Lincoln Hospital

About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.

Antibiotic associated hemorrhagic colitis: The need to distinguish from Clostridium difficile colitis

Abstract: 47 INTRODUCTION Antibiotic-associated diarrhea is common, but bloody diarrhea following antibiotic use is rare. The development of hemorrhagic colitis in any individual is frightening and demands urgent consideration of several causes in the etiology with the need to make a rapid diagnosis, as treatment differs with the etiology. The following is a description of amoxcillinclavulanate associated bloody diarrhea, with dramatic recovery on discontinuing the antibiotic. THE CASE A 55-year-old female was hospitalized with abdominal discomfort, cramps and bloody diarrhea; she used amoxicillin-clavulanate (Augmentin XR), 500 mg twice daily for five days for sinusitis. She noted diarrhea with bright blood the night before admission to the hospital. There was no fever or chills. Prior use of the standard form of amoxicillin was not associated with any side effects. Other medications included levothyroxin and atorvastatin. No other additional recent antibiotic use was evident from her history. At admission, the patient was afebrile, blood pressure was 98/60 mmHg, pulse 74 per minute and regular. The abdomen was distended, diffusely tender, with no rebound or guarding; bowel sounds were present. Rectal examination confirmed bright red blood with stool. Remaining examination was non-contributory. Soon after admission, the hematocrit dropped to 35.7% from a baseline value of 41; the white cell count was WBC 4.3 K/UL, Platelets 206 K/UL; electrolytes, renal and liver function tests were normal (serum creatinine 1.0). The sedimentation rate was 17 mm/hour. Stool examination was negative for ova and parasites; three C. difficile assay for toxins A and B were Antibiotic Associated Hemorrhagic Colitis: The Need to Distinguish from Clostridium difficile Colitis! A CASE TO REMEMBER

Visual Diagnosis: 3-Year-Old Boy With Persistent Right Chest Wheezing

Abstract: 1. Shahnawaz M. Amdani, MBBS, MD* 2. Naresh Reddivalla, MD* 3. Magda Mendez, MD* 4. Orlando Perales, MD* 1. *Lincoln Medical and Mental Health Center, Bronx, NY.

Epley Maneuver for Vertigo (Particle Repositioning or Canalith Repositioning Procedure)

Abstract: During the Dix-Hallpike test (see Chap. 43), the particles move in the canal and trigger a burst of upbeat-torsional nystagmus. The Epley maneuver causes resolution of positional nystagmus. This maneuver is effective in about 80 % of patients with benign paroxysmal positional vertigo (BPPV).