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Extensive Bioprosthetic Aortic Valve Annual Abscess
(2020-10)
Case Introduction: Infective endocarditis (IE) is a relatively common, usually subacute infection involving heart valves. IE is often preceded by bacteremia in patients with prosthetic hardware, artificial heart valves, ...
Cluster Analysis as More Precise Measure of Burnout Among Healthcare Providers
(2020-10)
BACKGROUND: The study of burnout among physicians and medical trainees has become a focus of many professional societies, academic institutions, and hospital systems in recent years, given the high prevalence of burnout ...
Selfish Lung Syndrome
(2020-10)
Introduction: Congenital lobar emphysema (CLE) is a rare congenital developmental anomaly that is characterized by hyperinflation of one or more pulmonary lobes. Although the exact etiology of the disease is unknown, the ...
PDSA Cycles Increase Screening for Smoking Cessation
(2020-10)
Introduction: Smoking represents the leading cause of preventable disease, disability and death in the United States, disproportionately affecting lower-income populations1. Smoking cessation has been shown to reduce the ...
Factors Associated with the Maintenance of Colonic Insufflation During Colonoscopy
(2020-10)
Colonoscopy is a diagnostic and therapeutic procedure performed for several indications including colorectal cancer (CRC) screening, adenoma surveillance, and investigation of gastrointestinal symptoms. Insufflation of ...
When Lightning Strikes Twice in the Case of Anemia
(2020-10)
Vitamin b12 deficiency anemia in the general population is 1.4% with an even higher incidence in the elderly and hospitalized reported up to 10-15%. Other causes of anemia such as warm autoimmune hemolytic anemia have an ...
First Bite Syndrome After Parapharyngeal Surgery
(2020-10)
Introduction: Most schwannomas, other than those associated with neurofibromatosis, occur in the para-pharyngeal space often originating from Cranial nerves (CN) 9-12 or the sympathetic chain. Although cervical sympathetic ...
Improving Utilization of an Internal Medicine Clinic Patient Portal: A Quality Improvement Project
(2020-10)
Background: The University of Oklahoma-Tulsa Internal Medicine Clinic utilizes an electronic patient portal to improve communication and help achieve the healthcare triple aim of reducing costs, enhancing patient experience, ...
Trust But Verify, Don't Disregard the Simplex Answer: An Uncommon Presentation of Herpes Simplex Encephalitis
(2020-10)
Introduction: Herpes simplex virus type 1 encephalitis is the most common cause of sporadic fatal encephalitis worldwide. Typical presentation includes fever, altered mental status, focal cranial nerve deficits, and ...
Improving Outpatient Follow-Up After Hospitalization
(2020-10)
Introduction: Hospital readmission is costly, in both patient quality of life and healthcare expenditures. Timely post-discharge follow-up has shown to reduce preventable readmissions. Efforts should be aimed at improving ...