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.

Pseudo-Appendicitis in an Adolescent With COVID-19

Abstract: Coronavirus disease 2019 (COVID-19) pandemic is a global health emergency in 2020. Patients with COVID-19 may present with variable clinical features, involving pulmonary, gastrointestinal, neurological, and cardiovascular symptoms. Notwithstanding, the acute abdomen as a presentation of COVID-19 is rare. We report an adolescent with confirmed COVID-19, initially presented with acute abdominal pain mimicking appendicitis. Our case highlights the inaccuracy of using clinical diagnosis for surgical abdomen in the COVID-19 era. Clinicians should perform screening COVID-19 tests in patients presenting with acute abdominal pain before admitting the patients to implement proper preventive measures in order to reduce viral transmission to other patients and healthcare professionals. Confirmed COVID-19 patients with acute abdomen may need proper imaging tests before surgery to avoid iatrogenic complications.

Cutaneous cryptococcosis mimicking basal cell carcinoma in a patient with AIDS.

Abstract: Antecedents: La cryptococcose est une infection opportuniste causee par la levure encapsulee appelee Cryptococcus neoformans. Cet organisme tres repandu est souvent observe chez les patients dont le systeme immunitaire est deficient, et particulierement chez ceux qui sont atteints d'une tumeur maligne sous-jacente, qui ont subi une transplantation d'organe ou qui souffrent du syndrome d'immunodeficience acquise (SIDA). Dix a quinze pour cent des patients victimes d'une arteinte systemique presente des manifestations cutanees de la cryptococcose. Or, ces lesions de la peau peuvent simuler differentes entites cliniques. Methodes: Presentation d'un cas de cryptococcose simulant un carcinome basocellulaire. Resultats: Un patient sidatique presentant une cryptococcose cutanee non disseminee simulant un carcinome basocellulaire a ete traite energiquement pour prevenir toute maladie systemique occulte. Conclusion: La cryptococcose cutanee peut simuler d'autres affections dermatologiques.

Improving visit cycle time using patient flow analysis in a high-volume inner-city hospital-based ambulatory clinic serving minority New Yorkers.

Abstract: Patient waiting time and waiting room congestion are quality indicators that are related to efficiency of ambulatory care systems and patient satisfaction. Our main purpose was to test a program to decrease patient visit cycle time, while maintaining high-quality healthcare in a high-volume inner-city hospital-based clinic in New York City. Use of patient flow analysis and the creation of patient care teams proved useful in identifying areas for improvement, target, and measure effectiveness of interventions. The end result is reduced visit cycle time, improved provider team performance, and sustained patient care outcomes.

Abdominal Pain in a Postpartum Patient

Abstract: Background Acute abdominal pain is a very common presenting complaint in the Emergency Department (ED). Making the correct diagnosis may be very complicated and difficult. It is even more difficult and complicated in the postpartum period, because other less common but important diagnoses must be considered. One of these potentially life-threatening diagnoses for which patients should be evaluated is uterine rupture. Objectives To discuss uncommon, but important, causes of abdominal pain that may occur in the postpartum period. To learn the clinical presentation, risk factors, evaluation, and management of uterine rupture in the postpartum patient. Case Report We present the case of a 36-year-old woman who presented to the ED with 2 days of abdominal pain and fever. The patient had had a caesarian section (C-section) 2 weeks before this admission. This was her fourth C-section. On examination, she had right lower quadrant tenderness. A computed tomography scan of the abdomen with contrast was obtained and it revealed uterine perforation with an adjacent abscess. The patient received intravenous fluids and broad-spectrum antibiotics. A laparotomy was performed that confirmed the diagnosis of uterine perforation. The patient subsequently did very well. Conclusions Uterine perforation should be considered in any postpartum patient that presents with acute abdominal pain, especially if there are risk factors, such as previous C-sections. Appropriate evaluation, consultations, and management should be done expeditiously to avoid increased morbidity and mortality.