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Search2020-05-20T12:01:36-05:00
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Search Results for pulmonary
Abstract Number: 45
INCIDENTAL PULMONARY NODULES REPORTED ON CT ABDOMINAL IMAGING: FREQUENCY OF FOLLOW UP IMAGING AFTER HOSPITAL DISCHARGE
Hospital Medicine 2020, Virtual Competition
Background: Pulmonary nodules are among the most frequent and medically relevant incidental findings, but are easily overlooked – especially when discovered incidentally during hospitalization. While CT imaging has become an invaluable tool for expedited medical evaluation, its use has been associated with an increasing number of incidental findings, the handling of which creates both medical […]
Abstract Number: 45
Interdisciplinary Admissions and Rounding to Improve Patient Outcomes
Hospital Medicine 2020, Virtual Competition
Background: Christiana Care’s medicine service line previously implemented Interdisciplinary Admission (IDA) and Inter Disciplinary Rounding (IDR) to enhance team-based care of our patients. IDA included an admissions team comprised of attending physician, nurse, pharmacist, case manager and social worker. IDR included the bedside nurse, pharmacist, case manager and social worker. More recently, units have started […]
Abstract Number: 115
Hospitalist Experiences, Practice, Opinions, and Knowledge Related to Peripherally Inserted Central Catheters: A Michigan Survey
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are commonly inserted/ordered by hospitalists for venous access, long‐term therapies, and infusion of total parenteral nutrition, Despite these salient roles, little is known about PICC use in hospitalized patients. To understand hospitalist practice related to PICC, a Web‐based survey of a convenience sample of hospitalists in 4 health care […]
Abstract Number: 115
HOSPITALIST WORKLOAD AND DIAGNOSTIC YIELD OF CT ANGIOGRAPHY
Hospital Medicine 2020, Virtual Competition
Background: The Choosing Wisely campaign discourages CT imaging in low-risk patients with suspected pulmonary embolism (PE) (e.g., low clinical probability and negative d-dimer). Few studies have investigated patient, provider, or operational characteristics associated with overuse of CT imaging. One possible approach to this research question is to examine variability in diagnostic yield (i.e., the percentage […]
Abstract Number: 152
DECREASED INTRACELLULAR OSTEOPONTIN IN PULMONARY ARTERIAL ENDOTHELIAL CELLS IS A POTENTIAL DRIVER OF PULMONARY ARTERIAL HYPERTENSION
Hospital Medicine 2020, Virtual Competition
Background: Pulmonary arterial hypertension (PAH) is a progressively debilitating disorder characterized by sustained increases in pulmonary vascular resistance and pulmonary arterial pressure, which eventually leads to right-sided heart failure. Current therapies for PAH work predominately as vasodilators to target symptoms, rather than focusing on the initial signals that promote disease progression. These therapies have proved […]
Abstract Number: 152
Who Gets the Next Admission? An Innovation to Create a Systematic Process for Team Assignment While Improving Patient Handoffs
Hospital Medicine 2020, Virtual Competition
Background: With recent duty‐hour restrictions for internal medicine residencies, hospitals are increasingly hiring hospitalists to meet the demand of higher patient volumes not on the teaching services. This creates an interesting dilemma about how newly admitted patients will be distributed between the nonresident hospitalist services and the resident teams. Both services often have unique rules […]
Abstract Number: 170
Improving Appropriateness of Physical Therapy Consultation Through Education and Interdisciplinary Collaboration
Hospital Medicine 2020, Virtual Competition
Background: Physical and occupational therapy (PT/OT) services are a limited resource in the inpatient setting. PT/OT consults ordered by resident physicians on patients who do not need them take time and resources away from patients more deserving of skilled rehab services. Purpose: Our objective was to understand utilization of PT/OT services on our medical floors, […]
Abstract Number: 170
USE OF PULMONARY EMBOLISM RULE-OUT CRITERIA AND AGE-ADJUSTED D-DIMER FOR PATIENTS WITH SUSPECTED PULMONARY EMBOLISM
Hospital Medicine 2020, Virtual Competition
Background: Pulmonary embolism (PE), refers to obstruction of the pulmonary artery or one of its branches by material (thrombus, tumor, air or fat) that originated elsewhere in the body.Wells criteria must be part of the clinical assessment for PE. With these criteria, we can classify patients as high probability (>6 pts), moderate (2 to 6 […]
Abstract Number: 214
A Sinister Synergy: Heparin‐Induced Thrombocytopenia and Bilateral Adrenal Hemorrhage
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57‐year‐old woman who had undergone an elective total knee replacement 9 days earlier presented to the ED with 1 day of progressive, diffuse abdominal pain, nausea, and fevers. Her postoperative course had been notable only for a supratherapeutic INR of 6.2 in the setting of routine DVT prophylaxis with warfarin, for which […]
Abstract Number: 214
TEMPORAL TRENDS IN DVT AND PE HOSPITALIZATIONS: PERSPECTIVES FROM A NATIONAL DATABASE
Hospital Medicine 2020, Virtual Competition
Background: Until the advent of novel oral anticoagulants (NOACs), Warfarin was the only oral agent available for the treatment of deep venous thrombosis (DVT) and Pulmonary embolism (PE). Bridging with parenteral anticoagulation until warfarin reaches a full therapeutic level often results in prolonged hospitalization. Rivaroxaban, Dabigatran, Apixaban, Edoxaban were approved by the FDA for DVT […]
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  • All Time

  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • A Case of Jamaican Stone
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