- Cardiac Arrest and Resuscitation
- Homelessness and Social Issues
- Sepsis Diagnosis and Treatment
- Pelvic and Acetabular Injuries
- Nosocomial Infections in ICU
- Trauma and Emergency Care Studies
- Spinal Fractures and Fixation Techniques
- Appendicitis Diagnosis and Management
- Grief, Bereavement, and Mental Health
- Innovations in Medical Education
- Hernia repair and management
- Pediatric Urology and Nephrology Studies
- Bacterial Identification and Susceptibility Testing
- Simulation-Based Education in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Intraperitoneal and Appendiceal Malignancies
- Entomological Studies and Ecology
- Healthcare Systems and Public Health
- Congenital Anomalies and Fetal Surgery
- Viral Infections and Vectors
- Diverticular Disease and Complications
- Urinary Tract Infections Management
- Radiology practices and education
- Cardiovascular Syncope and Autonomic Disorders
- Rabies epidemiology and control
Jackson Memorial Hospital
2015-2025
American College of Emergency Physicians
2019-2020
Jackson Health System
2017-2019
Universitat de Barcelona
2015
Rush University Medical Center
2009
New York University
2002
Organisms resistant to antimicrobials continue emerge and spread. This study was performed measure the medical societal cost attributable antimicrobial-resistant infection (ARI).A sample of high-risk hospitalized adult patients selected. Measurements included ARI, total cost, duration stay, comorbidities, acute pathophysiology, Acute Physiology Chronic Health Evaluation III score, intensive care unit surgery, health care-acquired infection, mortality. Hospital services used outcomes were...
Severe infections such as pneumonia can cause hyponatremia. This phenomenon is widely attributed to the syndrome of inappropriate antidiuretic hormone secretion (SIADH), although mechanism not fully understood. Healthcare providers must identify and treat low sodium correctly prevent elevated morbidity mortality. report describes an uncommon case severe hyponatremia in a 26-year-old male with no known medical history risk factors for immunosuppression. He presented worsening body pain...
Urothelial plaques consist of four major uroplakins (Ia, Ib, II, and III) that form two-dimensional crystals covering the apical surface urothelium, provide unique opportunities for studying membrane protein assembly. Here, we describe a novel 35-kD urothelial plaque-associated glycoprotein is closely related to uroplakin III: they have similar overall type 1 transmembrane topology; their amino acid sequences are 34% identical; share an extracellular juxtamembrane stretch 19 acids; exit from...
There is a growing movement to increase palliative care consults from the emergency department (ED) reduce healthcare costs and improve quality of life. The surprise question screening tool that medicine physicians may be able use towards achieving this goal.The objectives study were awareness hospice (HPM) among (EM) providers evaluate whether heightened increased participating providers.We conducted an anonymous convenience sample survey two educational interventions about HPM including...
The ACDC is a multinational effort that integrates Bayesian theory and statistical modeling in clinical decision rules, combining assessments of diagnostic quality cost effectiveness various patient populations.
FigureFigureFigureFigureA previously healthy 17-year-old girl presented to the ED with one month of intermittent, burning epigastric pain associated nausea and vomiting. Pain was worsened by spicy, greasy foods, alleviated sparkling water. She said she came because had persisted for a while interfering her life. The patient denied fevers, recent travel, or change in bowel movements. admitted traveling Nicaragua many times life an unintentional 20-pound weight gain over past year. Vitals at...
Figure: Computed tomography of the abdomen and pelvis with intravenous contrast. The yellow arrows show appendix coursing through lower overlying bladder.FigureFigureThe progressive suprapubic pain was a cunning symptom. 38-year-old man had five days that dysuria. By time he presented to our ED, his spread right quadrant as well. He history diverticulitis after laparoscopic left hemicolectomy four years earlier. reported no fevers, but complained nausea diarrhea. afebrile at 36.8°C pulse 76...
Figure: Urticarial lesions prompting ED presentation.FigureFigureA 2-year-old girl was playing outside when she spotted a furry caterpillar. Like her stuffed animals, it fluffy and had long hair. She let the insect crawl on legs, but then suddenly screamed in pain. Her parents brought to ED, though no longer distress by time arrived. The patient large urticarial lesion inner right thigh smaller one left thigh. (Photo.) There were puncture wounds, bite marks, or barbs visible palpable. vital...
The perforation of a cecal diverticulum is rare and challenging condition for the emergency physician.A 47-year-old man with past surgical history bilateral inguinal hernia repair presented to department (ED) acute abdominal pain three days' duration. Pain was localized right lower quadrant (RLQ), anorexia as only associated symptom. Upon arrival ED, his exam demonstrated focal RLQ tenderness palpation, rebound tenderness, guarding. Labs did not show any elevation in inflammatory markers,...