Intravascular hemolysis secondary to aorto-atrial fistula presenting as red urine.

Abstract:

:Intravascular hemolysis is a rare but potentially life threatening cause of red urine characterized by brisk hemolysis and release of large amounts of hemoglobin into the urine. We present an unusual case of red urine in a 20-year-old male who was subsequently diagnosed with intravascular hemolysis due to an aorto-atrial fistula. Fistula formation was likely secondary to a recently implanted atrial septal occluder, which is a reported but exceedingly rare complication of the device. We discuss the diagnostic approach to hemolytic anemia and conclude with a literature review of other cases of device associated fistula formation and hemolysis.

journal_name

J Gen Intern Med

authors

Sey MS,Manlucu J,Myers KA

doi

10.1007/s11606-010-1430-x

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

1370-4

issue

12

eissn

0884-8734

issn

1525-1497

journal_volume

25

pub_type

杂志文章,评审
  • Admission Laboratory Values Accurately Predict In-hospital Mortality: a Retrospective Cohort Study.

    abstract:BACKGROUND:The greater the severity of illness of a patient, the more likely the patient will have a poor hospital outcome. However, hospital-wide severity of illness scores that are simple, widely available, and not diagnosis-specific are still needed. Laboratory tests could potentially be used as an alternative to es...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-05282-2

    authors: Blanco N,Leekha S,Magder L,Jackson SS,Tamma PD,Lemkin D,Harris AD

    更新日期:2020-03-01 00:00:00

  • Beliefs about asthma and complementary and alternative medicine in low-income inner-city African-American adults.

    abstract:BACKGROUND:The gap in asthma prevalence, morbidity, and mortality is increasing in low-income racial/ethnic minority groups as compared with Caucasians. In order to address these disparities,alternative beliefs and behaviors need to be identified. OBJECTIVE:To identify causal models of asthma and the context of conven...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2006.00624.x

    authors: George M,Birck K,Hufford DJ,Jemmott LS,Weaver TE

    更新日期:2006-12-01 00:00:00

  • Brief report: Use and misuse of thyroid ultrasound in the initial workup of patients with suspected thyroid problems referred by primary care physicians to an endocrine clinic.

    abstract:BACKGROUND AND OBJECTIVES:Thyroid ultrasound (TUS) plays an important but limited role in the evaluation of some complaints related to the thyroid gland. This study was designed to examine how primary care physicians use TUS before referring patients to an endocrine clinic. DESIGN:We audited all charts of first-time r...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2005.0124.x

    authors: Liel Y,Fraenkel N

    更新日期:2005-08-01 00:00:00

  • Assessing the Burden of Treatment.

    abstract::Current healthcare systems and guidelines are not designed to adapt to care for the large and growing number of patients with complex care needs and those with multimorbidity. Minimally disruptive medicine (MDM) is an approach to providing care for complex patients that advances patients' goals in health and life whil...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-017-4117-8

    authors: Spencer-Bonilla G,Quiñones AR,Montori VM,International Minimally Disruptive Medicine Workgroup.

    更新日期:2017-10-01 00:00:00

  • The effectiveness of beta-blockers in women with congestive heart failure.

    abstract:BACKGROUND:Beta-blockers have been shown to improve survival in patients with congestive heart failure (CHF). However, few studies have looked at the effects of these medications specifically in women. OBJECTIVE:To determine the effectiveness of beta-blockers in women with CHF. PATIENTS:We conducted a retrospective c...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-007-0197-1

    authors: Keyhan G,Chen SF,Pilote L

    更新日期:2007-07-01 00:00:00

  • Longitudinal Continuity Learning Experiences and Primary Care Career Interest: Outcomes from an Innovative Medical School Curriculum.

    abstract:BACKGROUND:Medical students in the USA have negative perceptions of primary care careers, which are exacerbated by the hidden curriculum and medical school culture. Longitudinal integrated clerkships (LICs) have shown promise in ameliorating this situation by promoting student/preceptor continuity relationships and hel...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4600-x

    authors: Ford CD,Patel PG,Sierpina VS,Wolffarth MW,Rowen JL

    更新日期:2018-10-01 00:00:00

  • The impact of neighborhood socioeconomic status and race on the prescribing of opioids in emergency departments throughout the United States.

    abstract:BACKGROUND:Racial and ethnic disparities in opioid prescribing in the emergency department (ED) are well described, yet the influence of socioeconomic status (SES) remains unclear. OBJECTIVES:(1) To examine the effect of neighborhood SES on the prescribing of opioids for moderate to severe pain; and (2) to determine i...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-013-2516-z

    authors: Joynt M,Train MK,Robbins BW,Halterman JS,Caiola E,Fortuna RJ

    更新日期:2013-12-01 00:00:00

  • Antibiotic treatment of acute bronchitis in smokers: a systematic review.

    abstract:OBJECTIVE:Community physicians in the United States prescribe antibiotics to 80% to 90% of smokers with acute bronchitis. We performed a systematic review of the literature to determine the efficacy of antibiotics for smokers with acute bronchitis. DESIGN:A medline search was done using the keywords bronchitis, cough,...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1046/j.1525-1497.2002.10405.x

    authors: Linder JA,Sim I

    更新日期:2002-03-01 00:00:00

  • Cost-related skipping of medications and other treatments among Medicare beneficiaries between 1998 and 2000. Results of a national study.

    abstract:OBJECTIVE:To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping. DESIGN, SETTING, AND PARTICIPANTS:Cross-sectional and longitudinal analyses of surveys of a...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2005.0128.x

    authors: Wilson IB,Rogers WH,Chang H,Safran DG

    更新日期:2005-08-01 00:00:00

  • Ethnic differences in the self-recognition of obesity and obesity-related comorbidities: a cross-sectional analysis.

    abstract:BACKGROUND:Obesity and its related co-morbidities place a huge burden on the health care system. Patients who know they are obese may better control their weight or seek medical attention. Self-recognition may be affected by race/ethnicity, but little is known about racial/ethnic differences in knowledge of obesity's h...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-010-1623-3

    authors: Sivalingam SK,Ashraf J,Vallurupalli N,Friderici J,Cook J,Rothberg MB

    更新日期:2011-06-01 00:00:00

  • The Development and Evaluation of an Online Healthcare Toolkit for Autistic Adults and their Primary Care Providers.

    abstract:BACKGROUND:The healthcare system is ill-equipped to meet the needs of adults on the autism spectrum. OBJECTIVE:Our goal was to use a community-based participatory research (CBPR) approach to develop and evaluate tools to facilitate the primary healthcare of autistic adults. DESIGN:Toolkit development included cogniti...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-016-3763-6

    authors: Nicolaidis C,Raymaker D,McDonald K,Kapp S,Weiner M,Ashkenazy E,Gerrity M,Kripke C,Platt L,Baggs A

    更新日期:2016-10-01 00:00:00

  • Disclosure of medical errors: what factors influence how patients respond?

    abstract:BACKGROUND:Disclosure of medical errors is encouraged, but research on how patients respond to specific practices is limited. OBJECTIVE:This study sought to determine whether full disclosure, an existing positive physician-patient relationship, an offer to waive associated costs, and the severity of the clinical outco...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1525-1497.2006.00465.x

    authors: Mazor KM,Reed GW,Yood RA,Fischer MA,Baril J,Gurwitz JH

    更新日期:2006-07-01 00:00:00

  • Impact of Pregnancy and Gender on Internal Medicine Resident Evaluations: A Retrospective Cohort Study.

    abstract:BACKGROUND:Pregnancy and its impact on graduate medical training are not well understood. OBJECTIVE:To examine the effect of gender and pregnancy for Internal Medicine (IM) residents on evaluations by peers and faculty. DESIGN:This was a retrospective cohort study. SUBJECTS:All IM residents in training from July 1, ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-017-4010-5

    authors: Krause ML,Elrashidi MY,Halvorsen AJ,McDonald FS,Oxentenko AS

    更新日期:2017-06-01 00:00:00

  • Characterizing Potentially Preventable Admissions: A Mixed Methods Study of Rates, Associated Factors, Outcomes, and Physician Decision-Making.

    abstract:BACKGROUND:Potentially preventable admissions are a target for healthcare cost containment. OBJECTIVE:To identify rates of, characterize associations with, and explore physician decision-making around potentially preventable admissions. DESIGN:A comparative cohort study was used to determine rates of potentially prev...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-017-4285-6

    authors: Daniels LM,Sorita A,Kashiwagi DT,Okubo M,Small E,Polley EC,Sawatsky AP

    更新日期:2018-05-01 00:00:00

  • Patients' perceptions of physicians' recommendations for comfort care differ by patient age and gender.

    abstract:OBJECTIVE:To determine patient characteristics associated with patient and proxy perceptions of physicians' recommendations for life-prolonging care versus comfort care, and with acceptance of such recommendations. DESIGN:Cross-sectional. SETTING:Five teaching hospitals in Denver, Colo. PATIENTS:We studied 239 hospi...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1525-1497.2000.07004.x

    authors: Johnson MF,Lin M,Mangalik S,Murphy DJ,Kramer AM

    更新日期:2000-04-01 00:00:00

  • Machine Learning to Develop and Internally Validate a Predictive Model for Post-operative Delirium in a Prospective, Observational Clinical Cohort Study of Older Surgical Patients.

    abstract:BACKGROUND:Our objective was to assess the performance of machine learning methods to predict post-operative delirium using a prospective clinical cohort. METHODS:We analyzed data from an observational cohort study of 560 older adults (≥ 70 years) without dementia undergoing major elective non-cardiac surgery. Post-op...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-06238-7

    authors: Racine AM,Tommet D,D'Aquila ML,Fong TG,Gou Y,Tabloski PA,Metzger ED,Hshieh TT,Schmitt EM,Vasunilashorn SM,Kunze L,Vlassakov K,Abdeen A,Lange J,Earp B,Dickerson BC,Marcantonio ER,Steingrimsson J,Travison TG,Inouye SK

    更新日期:2020-10-19 00:00:00

  • Patient-provider language concordance and colorectal cancer screening.

    abstract:BACKGROUND AND OBJECTIVE:Patient-provider language barriers may play a role in health-care disparities, including obtaining colorectal cancer (CRC) screening. Professional interpreters and language-concordant providers may mitigate these disparities. DESIGN, SUBJECTS, AND MAIN MEASURES: We performed a retrospective coh...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-010-1512-9

    authors: Linsky A,McIntosh N,Cabral H,Kazis LE

    更新日期:2011-02-01 00:00:00

  • Formal art observation training improves medical students' visual diagnostic skills.

    abstract:BACKGROUND:Despite evidence of inadequate physical examination skills among medical students, teaching these skills has declined. One method of enhancing inspection skills is teaching "visual literacy," the ability to reason physiology and pathophysiology from careful and unbiased observation. OBJECTIVE:To improve stu...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11606-008-0667-0

    authors: Naghshineh S,Hafler JP,Miller AR,Blanco MA,Lipsitz SR,Dubroff RP,Khoshbin S,Katz JT

    更新日期:2008-07-01 00:00:00

  • The effect of patient race and blood pressure control on patient-physician communication.

    abstract:BACKGROUND:Racial disparities in hypertension control contribute to higher rates of cardiovascular mortality among blacks. Patient-physician communication quality is associated with better health outcomes, including blood pressure (BP) control. Both race/ethnicity and BP control may adversely affect communication. OBJ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s11606-009-1051-4

    authors: Cené CW,Roter D,Carson KA,Miller ER 3rd,Cooper LA

    更新日期:2009-09-01 00:00:00

  • The Impact of Medication-Based Risk Adjustment on the Association Between Veteran Health Outcomes and Dual Health System Use.

    abstract:BACKGROUND:Veterans commonly receive care from both Veterans Health Administration (VA) and non-VA sources (i.e., dual use). A major challenge in comparing health outcomes between dual users and VA-predominant users is applying an accurate method of risk adjustment. OBJECTIVE:To determine how different comorbidity ind...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-017-4064-4

    authors: Radomski TR,Zhao X,Thorpe CT,Thorpe JM,Naples JG,Mor MK,Good CB,Fine MJ,Gellad WF

    更新日期:2017-09-01 00:00:00

  • Revisiting the duration of vasomotor symptoms of menopause: a meta-analysis.

    abstract:BACKGROUND:Treatment decisions about menopause are predicated on a transient duration of vasomotor symptoms. However, evidence supporting a specific duration is weak. OBJECTIVE:To estimate the natural progression of vasomotor symptoms during the menopause transition by systematically compiling available evidence using...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11606-008-0655-4

    authors: Politi MC,Schleinitz MD,Col NF

    更新日期:2008-09-01 00:00:00

  • National Survey of Medical Spanish Curriculum in U.S. Medical Schools.

    abstract:BACKGROUND:Patients with limited English proficiency (LEP) may be at risk for medical errors and worse health outcomes. Language concordance between patient and provider has been shown to improve health outcomes for Spanish-speaking patients. Nearly 40 % of Hispanics, a growing population in the United States, are cate...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-015-3309-3

    authors: Morales R,Rodriguez L,Singh A,Stratta E,Mendoza L,Valerio MA,Vela M

    更新日期:2015-10-01 00:00:00

  • Factors associated with favorable drinking outcome 12 months after hospitalization in a prospective cohort study of inpatients with unhealthy alcohol use.

    abstract:BACKGROUND:Prevalence of unhealthy alcohol use among medical inpatients is high. OBJECTIVE:To characterize the course and outcomes of unhealthy alcohol use, and factors associated with these outcomes. DESIGN:Prospective cohort study. PARTICIPANTS:A total of 287 medical inpatients with unhealthy alcohol use. MAIN ME...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-010-1382-1

    authors: Bertholet N,Cheng DM,Palfai TP,Saitz R

    更新日期:2010-10-01 00:00:00

  • General internist communication about sexual function with cancer survivors.

    abstract:BACKGROUND:Sexual dysfunction is an important issue that affects many cancer survivors who are increasingly being cared for by internists. OBJECTIVE:To examine the attitudes and reported practices of internists regarding survivorship care as it pertains to sexual dysfunction. DESIGN:Surveys were sent to 406 physician...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-009-1026-5

    authors: Park ER,Bober SL,Campbell EG,Recklitis CJ,Kutner JS,Diller L

    更新日期:2009-11-01 00:00:00

  • Effect of computer support on younger women with breast cancer.

    abstract:OBJECTIVE:Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved. DESIGN:Randomized controlled trial conducted between 1995 and 1998. SETTING:Five sites: two teaching hospitals (Madison, Wis, and Chicago, I...

    journal_title:Journal of general internal medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1525-1497.2001.016007435.x

    authors: Gustafson DH,Hawkins R,Pingree S,McTavish F,Arora NK,Mendenhall J,Cella DF,Serlin RC,Apantaku FM,Stewart J,Salner A

    更新日期:2001-07-01 00:00:00

  • Noncompliance with antihypertensive medications: the impact of depressive symptoms and psychosocial factors.

    abstract:OBJECTIVE:Addressing the epidemic of poor compliance with antihypertensive medications will require identifying factors associated with poor adherence, including modifiable psychosocial and behavioral characteristics of patients. DESIGN:Cross-sectional study, comparing measured utilization of antihypertensive prescrip...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.2002.00406.x

    authors: Wang PS,Bohn RL,Knight E,Glynn RJ,Mogun H,Avorn J

    更新日期:2002-07-01 00:00:00

  • The value of serum iron studies as a test for iron-deficiency anemia in a county hospital.

    abstract::To evaluate the performance of serum iron studies as a diagnostic test for iron-deficiency anemia in a county hospital, the authors identified retrospectively all general medicine patients who had had bone-marrow aspirates for the work-up of non-macrocytic anemias from 1978 through 1983. Re-reading a sample of aspirat...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02596144

    authors: Psaty BM,Tierney WM,Martin DK,McDonald CJ

    更新日期:1987-05-01 00:00:00

  • How do medical residents discuss resuscitation with patients?

    abstract:OBJECTIVE:To describe how medical residents discuss do-not-resuscitate (DNR) orders with patients. DESIGN:Prospective observational study. SETTING:Inpatient medical wards of one university tertiary care center, one urban city public hospital, and one Veterans Affairs medical center. PARTICIPANTS:Thirty-one medical r...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02599915

    authors: Tulsky JA,Chesney MA,Lo B

    更新日期:1995-08-01 00:00:00

  • Knowing Your Limits: A Qualitative Study of Physician and Nurse Practitioner Perspectives on NP Independence in Primary Care.

    abstract:BACKGROUND:The shortage of primary care providers and the provisions of the Affordable Care Act (ACA) have spurred discussion about expanding the number, scope of practice (SOP), and independence of primary care nurse practitioners (NPs). Such discussions in the media and among professional organizations may insinuate ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-016-3896-7

    authors: Kraus E,DuBois JM

    更新日期:2017-03-01 00:00:00

  • Impact of an Overnight Internal Medicine Academic Hospitalist Program on Patient Outcomes.

    abstract:BACKGROUND:Many academic hospitals have implemented overnight hospitalists to supervise house staff and improve outcomes, but few studies have described the impact of this role. OBJECTIVE:To investigate the effect of an overnight academic hospitalist program on patient-level outcomes. Secondary objectives were to desc...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-015-3389-0

    authors: Gonzalo JD,Kuperman EF,Chuang CH,Lehman E,Glasser F,Abendroth T

    更新日期:2015-12-01 00:00:00