.
J Community Hosp Intern Med Perspect
November 2024
Department of Nursing, Karnali Academy of Health Science, Jumla, Nepal.
Infectious aortitis is an uncommon but potentially fatal condition that can lead to aortic dissection or rupture. We describe a case of a 69-year-old female who developed a Stanford type B aortic dissection, presumptively caused by Salmonella, which was successfully managed with thoracic endovascular aneurysm repair (TEVAR) and long-term antibiotics. A literature review of 17 reported cases from 2000 to 2024 of aortic dissection secondary to infectious aortitis was conducted.
View Article and Find Full Text PDFThe Diagnostic and Therapeutic Dilemma of Multiple Left Ventricular Masses.
J Community Hosp Intern Med Perspect
November 2024
Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Intracardiac masses are rare and potentially life-threatening entities with diverse clinical presentations. The prompt identification of cardiac masses is critical. However, even with the advancement we have in imaging modalities, diagnosing cardiac masses remains a formidable challenge.
View Article and Find Full Text PDFIdentifying Core Functions and Forms of "Discharge by Noon" Interventions.
J Gen Intern Med
January 2025
Division of Hospital Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Background: Many hospitals have implemented Discharge by Noon (DBN) programs to improve hospital throughput but have had mixed results.
Objective: Use a complex health intervention framework to define core functions and forms of DBN interventions.
Design: Qualitative study combined with scoping review.
A Proposed Framework to Aid Primary Care Clinicians in Promoting Cardiovascular Health.
J Gen Intern Med
January 2025
School of Communication, College of Arts and Sciences, The Ohio State University, 3016 Derby Hall 154 N Oval Mall, Columbus, OH, 43210, USA.
Healthy lifestyle behaviors play a significant role in promoting cardiovascular health. Primary care clinicians (PCCs) are tasked with promoting cardiovascular health through the assessment of lifestyle behaviors and the use of behavior change counseling. However, PCCs face several barriers including a lack of training in counseling techniques.
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