Community Acquired Pneumonia (CAP) is a common disease in the United States with a broad range of organisms responsible for causing infection. Methicillin-resistant Staphylococcus aureus (MRSA) is a rare cause of CAP with estimated <1% of all CAP occurrences. Herein, I will discuss a case involving a young, immunocompetent individual diagnosed with CAP MRSA. The patient’s medical history was previously unremarkable prior to the hospitalization. After several days in the hospital, pt was transitioned from IV antibiotics to oral antibiotics and discharged home to later make a full recovery. For this presentation we will briefly discuss the incidence of CAP MRSA, risk factors for developing it, various diagnostic modalities available, inpatient and outpatient treatment options, and outpatient follow up.
Traumatic Falls, Comorbid Diseases, Hospital Stays and Discharge: Does a Disease Make the Difference?
Falls lead to diminished function and loss of mobility, accounting
for nearly half of the traumas reported in the United States. In Macomb County,
Michigan, falls make up over two-thirds of traumas reported annually. Previous
investigations have studied the impact that comorbid conditions, such as
hypertension and diabetes, have on posttraumatic fall prognosis. The data is
largely mixed, with no consistent pattern of effect on fall prognosis
observable. The current study aims to discern hospital discharge patterns in
posttraumatic falls in healthy patients versus patients with comorbid diseases.
Therapeutic Plasma Exchange as Effective Treatment for Hypertriglyceridemia-induced Acute Pancreatitis
This is a case of a 53-year-old female patient, who presented with
hypertriglyceridemia-induced acute pancreatitis (HTAP). We are presenting a
case that supports the literature for the use of therapeutic plasma exchange
(TPE) in order to help normalize the triglyceride levels in a timely manner.
Our patient admitted to severe alcohol intake and was an unknown diabetic with
a hemoglobin A1c of 17.9. This resulted in a diagnosis of diabetic ketoacidosis
in addition to the HTAP. Her presenting triglyceride level was 2,575, which had
decreased to 1,883 at the time the TPE was initiated. After one round of
pheresis her triglyceride level was 950 and the decision was made that a second
treatment was not necessary. The patients clinical picture began to show
significant improvement and her triglyceride levels continued to diminish.
After her levels stabilized and her diabetes was under better control, she was
discharged with extensive counseling on alcohol abuse and new diagnosis of