المؤلفون: Khalid Sawalha, Sai Desikan, Gilbert-Roy Kamoga

المصدر: Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 5, Pp 670-672 (2021)

مصطلحات موضوعية: celecoxib overdose, nsaid, altered mental status, acute respiratory failure, prolonged mechanical ventilation, gabapentin, Internal medicine, RC31-1245

الوصف: A 70-year-old white female patient with past medical history of migraine, fibromyalgia, diverticulitis, and hypothyroidism presented to the emergency department accompanied by her husband for one day of altered mentation, nausea and vomiting. Laboratory testing showed oligo-anuric acute kidney injury with a severely high anion gap metabolic acidosis. Urine drug screen was negative. Brain imaging and lumbar puncture were negative for acute findings. We report this unique case by going through the differential for anion gap metabolic acidosis secondary to Celecoxib as well as a unique drug–drug interaction between Celecoxib and Gabapentin.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/2000-9666

URL الوصول: https://doaj.org/article/251774433aec4edca3f8e76a54a1fcc4

المؤلفون: A. Coraini, M. Basciotta

المصدر: Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 5, Pp 446-451 (2020)

مصطلحات موضوعية: dementia, altered mental status, behavior, frontotemporal dementia, Internal medicine, RC31-1245

الوصف: 59 y.o. female is evaluated for chronic behavioral abnormalities. We describe the diagnostic approach to cases of altered mental status. Before considering the different possible etiologies including, for example, metabolic, infectious, toxic, hypoxemic, endocrine, or iatrogenic ones, we underline the importance of assessing patient’s baseline functional status. Often, in particular in older patients’ population, dementia is the underlying culprit of mentation abnormalities. Through extensive history and with the help of neuroimaging studies, our patient was diagnosed with frontotemporal dementia.

وصف الملف: electronic resource

Relation: https://doaj.org/toc/2000-9666

URL الوصول: https://doaj.org/article/d35f3bd6317049788fc45df8f29223a3

المؤلفون: Ateeq Mubarik, Syed Moin Hassan, Monicka Felix, Salman Muddassir, Furqan Haq

المصدر: Journal of Community Hospital Internal Medicine Perspectives, Vol 8, Iss 6, Pp 363-367 (2018)

مصطلحات موضوعية: Neurosarcoidosis, sarcoidosis, cryptogenic neuroinflammatory disease, confusion, altered mental status, encephalopathy, Internal medicine, RC31-1245

الوصف: Introduction: Sarcoidosis is an inflammatory granulomatous multisystem disease with an unknown etiology. Neurosarcoidosis is a cryptogenic neuroinflammatory manifestation of sarcoidosis. Case report: We describe a case of neurosarcoidosis with initial presentation as confusion. Our patient fits the picture of probable neurosarcoidosis as per the Zajicek et al criteria, with the clinical presentation of neurosarcoidosis, evidence of inflammation in the CNS, evidence of systemic sarcoidosis and exclusion of other diseases. He was started on steroids with subsequent improvement in mental status. Discussion and conclusion: The diagnosis of neurosarcoidosis becomes challenging when neurosarcoidosis presents as isolated clinical neurological symptoms. We want to highlight the highly variable nature of neurosarcoidosis and underscore the fact that for cryptogenic neuroinflammatory diseases, neurosarcoidosis should be considered after excluding common infections and autoimmune causes. Abbreviations: CXR: Chest X-ray; CTA: Computed tomography angiography; PCR: Polymerase chain reaction; DNA: Deoxyribonucleic acid; MRI: Magnetic resonance imaging; ACE: Angiotensin converting enzyme; HRCT: High Resolution computed tomography

وصف الملف: electronic resource

Relation: https://doaj.org/toc/2000-9666

URL الوصول: https://doaj.org/article/5d1948692e534ec8a9a35115ad258e9b

المؤلفون: Sai Desikan, Khalid Sawalha, Gilbert-Roy Kamoga

المصدر: Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 5, Pp 670-672 (2021)
Journal of Community Hospital Internal Medicine Perspectives
article-version (VoR) Version of Record

مصطلحات موضوعية: acute respiratory failure, Nausea, business.industry, gabapentin, altered mental status, Toxic encephalopathy, Acute kidney injury, Anion gap, Case Report, Metabolic acidosis, prolonged mechanical ventilation, medicine.disease, RC31-1245, High anion gap metabolic acidosis, Migraine, Anesthesia, Internal Medicine, medicine, Vomiting, celecoxib overdose, medicine.symptom, nsaid, business

الوصف: A 70-year-old white female patient with past medical history of migraine, fibromyalgia, diverticulitis, and hypothyroidism presented to the emergency department accompanied by her husband for one day of altered mentation, nausea and vomiting. Laboratory testing showed oligo-anuric acute kidney injury with a severely high anion gap metabolic acidosis. Urine drug screen was negative. Brain imaging and lumbar puncture were negative for acute findings. We report this unique case by going through the differential for anion gap metabolic acidosis secondary to Celecoxib as well as a unique drug–drug interaction between Celecoxib and Gabapentin.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::55262c4e37c5299b15ca7344150887f1
https://doi.org/10.1080/20009666.2021.1942670

المؤلفون: Pokharel A; Medstar Health Internal Medicine Residency Program, Baltimore, MD, USA., Acharya I; Medstar Health Internal Medicine Residency Program, Baltimore, MD, USA., Akhiwu TO; Medstar Health Internal Medicine Residency Program, Baltimore, MD, USA., Haas CJ; Medstar Health Internal Medicine Residency Program, Baltimore, MD, USA.; Georgetown University School of Medicine, Washington, D.C, USA.

المصدر: Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2023 Jun 29; Vol. 13 (4), pp. 58-64. Date of Electronic Publication: 2023 Jun 29 (Print Publication: 2023).

نوع المنشور: Case Reports

بيانات الدورية: Publisher: Greater Baltimore Medical Center Country of Publication: United States NLM ID: 101601396 Publication Model: eCollection Cited Medium: Print ISSN: 2000-9666 (Print) Linking ISSN: 20009666 NLM ISO Abbreviation: J Community Hosp Intern Med Perspect Subsets: PubMed not MEDLINE

مستخلص: Bariatric surgery is an effective strategy for achieving substantial weight loss, prolonging survival, and improving the comorbidities associated with obesity. Nutritional deficiency is a commonly recognized post-procedural complication. Here, we present a case of a patient with paresthesia, lower extremity weakness, and altered mental status one year following Roux-en-Y gastric bypass, who was found to have multiple vitamin and micronutrient deficiencies and was diagnosed with beriberi in the setting of profound thiamine deficiency.
Competing Interests: Conflict of interest None.
(© 2023 Greater Baltimore Medical Center.)

المؤلفون: Sawalha K; Internal Medicine Division, White River Health System, Batesville, AR, USA., Desikan S; Internal Medicine Division, White River Health System, Batesville, AR, USA., Kamoga GR; Internal Medicine Division, White River Health System, Batesville, AR, USA.

المصدر: Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2021 Sep 20; Vol. 11 (5), pp. 670-672. Date of Electronic Publication: 2021 Sep 20 (Print Publication: 2021).

نوع المنشور: Case Reports

بيانات الدورية: Publisher: Greater Baltimore Medical Center Country of Publication: United States NLM ID: 101601396 Publication Model: eCollection Cited Medium: Print ISSN: 2000-9666 (Print) Linking ISSN: 20009666 NLM ISO Abbreviation: J Community Hosp Intern Med Perspect Subsets: PubMed not MEDLINE

مستخلص: A 70-year-old white female patient with past medical history of migraine, fibromyalgia, diverticulitis, and hypothyroidism presented to the emergency department accompanied by her husband for one day of altered mentation, nausea and vomiting. Laboratory testing showed oligo-anuric acute kidney injury with a severely high anion gap metabolic acidosis. Urine drug screen was negative. Brain imaging and lumbar puncture were negative for acute findings. We report this unique case by going through the differential for anion gap metabolic acidosis secondary to Celecoxib as well as a unique drug-drug interaction between Celecoxib and Gabapentin.
Competing Interests: No potential conflict of interest was reported by the author(s).
(© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.)

المؤلفون: Coraini A; Internal Medicine, North Shore Medical Center-Salem Hospital, Salem, MA, USA.; Neurology, MGH/BWH/Harvard Medical School., Basciotta M; Internal Medicine, North Shore Medical Center-Salem Hospital, Salem, MA, USA.

المصدر: Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2020 Sep 03; Vol. 10 (5), pp. 446-451. Date of Electronic Publication: 2020 Sep 03.

نوع المنشور: Journal Article; Review

بيانات الدورية: Publisher: Greater Baltimore Medical Center Country of Publication: United States NLM ID: 101601396 Publication Model: Electronic Cited Medium: Print ISSN: 2000-9666 (Print) Linking ISSN: 20009666 NLM ISO Abbreviation: J Community Hosp Intern Med Perspect Subsets: PubMed not MEDLINE

مستخلص: 59 y.o. female is evaluated for chronic behavioral abnormalities. We describe the diagnostic approach to cases of altered mental status. Before considering the different possible etiologies including, for example, metabolic, infectious, toxic, hypoxemic, endocrine, or iatrogenic ones, we underline the importance of assessing patient's baseline functional status. Often, in particular in older patients' population, dementia is the underlying culprit of mentation abnormalities. Through extensive history and with the help of neuroimaging studies, our patient was diagnosed with frontotemporal dementia.
Competing Interests: Dr. Coraini and Dr. Basciotta report no disclosures relevant to the manuscript.
(© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.)

المؤلفون: Mubarik A; Department of Internal Medicine, Graduate Medical Education, Oak Hill Hospital, Brooksville, FL, USA., Hassan SM; Oak Hill Hospital, Graduate Medical Education, Internal Medicine Residency, Brooksville, FL, USA., Felix M; Department of Internal Medicine, Graduate Medical Education, Oak Hill Hospital, Brooksville, FL, USA., Muddassir S; Department of Internal Medicine, Graduate Medical Education, Oak Hill Hospital, Brooksville, FL, USA., Haq F; HCA-West Florida Division, Tampa, FL, USA.

المصدر: Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2018 Dec 11; Vol. 8 (6), pp. 363-367. Date of Electronic Publication: 2018 Dec 11 (Print Publication: 2018).

نوع المنشور: Case Reports

بيانات الدورية: Publisher: Greater Baltimore Medical Center Country of Publication: United States NLM ID: 101601396 Publication Model: eCollection Cited Medium: Print ISSN: 2000-9666 (Print) Linking ISSN: 20009666 NLM ISO Abbreviation: J Community Hosp Intern Med Perspect Subsets: PubMed not MEDLINE

مستخلص: Introduction: Sarcoidosis is an inflammatory granulomatous multisystem disease with an unknown etiology. Neurosarcoidosis is a cryptogenic neuroinflammatory manifestation of sarcoidosis. Case report: We describe a case of neurosarcoidosis with initial presentation as confusion. Our patient fits the picture of probable neurosarcoidosis as per the Zajicek et al criteria, with the clinical presentation of neurosarcoidosis, evidence of inflammation in the CNS, evidence of systemic sarcoidosis and exclusion of other diseases. He was started on steroids with subsequent improvement in mental status. Discussion and conclusion: The diagnosis of neurosarcoidosis becomes challenging when neurosarcoidosis presents as isolated clinical neurological symptoms. We want to highlight the highly variable nature of neurosarcoidosis and underscore the fact that for cryptogenic neuroinflammatory diseases, neurosarcoidosis should be considered after excluding common infections and autoimmune causes. Abbreviations : CXR: Chest X-ray; CTA: Computed tomography angiography; PCR: Polymerase chain reaction; DNA: Deoxyribonucleic acid; MRI: Magnetic resonance imaging; ACE: Angiotensin converting enzyme; HRCT: High Resolution computed tomography.