Journal of Community Hospital Internal Medicine Perspectives最新文献_第8页

Unravelling the Downhill Spiral: A Tale of Alcohol, Varices, and a Hidden Stenosis. 解开下坡螺旋：一个关于酒精、静脉曲张和隐性狭窄的故事。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1553

Edris Adel, Urwah Ahmad, Ramya Vasireddy, Jasmine Barrow

引用次数: 0

Two Cases of Intramyocardial Dissecting Hematoma Diagnosed by Echocardiography. 超声心动图诊断心内夹层血肿2例。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1521

Jianbo Wu, Fei Bian, Xijun Zhu, Xin Du, Tao Hao, Qian Liu

引用次数: 0

Quality of Life Changes Post-PCI With Contrast-induced Nephropathy. 造影剂肾病患者pci术后生活质量的改变。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1545

Uzair N Malik, Kashif Iltaf, Maria M Ahmed Babiker, Prem Chand, Rakesh Kumar, Areesha Qureshi, Aajay Kumar, Muhammad H Bari, Ali Karim, Sameet Kumar, Fnu Shweta, Fnu Rumela, Fnu Payal, Abida Parveen

{"title":"Quality of Life Changes Post-PCI With Contrast-induced Nephropathy.","authors":"Uzair N Malik, Kashif Iltaf, Maria M Ahmed Babiker, Prem Chand, Rakesh Kumar, Areesha Qureshi, Aajay Kumar, Muhammad H Bari, Ali Karim, Sameet Kumar, Fnu Shweta, Fnu Rumela, Fnu Payal, Abida Parveen","doi":"10.55729/2000-9666.1545","DOIUrl":"10.55729/2000-9666.1545","url":null,"abstract":"Objective: This study aimed to evaluate the impact of contrast-induced nephropathy (CIN) on quality of life (QoL) in patients undergoing percutaneous coronary intervention (PCI) in Pakistan.Methods: A retrospective cohort study was conducted involving 5325 patients who underwent PCI, divided into CIN (n = 1250) and non-CIN (n = 4075) groups. Demographics, clinical characteristics, and procedural details were recorded. QoL was assessed using a standardized questionnaire before and after PCI, covering physical functioning, pain, mobility, anxiety/depression, and overall health. Statistical analyses compared QoL scores between groups and identified predictors of change.Results: Patients who developed CIN exhibited a significant decline in post-PCI QoL across all domains compared to the non-CIN group (p < 0.05). CIN, older age, diabetes, lack of hydration protocol use, prolonged hospital stay, and lower baseline QoL were independent predictors of poorer QoL outcomes. Comorbidities were more prevalent in the CIN group, including diabetes (64.0 % vs. 47.8 %), hypertension (68.0 % vs. 60.8 %), and CKD Stage 3 or worse (28.0 % vs. 8.6 %) (all p < 0.05). CIN patients more frequently underwent PCI for acute coronary syndrome, received higher contrast volumes, and had lower use of preventive measures. Post-PCI complications such as heart failure (36.0 %), dialysis requirement (32.0 %), and prolonged hospital stays (60.0 %) were significantly higher in CIN patients.Conclusion: CIN adversely affects QoL following PCI, particularly in high-risk patients. Preventive strategies and early intervention are essential to mitigate CIN-related complications and improve patient-centered outcomes. Further prospective, multi-center studies are warranted.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 6","pages":"6-11"},"PeriodicalIF":0.6,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilization of Antiviral Treatment for Hospitalized Patients With Mild-to-moderate COVID-19 at High Risk for Disease Progression. 轻中度疾病进展高危住院患者抗病毒治疗的应用

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1552

Michael P Iannetti, Katie Barnes, Stephen Varga, Suzanne Kemper, Elaine D Mattox

引用次数: 0

Bullous Myringitis in an Adult With Chronic Noise Exposure. 慢性噪音暴露成人的大疱性耳膜炎。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1555

Oluchi Ndulue, Faisal Elali, Sahibjot Sandhu, Michal Preis, Michael Marcelin

{"title":"Bullous Myringitis in an Adult With Chronic Noise Exposure.","authors":"Oluchi Ndulue, Faisal Elali, Sahibjot Sandhu, Michal Preis, Michael Marcelin","doi":"10.55729/2000-9666.1555","DOIUrl":"10.55729/2000-9666.1555","url":null,"abstract":"Bullous Myringitis (BM) is an acute painful infection in which vesicles or bullae form on the tympanic membrane. It is rare in adults and could be present with acute otitis media (AOM) if the middle ear is involved. This case report details a 55-year-old male with a history of recurrent childhood ear infections, chronic military noise exposure, smoking, and Crohn's disease presenting with severe right ear pain, hearing loss, and fever. Examination revealed signs of AOM with perforations in the tympanic membrane and purulent drainage. Initial management included antibiotics and analgesics, but symptoms progressed, requiring further investigation. Imaging showed complete opacification of the R ear structures without bone erosion. Despite initial treatment, the patient's condition worsened with bilateral hearing loss and intermittent peripheral vertigo. Ear, nose and throat (ENT) consultation and advanced diagnostics led to a diagnosis of BM with AOM, and asymmetric sensorineural hearing loss. The treatment was escalated to include high-dose steroids, azithromycin, valacyclovir, and daily aspiration of effusion. His symptoms improved, and he was discharged with oral antibiotics and scheduled follow-up. This case highlights the complexity of diagnosing BM that complicates AOM in an adult and the importance of detailed history, underlying past medical conditions pertinent to early diagnosis, consideration of less common pathogens, and comprehensive treatment.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 6","pages":"53-56"},"PeriodicalIF":0.6,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Iron Deficiency-Challenging to Diagnose: A Retrospective Chart Review of Referrals to Classical Hematology Clinic. 铁缺乏-诊断的挑战：一个回顾性图表回顾转诊到经典血液学诊所。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1551

Arianna S Moss, Melissa Thomas, Spencer Gibson, Ray Quy, Eva Zhao, Angelina Wang, Ben P Debeusscher, Zahra Pakbaz

{"title":"Iron Deficiency-Challenging to Diagnose: A Retrospective Chart Review of Referrals to Classical Hematology Clinic.","authors":"Arianna S Moss, Melissa Thomas, Spencer Gibson, Ray Quy, Eva Zhao, Angelina Wang, Ben P Debeusscher, Zahra Pakbaz","doi":"10.55729/2000-9666.1551","DOIUrl":"10.55729/2000-9666.1551","url":null,"abstract":"Background: Iron deficiency (ID) is the leading nutritional deficiency and a major public health concern globally. Although anemia is the most widely known consequence of ID, ID is also an underrecognized cause of white blood cell and platelet count abnormalities. The primary objective of the current study is to assess physicians' abilities to diagnose ID.Methods: This study is a retrospective chart review of 862 adults (mean age ± SD of 52.5 ± 18.4, 447 female) seen by a classical hematologist at an academic center. Data analysis included specialty type of the referring provider, referral reason, and the diagnosis made by the consulting hematologist. ID was defined as a serum ferritin level <30 ng/mL or <100 ng/mL in the presence of inflammatory comorbidities.Results: Out of 862 initial patient charts, 103 were lost to follow up before completing the workup. Out of the remaining 759 patient charts, 304 (40.0 %) patients received a new diagnosis with ID or iron deficiency anemia (IDA) by the consulting classical hematologist. Of these patients, 21 % were referred from internal medicine (IM), 18 % from family medicine (FM), 14 % from hematology-oncology for a second opinion, and 25 % from other IM subspecialties. In a sub-analysis of 364 patients who had complete blood cell count (CBC) abnormalities, ID was found to play a role in 54.7 % of CBC abnormalities analyzed.Conclusion: This analysis demonstrates that diagnosing ID is a challenge for first-contact physicians and may easily be missed. This leads to delays in ID treatment and resulting clinical consequences.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 6","pages":"12-17"},"PeriodicalIF":0.6,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Case of Spondylodiscitis Due to Actinotignum schaalii in a Patient With Crohn's Disease. 克罗恩病患者因沙利放线菌引起的罕见脊柱炎1例。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1557

Austin Tiesenga, Thomas R Birris, William Schreiner, David Malaka, Rafeek Woods, Michael S Wang

引用次数: 0

Psychological Impact of Pulmonary Embolism: A Narrative Review. 肺栓塞的心理影响：一个叙述性的回顾。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1556

Farooq Hyder, Hina Pervaiz, Mubeena Javid, Raveena B Bansari, F N U Karishma, Daya Kumari, Poonam Kumari, Ali Karim, Hari V Nenwani, Allah Warayo, F N U Dropati, Kishor Kumari, Muhammad Salman, Abida Parveen

{"title":"Psychological Impact of Pulmonary Embolism: A Narrative Review.","authors":"Farooq Hyder, Hina Pervaiz, Mubeena Javid, Raveena B Bansari, F N U Karishma, Daya Kumari, Poonam Kumari, Ali Karim, Hari V Nenwani, Allah Warayo, F N U Dropati, Kishor Kumari, Muhammad Salman, Abida Parveen","doi":"10.55729/2000-9666.1556","DOIUrl":"10.55729/2000-9666.1556","url":null,"abstract":"Background: Pulmonary embolism (PE) is a potentially life-threatening thromboembolic condition that demands urgent medical attention. While significant strides have been made in the diagnosis, treatment, and prevention of PE, its long-term psychological consequences remain underexplored. Survivors often face considerable emotional and psychological challenges that can impair recovery and reduce quality of life. This narrative review aims to explore the psychological impact of PE, including common mental health outcomes such as anxiety, depression, post-traumatic stress disorder (PTSD), and health-related fears. It also examines contributing factors such as persistent physical symptoms, anticoagulation therapy, social and occupational disruptions, and gaps in mental health care within current clinical practice. PE is not solely a physical health event but a psychologically impactful experience with lasting consequences. Holistic management strategies that address both physical and emotional recovery are vital to improving long-term outcomes and quality of life in PE survivors.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 6","pages":"18-24"},"PeriodicalIF":0.6,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146141895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dislodged Denture in a Patient on High-flow Nasal Cannula: A Rare Mechanical Complication. 高流量鼻插管患者义齿移位：罕见的机械并发症。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1546

Ranjana Chimauriya, George J Pyrgos

引用次数: 0

Infective Endocarditis With Coronary Artery Embolization and Multisystem Involvement in a Patient With a History of IV Drug Use: A Case Report. 有静脉用药史的感染性心内膜炎伴冠状动脉栓塞及多系统累及1例报告。

IF 0.6

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.55729/2000-9666.1549

Abdul Moiz, Khawaja O Omar

{"title":"Infective Endocarditis With Coronary Artery Embolization and Multisystem Involvement in a Patient With a History of IV Drug Use: A Case Report.","authors":"Abdul Moiz, Khawaja O Omar","doi":"10.55729/2000-9666.1549","DOIUrl":"10.55729/2000-9666.1549","url":null,"abstract":"Background: Infective endocarditis (IE) is a rare cause of myocardial infarction (MI). In contrast to other embolic phenomena associated with IE, the incidence of coronary embolism is <1 % with a mortality rate of >65 %. Common risk factors of IE include intravenous drug use (IVDU), hemodialysis and the use of cardiac devices. We present a unique case of multiple coronary artery involvement on 2 separate occasions highlighting the need for increased awareness among healthcare professionals.Case report: A 38-year-old female with history of IVDU, hepatitis B and C presented with acute chest pain and was found to have NSTEMI and active aortic valve vegetation. Left heart catheterization (LHC) revealed an occlusion of the right coronary artery (RCA), which was treated with stent placement. However, on experiencing ventricular fibrillation on hospital day 2, a repeat cardiac catheterization revealed a re-occlusion of RCA proximal to the stent as well as occlusion of the first obtuse marginal artery (OM1). Subsequent investigations also revealed multiple intraparenchymal hemorrhages and probable renal infarcts. The involvement of multiple systems, as well as the occlusion of multiple coronary arteries on separate occasions distinguishes this case from previously reported cases.Conclusion: Timely intervention is critical in the management of MI due to septic embolism. A high index of suspicion and immediate action can be lifesaving. Early diagnostic imaging and percutaneous or surgical interventions can improve patient outcomes. Greater awareness of multisystem and multi-coronary artery embolic phenomena is needed.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"15 6","pages":"49-52"},"PeriodicalIF":0.6,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0