18 results match your criteria: "Department of Medicine Miriam Hospital.[Affiliation]"

This article highlights key insights and potential challenges in the management of central line-associated bloodstream infections.

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The Lentiform Fork sign is an imaging finding on brain MRI described by bilateral, symmetric hyperintensities in the basal ganglia. It is described in the setting of metabolic acidosis of many etiologies and is a sign of vasogenic edema. Both imaging findings and symptoms are often reversible with correction of the acidosis and removal of any identifiable triggers.

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Emotional intelligence is crucial for hospitalists as it enhances their ability to manage complex patient interactions, collaborate with healthcare teams, and navigate the emotional demands of patient care. Physicians with high emotional intelligence are better equipped to recognize and respond to patients' emotions, fostering trust and improving communication, which can lead to better patient outcomes. Additionally, emotional intelligence helps physicians cope with stress, alleviate burnout, and manage difficult conversations with patients and families, contributing to a more compassionate and effective care environment.

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This article describes some pearls/pitfalls pertinent to the management of heart failure exacerbation in patients with asymptomatic hypotension along with treatment strategies for patients with new atrial fibrillation.

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This article describes the need for a binding culture and the ways to establish, grow and maintain a positive culture through the "DARE" approach.

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This article describes a few pearls/pitfalls pertinent to the management of neutropenic fever in immunocompromised patients and patients with subclinical hyperthyroidism.

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The role of today's teaching attending hospitalist has evolved significantly compared to past faculty attendings. Hospitalists' attending rounds have consistently demonstrated higher quality and value than those of traditional faculty attendings. Academic hospitalists are tasked with balancing the delivery of excellent patient care, maintaining operational efficiency, and providing optimal medical education within academic settings.

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We report a case of a 76-year-old female with stage 4 chronic kidney disease (CKD) who experienced multiple adverse events following the initiation of colchicine for a gout flare. Diarrhea led to further complications, including acute renal failure, hypercalcemia, and bradycardia. The patient additionally developed the less common toxicities of myelosuppression and presumed myopathy, resulting in prolonged hospitalization with persistent functional impairment at the time of discharge.

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This article describes a few pearls/pitfalls pertinent to the use of colchicine in patients with coronary artery disease and the use of long-term prophylactic antibiotics in patients with cirrhosis.

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This article describes some pearls/pitfalls pertinent to empty sella and levothyroxine dose adjustment with certain medications/conditions.

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Tattoo Sarcoidosis.

J Brown Hosp Med

January 2024

Division of Hospital Medicine, Department of Medicine Miriam Hospital.

Sarcoidosis is a chronic, multisystem inflammatory disorder of unknown etiology. Skin involvement occurs in about 20-30% of cases. We describe a young man with fevers, night sweats and chest pain who was eventually diagnosed with cutaneous sarcoidosis.

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Acute Care hospital at home is a new concept in healthcare delivery. Physicians and leaders in healthcare delivery striving to optimize patient care must adopt the TEAM (Teamwork, Encouragement, Acknowledgement, Motivation) mindset to ensure teams' successes.

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Leadership in today's hospital medicine environment requires vision, clear goals and importantly, engagement and buy-in from practice members. The phenomenon of "quiet quitting," a form of disengagement can be combatted through the methods of LEAD (Litmus test, Encouragement and Empowerment, Advocacy and Accountability, Discourse and Discrepancies). Leaders striving to be effective must critically examine their own skill sets and find the balance between operational demands of the modern hospital and physicians' need for respect and autonomy in the workplace.

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Differentiating between stroke and stroke mimics (i.e., non-vascular conditions) is a major challenge, as they often involve similar presenting symptoms.

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Drug use and HIV are key issues for public health interventions in the Philippines. We examined associations of problematic drug use among 320 Filipinx transgender women (trans-WSM) and cisgender men who have sex with men (cis-MSM). The prevalence of exhibited problematic drug use in this sample was 29.

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