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A 48-year-old woman with a past medical history of seizures and end-stage renal disease secondary to obstructive uropathy from retroperitoneal fibrosis presented to the emergency department with seizures and altered mental status. A Glasgow Coma Scale of 4 prompted intubation, and she was subsequently admitted to the intensive care unit. Magnetic resonance(More)
A 26-year-old male without any significant past medical history presented to the hospital with shortness of breath, cough, pleuritic chest pain, and weight loss for the past 3 months. On chest CT, he was found to have extensive mediastinal and hilar lymphadenopathy and multiple pulmonary nodules. On physical examination, a right groin mass was noted which(More)
T he healthcare landscape is changing. With the current hospital payment systems, hospitals all over the nation are reimbursed for delivering care efficiently and safely across the continuum, rather than simply for each service. Incentives are provided to hospitals for improving quality and offering value to patients , both in how well they are treated and(More)
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