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- Keyword
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- 30-day mortality (1)
- Autoimmune Hepatitis; Acute Liver Failure; Jaundice; Transaminitis; Anti-smooth muscle antibodies; anti-liver/kidney microsomal-1 antibodies; Ascites; Autoimmune diseases (1)
- Clinical outcomes (1)
- ESRD (1)
- Fecal calprotectin; microscopic colitis; collagenous colitis; lymphocytic colitis; inflammatory bowel disease (1)
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- Follow-up blood cultures (1)
- Gram-negative bacteremia (1)
- Mycobacterium avium complex (1)
- Neurosyphilis; Syphilis; Primary Syphilis; Secondary Syphilis; Tertiary Syphilis; Treponema; Treponema Pallidum; FTA-ab; Neurology (1)
- Peritoneal dialysis (1)
- Peritonitis (1)
- Pulmonary embolism; low-dose tpa; epistaxis; anticoagulation; risk of anticoagulation versus bleeding (1)
- RCVS; Oxybutynin; thunderclap headache; pathophysiology; vasoconstriction (1)
Articles 1 - 7 of 7
Full-Text Articles in Medicine and Health Sciences
Autoimmune Hepatitis: An Unusual Presentation., Ahmed Ali Aziz, Muhammad Ali Aziz, Deep Mehta, Muhammad Humayoun Rashid
Autoimmune Hepatitis: An Unusual Presentation., Ahmed Ali Aziz, Muhammad Ali Aziz, Deep Mehta, Muhammad Humayoun Rashid
Journal of Community Hospital Internal Medicine Perspectives
Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease that occurs in a bimodal age distribution in the second and fifth-sixth decade of life. The disease is more prevalent in females and presents with variable clinical manifestations ranging from being asymptomatic to acute liver failure. AIH is often overlooked and not worked up in elderly patients who present with liver failure. This can lead to increased morbidity and mortality in elderly patients. AIH should be considered as a differential diagnosis in patients who present with elevated transaminases regardless of age or gender as early recognition and treatment leads to improved …
Rare Case Of Mycobacterium Avium Complex Peritonitis In A Patient With Multiple Myeloma Undergoing Peritoneal Dialysis, Sacide S. Ozgur, Nida Ansari, Dhruv Patel, Ryan Rahman, Raymond Shih
Rare Case Of Mycobacterium Avium Complex Peritonitis In A Patient With Multiple Myeloma Undergoing Peritoneal Dialysis, Sacide S. Ozgur, Nida Ansari, Dhruv Patel, Ryan Rahman, Raymond Shih
Journal of Community Hospital Internal Medicine Perspectives
Mycobacterium avium complex (MAC) infections can present as a variety of severe diseases. While it has a predilection for immunocompromised patients such as those with Human immunodeficiency virus (HIV), it can also affect immunocompetent patients as well. One of the rare yet severe diseases that MAC infections can present is MAC peritonitis. Often hard to distinguish from other causes of peritonitis, high clinical suspicion should be maintained for those who are susceptible. Here we present an 85-year-old female with a past medical history of end-stage renal disease on peritoneal dialysis who presented with nausea and vomiting. She was found to …
The Utility Of Fecal Calprotectin In The Diagnosis And Management Of Microscopic Colitis, Busara Songtanin, Abbie Evans, Kenneth Nugent, Vanessa Costilla
The Utility Of Fecal Calprotectin In The Diagnosis And Management Of Microscopic Colitis, Busara Songtanin, Abbie Evans, Kenneth Nugent, Vanessa Costilla
Journal of Community Hospital Internal Medicine Perspectives
Background: The incidence of microscopic colitis has increased over time. To date, there is no specific biomarker for microscopic colitis, and the diagnosis relies on histopathological tissue obtained during colonoscopy which is an invasive and costly procedure. Unlike Crohn’s disease and ulcerative colitis, the utility of fecal calprotectin in diagnosing or monitoring microscopic colitis has not been established, and studies on the role of fecal calprotectin in microscopic colitis are limited. In this retrospective study, we analyzed the utility of this biomarker in the diagnosis of microscopic colitis. Methods: The medical records of patients who have been diagnosed with collagenous …
Reversible Cerebral Vasoconstriction Syndrome Associated With Oxybutynin Use; A Brief Review Of Pathophysiology, Wahab J Khan, Muhammad Asif, Sadia Aslam, Ifrah Nadeem, William Rossing
Reversible Cerebral Vasoconstriction Syndrome Associated With Oxybutynin Use; A Brief Review Of Pathophysiology, Wahab J Khan, Muhammad Asif, Sadia Aslam, Ifrah Nadeem, William Rossing
Journal of Community Hospital Internal Medicine Perspectives
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by reversible vasospasm of the central nervous system vasculature. It usually presents as a classic thunderclap headache, but complications like a stroke, seizure, or intracranial hemorrhage may occur at the onset. Most cases are linked temporally to secondary agents. The most common suggested mechanism underlying the RCVS is vascular tone dysregulation. Our report describes the RCVS incidence associated with oxybutynin use in a young female. We aim to describe the potential pathophysiology linking oxybutynin use and RCVS.
Follow-Up Blood Cultures In Gram-Negative Bacteremia: How Do They Impact Outcomes?, Azza Elamin, Faisal Khan, Rajasekhar Jagarlamudi
Follow-Up Blood Cultures In Gram-Negative Bacteremia: How Do They Impact Outcomes?, Azza Elamin, Faisal Khan, Rajasekhar Jagarlamudi
Journal of Community Hospital Internal Medicine Perspectives
Introduction: Several studies have questioned the utility of obtaining follow-up blood cultures in Gram-negative bacteremia, but the impact of this practice on clinical outcomes is not fully understood. Methods: A retrospective cohort study of adult patients admitted with Gram-negative bacteremia over a two year period, to compare outcomes in those with and without follow-up blood cultures obtained. Data collected included demographics, comorbidities and presumed source of bacteremia. White blood cell count and presence of fever or hemodynamic compromise on the day of follow-up blood culture were recorded. The primary objective was to compare 30-day mortality between the two groups. Secondary …
Neurosyphilis: A Monkey Among Men, Cameron Rowe Do, Nathan Buckley Do, Bhaskar Chhetri Md, Suresh Paudel Md
Neurosyphilis: A Monkey Among Men, Cameron Rowe Do, Nathan Buckley Do, Bhaskar Chhetri Md, Suresh Paudel Md
Journal of Community Hospital Internal Medicine Perspectives
Neurosyphilis is the progression of the untreated sexually transmitted infection caused by Treponema pallidum. When the initial infection is not adequately treated, progression of primary syphilis can lead to a wide variety of serious health sequelae. While neurosyphilis can appear up to 10-30 years after the initial infection, syphilis can invade the nervous system at any stage of infection and can imitate symptoms of many other diseases. This variety of symptoms is why syphilis has been called “The Great Pretender” or “The monkey among diseases” (12). This is a case report of an 83-year-old female with a history of multiple …
Cases From A Community Hospital… Jchimp Series #1: 55-Year-Old Male With Acute Pe Who Developed Persistent Epistaxis., Jerrica N. Mueller, Bobby Mathew, Douglas D. Reh, Joseph Fuscaldo
Cases From A Community Hospital… Jchimp Series #1: 55-Year-Old Male With Acute Pe Who Developed Persistent Epistaxis., Jerrica N. Mueller, Bobby Mathew, Douglas D. Reh, Joseph Fuscaldo
Journal of Community Hospital Internal Medicine Perspectives
This is the first in a new series of case reports that will present real scenarios from our community hospital. The cases are chosen to highlight clinical dilemmas and offer review and perspective on what is currently known about the topic. We present the case of a 55-year-old Caucasian male who presented to the emergency department of our community hospital for worsening dyspnea. Evaluation in the Emergency department revealed a diagnosis of extensive pulmonary emboli in the pulmonary vasculature. The patient was admitted to the ICU. A clinical decision was made to initiate treatment with low-dose tissue plasminogen activator (tpa) …