Bhandari, Binita Basyal, Bikash Sendil, Selin Khanal, Resha Neupane, Sunita Nookala, Vinod
Published in
Journal of Community Hospital Internal Medicine Perspectives
Introduction We present a case of an elderly male with anti-LG1 limbic encephalitis involving hypothalamus presenting with acute changes in mental status and persistent hyperthermia. Case report A 74-year-old male presented to the hospital with fever and chills. He had also been evaluated by his PCP for changes in his mental status, trouble remembe...
Roomi, Sohaib Ullah, Waqas Farooq, Soban Saeed, Rehan Haq, Shujaul Ashfaq, Ammar Ali
Published in
Journal of Community Hospital Internal Medicine Perspectives
We present three patients with COVID-19 who developed acute renal failure during hospitalization and were seen to have an improvement in their kidney function after being started on therapeutic anticoagulation with heparin (Target PTT 58–93 seconds) for varying indications (atrial fibrillation, popliteal vein thrombosis and a pulmonary embolism). T...
Milgrom, Yael Richter, Vered
Published in
Journal of Community Hospital Internal Medicine Perspectives
Background Treating COVID-19 patients can affect anxiety. Objective To compare the anxiety of internal medicine residents treating COVID-19 patients at a level-3 hospital with a level-2 hospital. Methods A questionnaire related to COVID-19 and anxiety using the State-Trait Anxiety Inventory (STAI-S) was sent to internal medicine residents of a COVI...
Boryushkina, Varvara Kumar, Vikas Barnes, Martin Nabeel, Shaha Le, Thuy Siddique, Haseeb Haggerty, Greg Ng, Joseph Kaell, Alan
Published in
Journal of Community Hospital Internal Medicine Perspectives
Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with ...
DeBoer, Rebecca Garrahy, Ian Rettew, Andrew Libera, Robert
Published in
Journal of Community Hospital Internal Medicine Perspectives
Characterized by bone marrow dysplasia and peripheral blood monocytosis, chronic myelomonocytic leukemia (CMML) is one of the most aggressive chronic leukemias and has a propensity for progression to acute myeloid leukemia (AML). Patients with newly diagnosed AML generally present with symptoms related to complications of pancytopenia but can also ...
Parajuli, Priyanka Regmi, Manjari Rani Lara-Garcia, Odalys Estefania Abu Limon, Ismael Deckard, Alan
Published in
Journal of Community Hospital Internal Medicine Perspectives
Synthetic Cannabinoids (SCB) are engineered chemical compounds that share a similar chemical structure with the active ingredient of marijuana, delta-9-tetrahydrocanabinol. Although the FDA has not approved the use of SCB without a prescription from a licensed health-care provider, the cost effectiveness and availability of SCB has made it a popula...
Rauf, Hiba Ullah, Waqas Roomi, Sohaib Ahmad, Asrar Sattar, Yasar Ali, Zain Gopisetti, Neethu
Published in
Journal of Community Hospital Internal Medicine Perspectives
Cardiac Implantable Electronic Device (CIED) includes pacemakers and implantable cardioverter defibrillators (ICD). The device infection is classified into pocket and systemic infection. We present a case of candida fungemia secondary to dissemination from the fungal ball found on an ICD. Patient was successfully managed with IV fluconazole, ICD ex...
Guragai, Nirmal Rampal, Upamanyu Vasudev, Rahul Bhandari, Pragya Prakash, Atul Virk, Hartaj Bikkina, Mahesh Fayez, Shamoon
Published in
Journal of Community Hospital Internal Medicine Perspectives
Radiofrequency ablation is one of the alternative treatment strategies in patients with atrial fibrillation. With the increasing number of such ablation procedures being performed it is important for the physicians to be aware of the associated complications. We present a very rare case of severe triple coronary vessel spasm during radiofrequency c...
Isa, Sakiru O. Khan, Mahin R. Changezi, Hameem U. Hassan, Mustafa
Published in
Journal of Community Hospital Internal Medicine Perspectives
Myocardial infarction (MI) is an unusual but potentially serious complication of catheter ablation procedures. This case describes the occurrence of acute myocardial infarction following low-power ablation in a young patient and highlights the importance of maintaining high index of suspicion following catheter ablation irrespective of the ablation...
Srivastava, Mukta Chandra
Published in
Journal of Community Hospital Internal Medicine Perspectives
In response to the COVID-19 pandemic, hospitals have adopted protocols geared to optimize the care of patients with COVID-19, while mitigating risk of exposure to other patients and to health care workers. These modifications can have un-intended consequences and impact the care of non-COVID patients. In the campaign against COVID-19, we must remai...
