scholarly journals Fusobacterium Nucleatum Empyema: An Atypical Presentation

2020 ◽  
Author(s):  
Lucía Barrera López ◽  
Cristina Macía-Rodríguez ◽  
Lucía Ferreiro-Fernández ◽  
José Antonio Díaz-Peromingo
Keyword(s):  
Internal Medicine ◽  
Fusobacterium Nucleatum ◽  
Atypical Presentation ◽  
Medicine Department ◽  
Unexplained Weight Loss ◽  
Thoracic Computed Tomography ◽  
Night Sweats ◽  
Amoxicillin Clavulanic Acid ◽  
Lung Infections ◽  
Purulent Fluid

A 40-year-old man presented to the emergency room and was evaluated in the internal medicine department for unexplained weight loss, asthenia, anorexia and night sweats over the previous 2 months. After a loculated pleural effusion was identified on thoracic computed tomography, purulent fluid was drained from the lung and Fusobacterium nucleatum was isolated. The patient was successfully treated for 27 days with amoxicillin-clavulanic acid. This was an atypical presentation of a common micro-organism implicated in lung infections.

Medication Errors in an Internal Medicine Department. Evaluation of a Computerized Prescription System

2005 ◽  
Vol 27 (4) ◽  
pp. 351-352 ◽  
Author(s):  
Ana Mirco ◽  
Luís Campos ◽  
Fátima Falcão ◽  
João Silva Nunes ◽  
Ana Aleixo
Keyword(s):  
Internal Medicine ◽  
Medication Errors ◽  
Medicine Department ◽  
Internal Medicine Department ◽  
Department Evaluation

CEREBROVASCULAR ISCHEMIC EVENTS FOLLOWING CISPLATIN THERAPY. EXPERIENCE IN AN INTERNAL MEDICINE DEPARTMENT

2008 ◽  
Vol 19 ◽  
pp. S17
Author(s):  
Joaquin Campos-Franco ◽  
Raimundo Lopez-Rodriguez ◽  
Nieves Mallo-Gonzalez ◽  
Paula Barros-Alcalde ◽  
Rosario Alende-Sixto ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Medicine Department ◽  
Internal Medicine Department ◽  
Ischemic Events ◽  
Cisplatin Therapy

scholarly journals Gambaran Laboratorium Leukemia Kronik di Bagian Penyakit Dalam RSUP Dr. M. Djamil Padang

2013 ◽  
Vol 2 (3) ◽  
pp. 141
Author(s):  
Muthia Rendra ◽  
Rismawati Yaswir ◽  
Akmal M Hanif
Keyword(s):  
Internal Medicine ◽  
Peripheral Blood ◽  
Blood Cells ◽  
Lymphocytic Leukemia ◽  
Chronic Myelocytic Leukemia ◽  
Laboratory Findings ◽  
Medicine Department ◽  
Chronic Leukemia ◽  
Myelocytic Leukemia ◽  
Moderate Anemia

AbstrakLeukemia merupakan penyakit keganasan sel darah yang berasal dari sumsum tulang ditandai oleh proliferasi sel-sel darah putih, dengan manifestasi adanya sel-sel abnormal dalam darah tepi. Pada tahun 2006, leukemia berada pada urutan ke-5 dari keseluruhan penderita kanker di Indonesia. Leukemia kronik merupakan leukemia yang paling sering terjadi pada dewasa dan lanjut usia. Secara umum leukemia kronik diklasifikasikan atas Leukemia Granulositik Kronik (LGK) dan Leukemia Limfositik Kronik (LLK). Leukemia kronik yang perjalanannya lambat dan diiringi oleh gejala yang tidak khas, maka penelitian ini bertujuan untuk mengetahui gambaran laboratorium leukemia kronik di bagian Peyakit Dalam RSUP DR. M. Djamil Padang. Jenis penelitian ini adalah deskriptif retrospektif. Instrumen yang digunakan pada penelitian ini adalah data sekunder yang diperoleh dari Instalasi Rekam Medik RSUP Dr. M. Djamil Padang berupa data pasien leukemia kronik yang dirawat di Bagian Penyakit Dalam RSUP Dr. M. Djamil Padang sejak 1 Januari 2010 – 31 Desember 2012. Hasil penelitian ini menunjukkan bahwa dari 16 kasus leukemia granulositik kronik terdapat 37,5% pasien mengalami anemia sedang, 100% leukositosis, jumlah trombosit dapat menurun, normal, dan meningkat dengan presentase masing-masing 25%, 25%, dan 50%. Gambaran eritrosit sebagian besar normositik anisositosis. Separuh pemeriksaan darah tepi menunjukkan peningkatan persentasi mielosit, 31,25% menunjukkan peningkatan persentasi metamielosit dan eosinofil, serta sebagian besar menunjukkan presentasi blast. Sedangkan gambaran sumsum tulang hiperseluler, penekanan eritropoetik, mielopoetik hiperaktif, dan trombopoetik dalam batas normal. Leukemia limfositik kronik yang terdiri dari 1 kasus menunjukkan gambaran laboratorium berupa anemia sedang, leukositosis, trombositopenia, gambaran eritrosit nomokrom anisositosis, peningkatan jumlah leukosit, peningkatan jumlah limfosit, presentasi smudge cell, dan ditemukan presentasi blast pada darah tepi, tetapi selularitas tidak dapat dinilai.Kata kunci: leukemia kronik, darah tepi, BMPAbstractLeukemia is a malignant disease of blood cells derived from the bone marrow characterized by the proliferation of white blood cells, with the manifestation of the abnormal cells in the peripheral blood. In 2006, leukemia was ranked 5th of all cancer patients in Indonesia. Chronic leukemia is the most common leukemia in adult and the elderly. In general, chronic leukemia classified on chronic myelocytic leukemia (CML) and chronic lymphocytic leukemia (CLL). The onset of chronic leukemia is insidious and accompanied by symptoms that are not typical, this research aims to describe the laboratory findings of chronic leukemia patients treated at Internal Medicine Department of Dr. M. Djamil Hospital Padang.This research is a retrospective descriptive research. The instruments used in this research are the secondary data derived from the Medical Record Departement Dr. M. Djamil Hospital Padang in the form of leukemia chronic patients’ data who were treated in Internal Medicine Department of Dr. M. Djamil Hospital Padang since January 1st 2010 – December 31st 2012. The results of this research showed that of 16 cases of chronic myelocytic leukemia contained 37.5% of the patients had moderate anemia, leukocytosis 100%, platelet count can be decreased, normal, and increased the percentage of each 25%, 25%, and 50%. The morphology of erythrocytes mostly normocytic anisocytosis. Half of peripheral blood examination showed an increase in the percentage of myelocyte, 31.25% showed an increase in the percentage metamyelocyte and eosinophils, as well as most of the shows presentation blast. The bone marrow are hypercellular, compressing erythropoietic, myelopoietic hyperactivity and thrombopoietic mostly normal in number. Chronic lymphocytic leukemia consisting of 1 case shows the laboratory findings are moderate anemia, leukocytosis, thrombocytopenia, the morphology of erythrocyte is normochromic anisocytosis, leukocytes increase in number, increase in the number of lymphocytes, presentations smudge cells, and blast presentation is found in the peripheral blood, but the cellularity not be assessed.Keywords: chronic leukemia, peripheral blood, BMP

scholarly journals Acute Heart Failure in an Internal Medicine Department: A Prospective Study

2020 ◽  
Vol 18 (1) ◽  
pp. em263
Author(s):  
Rita Reis Correia ◽  
Pedro Leite Vieira ◽  
Marisa Linhares ◽  
Fábia Cruz ◽  
Sandra Martin ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Heart Failure ◽  
Prospective Study ◽  
Acute Heart Failure ◽  
Medicine Department ◽  
Internal Medicine Department ◽  
A Prospective Study

scholarly journals Severe hyponatremia in older patients at admission in an internal medicine department

2014 ◽  
Vol 59 (3) ◽  
pp. 642-647 ◽  
Author(s):  
Lurdes Correia ◽  
Rogério Ferreira ◽  
Inês Correia ◽  
Ana Lebre ◽  
José Carda ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Older Patients ◽  
Severe Hyponatremia ◽  
Medicine Department ◽  
Internal Medicine Department

Perceived barriers of Reporting Incidents Online Among Internal Medicine Physicians

2019 ◽  
Author(s):  
Mouhand F.H. Mohamed ◽  
Ibrahim Yusuf ◽  
Dabia Al-Mohanadi ◽  
Ahmed Al-Mohammed ◽  
Abdul-Badi Abou-Samra ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Online Survey ◽  
Perceived Barriers ◽  
Medicine Department ◽  
Incident Reporting Systems ◽  
Reporting Systems ◽  
Incident Reports ◽  
Main Barrier ◽  
Fear Of Retaliation ◽  
Previous Learning

Abstract Background: Incident reporting systems (IRS) facilitate incidents' reporting and tracking, and help in identifying gaps in health care (HC). Learnings from incident reports (IR) are extremely valuable. This study aimed to assess physician's knowledge and experience with an online IRS in a large tertiary academic institution and to identify barriers of reporting incidents. Methods: A 21-questions electronic online survey was sent to physicians working in the Internal Medicine Department of Hamad Medical Corporation. Results: A total of 115 physicians (76% trainees and 24% attending faculty) responded to the survey, 59% of them were aware of the availability of IRS at HMC. However, only 29% knew how to submit an online IR, and 20% have ever submitted an IR. The survey revealed that of 46% and 63% of participants are less likely to submit an IR when they or their colleague, respectively, commit an error. The main barriers of reporting incidents were, unawareness about the IRS (36%), inability to access it (26%), the perception that IR does not result in a change (13%), Also, the concern or fear of retaliation (13%). When asked about solutions, 57% recommended training and awareness, and 22% recommended sharing learnings and actions from previous IR. Conclusion: IRS is under-utilized by Internal Medicine physicians. The main barrier at the time of the survey is the lack of training and awareness. Promoting awareness and sharing previous learning and actions may improve the utilization of the IRS.

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