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Strategies for improvement of blood consumption management in the operating rooms: experts´ suggestions

Published in Journal of Community Hospital Internal Medicine Perspectives

Background: In operating rooms, blood product wastage occurs with various reasons especially over-demand ordering during elective surgeries. Consequently, it imposes a heavy financial burden on health system. Therefore, managing blood consumption in the operating rooms is of special importance. Surgeons and anesthesiologists play a key role in bloo...

Diabetes-associated nephropathy and obesity influence COVID-19 outcome in type 2 diabetes patients

Published in Journal of Community Hospital Internal Medicine Perspectives

Coronavirus disease 2019 has rapidly spread around the globe and various comorbidities, such as diabetes have been recognized as risk factors for an unfavorable outcome. We analyzed a cohort of COVID-19 patients (n = 75) treated at a German community hospital. With a focus on diabetes mellitus, we evaluated the impact of distinct comorbidities on t...

Fulminant cardiogenic shock due to cardiac sarcoidosis

Published in Journal of Community Hospital Internal Medicine Perspectives

This case describes a 57-year-old man with unrecognized cardiac sarcoidosis who presented with progressive heart failure leading to cardiogenic shock. He required extracorporeal membrane oxygenation (ECMO) as a bridge to orthotopic heart transplantation. The case highlights the potential acute and severe electrical and hemodynamic manifestations of...

Bilateral occipital lobe infarct neglect deficit (BLIND) syndrome

Published in Journal of Community Hospital Internal Medicine Perspectives

Cortical blindness is characterized by loss of vision due to dysfunction of the visual cortices, most commonly secondary to bilateral ischemic infarcts of the occipital lobe. Other causes include surgery such as aortic valve replacement, laryngeal surgery, craniotomy, cerebral angiography, head trauma, and partial seizures. Visual anosognosia is a ...

When intra-operative exploration is the only option, severe medically refractory trigeminal neuralgia

Published in Journal of Community Hospital Internal Medicine Perspectives

Introduction: Patients with trigeminal neuralgia (TN) are usually treated on an outpatient basis, and symptoms can be controlled using various medical therapeutic options. We present a case of severe TN with an acute on chronic flare, which was now refractory to a wide variety of medical options, had a prolonged inpatient hospitalization, and ultim...

Pyoderma gangrenosum following COVID-19 infection

Published in Journal of Community Hospital Internal Medicine Perspectives

Learning style preferences of internal medicine residents and in-training examination scores: is there a correlation?

Published in Journal of Community Hospital Internal Medicine Perspectives

The internal medicine in-training examination (IM-ITE) has been traditionally used as a measuring tool to evaluate the base of knowledge of the residents in internal medicine residency programs across the US. Multiple interventions has been applied and studied to increase the first-time passing rate of ABIM, as it is an indicator of each residency ...

A rare case of cytomegalovirus causing respiratory failure and a large pericardial effusion

Published in Journal of Community Hospital Internal Medicine Perspectives

Cytomegalovirus (CMV) infection is asymptomatic in the majority of immunocompetent patients. However, it can cause severe presentations, particularly in patients who are immunocompromised. We are reporting a rare association between respiratory failure secondary to cavitary pneumonia and a large pericardial effusion due to CMV infection in a patien...

Ketamine infusion as a sedative-analgesic in severe ARDS (KISS)

Published in Journal of Community Hospital Internal Medicine Perspectives

Rationale Ketamine has been used as a sedative analgesic in trauma setting, but data regarding its efficacy and safety is lacking in severe ARDS. This retrospective study aims to determine if Ketamine is safer as a sedative agent in mechanically ventilated patients. During the COVID pandemic, as there was a shortage of sedative agents, Ketamine was...

Using macros in microsoft excel to facilitate cleaning of research data

Published in Journal of Community Hospital Internal Medicine Perspectives

Background: Retrospective chart review studies may be delayed by inability to export clean clinical data from an electronic medical record (EMR) or data repository. Macros are pre-programmed procedures that can be used in Microsoft Excel to help streamline the process of cleaning clinical datasets. Objectives: To demonstrate how macros may be usefu...