{"title":"Updates in Hospital Medicine.","authors":"Kevin Hageman","doi":"10.56305/001c.35827","DOIUrl":"10.56305/001c.35827","url":null,"abstract":"","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"35827"},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569342","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}
Anna Hardesty, Arun Muthiah, Charles Fox Sherrod, Hyun Lee, Suleiman Ilyas, Vishnu Kadiyala, Matthew Murphy
{"title":"Warren Alpert Medical School of Brown University Annual Research Forum: Resident Project Winners.","authors":"Anna Hardesty, Arun Muthiah, Charles Fox Sherrod, Hyun Lee, Suleiman Ilyas, Vishnu Kadiyala, Matthew Murphy","doi":"10.56305/001c.35651","DOIUrl":"https://doi.org/10.56305/001c.35651","url":null,"abstract":"","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"35651"},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569344","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}
{"title":"Diversity, Equity, and Inclusion in the Brown Journal of Hospital Medicine.","authors":"Debasree Banerjee, Bethany Gentilesco","doi":"10.56305/001c.35658","DOIUrl":"https://doi.org/10.56305/001c.35658","url":null,"abstract":"","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"35658"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569332","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}
{"title":"Acute Respiratory Distress Syndrome due to Influenza A Treated with Extracorporeal Membrane Oxygenation: A Case Report and Review of the Literature.","authors":"Monarch Shah, Oluwatofunmi Olowoyo, Sanya Chandna, Ankit Agrawal","doi":"10.56305/001c.35648","DOIUrl":"10.56305/001c.35648","url":null,"abstract":"<p><p>Influenza is a viral respiratory infection that can lead to significant morbidity and mortality. Due to its high susceptibility to antigenic variation, influenza A is responsible for causing pandemics. Fever, cough, dyspnea, and vomiting are common presenting symptoms. The spectrum of an influenza A virus infection ranges from a mild upper respiratory illness to life-threatening pneumonia. Hypoxia and chest radiographs consistent with acute respiratory distress syndrome (ARDS) are seen in patients requiring intensive care. The reported incidence of patients with influenza A-associated ARDS requiring transition from conventional ventilation to extracorporeal membrane oxygenation (ECMO) is variable. ECMO can be considered in patients with reversible respiratory failure, who are already on maximal conventional therapy and are not achieving lung-protective ventilation; wherein the benefits of ECMO are deemed to outweigh its risks. We describe the case of a 48-year-old female who developed ARDS secondary to influenza A requiring mechanical ventilation and extracorporeal membrane oxygenation (ECMO).</p>","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"35648"},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569326","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}
{"title":"A Unique Division of Abdominal Pain Etiologies: Multiseptated Gallbladder.","authors":"Anmol Mittal, Sushil Ahlawat, Eric Tien Yen Chyn","doi":"10.56305/001c.35583","DOIUrl":"10.56305/001c.35583","url":null,"abstract":"<p><p>Multiseptated or honeycomb gallbladder is an extremely rare variant described in only 150 cases worldwide. It has been commonly noted as a congential anomaly or among octogenarians. Here, we describe a young woman who presented with epigastric pain and recurrent burning sensation, and diagnosed to have multiseptated gallbladder.</p>","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"35583"},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569322","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}
Matthew Hall, Megan Duckworth, Ronald Phillips, Youry Pierre-Louis, Praveen Rajaguru, Ryan Hoopes, Hadeel Zainah, Jinen Thakkar, Arkadiy Finn
{"title":"Warren Alpert Medical School at Brown University: Clinicopathologic Conference: April 1st, 2022. Case 02-2022: A 66 Year-Old Male with Nausea, Vomiting, Fever and Rash.","authors":"Matthew Hall, Megan Duckworth, Ronald Phillips, Youry Pierre-Louis, Praveen Rajaguru, Ryan Hoopes, Hadeel Zainah, Jinen Thakkar, Arkadiy Finn","doi":"10.56305/001c.35708","DOIUrl":"10.56305/001c.35708","url":null,"abstract":"","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"35708"},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569343","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}
{"title":"Metastatic Merkel Cell Carcinoma.","authors":"Andrew Krane, Vijairam Selvaraj, Andrew Hsu","doi":"10.56305/001c.34649","DOIUrl":"10.56305/001c.34649","url":null,"abstract":"<p><p>Merkel cell carcinoma is a rare, aggressive skin cancer that affects mainly the sun exposed areas in the elderly, especially the head and neck. Immunohistochemical analysis is necessary to establish diagnosis. We describe an elderly male who presented with hematochezia and was incidentally noted to have liver lesion on abdominal imaging, which was subsequently diagnosed as Merkel cell carcinoma.</p>","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"34649"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569336","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}
{"title":"Acute Psychosis and Panhypopituitarism: A Case Report.","authors":"Jessica Wachtel, Jordan Resnick, Sunil Sapru","doi":"10.56305/001c.34684","DOIUrl":"10.56305/001c.34684","url":null,"abstract":"<p><p>We present a case of acute psychosis in a patient with panhypopituitarism admitted for adrenal crisis secondary to insufficient glucocorticoid replacement. Three months prior, she was admitted for a similar episode of adrenal crisis and underwent intubation; however, at that time her mental status was normal with no reported episodes of delirium or psychosis. After extubation, she was found to have psychotic symptoms which waxed and waned and were vaguely responsive to antipsychotics. She was ultimately stabilized and discharged, only to return three months later after missing multiple doses of her prednisone. During her current presentation, she had a recurrence of her waxing and waning mental status, which was presumed to be an organic result of her prior hypotension and anoxia vs. a primary psychotic break. In retrospect, it was largely dependent upon whether she received her scheduled steroids. Once her adrenal crisis had passed her cognition improved with daily steroid replacement and antipsychotics were unnecessary.</p>","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"34684"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569324","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}
{"title":"1-Minute Pearls/Pitfalls for the Clinician.","authors":"Kwame Dapaah-Afriyie, Michelle Ting","doi":"10.56305/001c.34638","DOIUrl":"10.56305/001c.34638","url":null,"abstract":"","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"34638"},"PeriodicalIF":0.0,"publicationDate":"2022-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569242","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}