Anti-glomerular basement membrane (GBM) disease cause by anti-GBM antibodies. The forth topic From Burnout to Engagement was delivered 9 times. The patients repeat creatinine was 1.2 mg/dl and a CT chest was performed which confirmed the absence of right sided SVC and the presence of PLSVC. Even with the low risk embolic events, it is even less likely if patients are on therapeutic anticoagulation. The annual incidence is 15 to 20 per 100,000 individuals with up to 12% recurrence rate. I am a physician seeking privileges with an HCA facility. We are committed to each other because when we join together, our patients are cared for in themost compassionate way. Forward Pathology Solutions is seeking a general staff pathologist for HCA Dallas/North Texas Division. Enjoy eating at the wide-variety of restaurants one day or spend the day at one of North Texas many parks the next. Conclusion: The intervention in this study successfully increased the rate of reporting lesion diameters on RFs from an academic outpatient dermatology clinic, demonstrating the importance of education and reinforcement in improving quality. WebNorth Texas. HCA Healthcare is dedicated to giving people a healthier tomorrow. Subsequently, Magnetic Resonance Imaging of head/brain was completed and revealed bilateral basal ganglia, thalami, and cerebellar abnormal signals corresponding to calcifications seen on CT scan. FAQ | Suite 2000 Dallas, TX 75240 Physician Referral: (844) 671-4204 Quick Links About Us --Community Impact --Mission & Values - However, this is not always true. Primary MPNST is exceedingly rare, of which the vast majority are concentrated in the head and neck region. 1-3 There are multiple strategies for faculty development with methods including workshops, lunch-ins, and online modules. RESULTS: A data query 2 months in showed that QM 371 continued to measure 0%, however the authors of this study knew that a value of 0% should not be possible. Medical City Healthcare is the only healthcare system in North Texas with an adult and childrens hospital on the same campus. Utilizing this ten-item scale, residents from Healthcare Corporation of America (HCA) North Texas (NTX) Healthcare Consortium were invited to participate in an anonymous wellness survey. Viral PCR panel was performed and a diagnosis of HSV pneumonia was made. Follow. Marshall Hall, Henry Lim, Christian Scheufele, Christopher M. Wong, Daniel A. Nguyen, Michael Carletti, and Stephen Weis. Demographic information and medical history related to the population were analyzed as part of the data set. In this case report patient had a medical history of COPD, presenting with shortness of breath tested positive for COVID. At HCA Healthcare, we make sure to give you the support and benefits you need to live your best life, including health insurance, tuition reimbursement, a company-matched 401K and more. As a member of the Medical City Healthcare team, you and your family are important to us. She reported eating meatloaf with her daughter two days before symptom onset, and daughter was reported to be ill as well. Long-term efficacy results from Phase 3 are yet to be reported. Home | WebTodays top 3,000+ Hca North Texas Division jobs in United States. The next step in the process is to organize regular resident feedback sessions to identify more specific interventions for resident wellness. We are a new Multispecialty Surgery Center encompassing 23,000 SF with 6 ORs, 2 procedure rooms located on the 1st floor of new MOB on HCA North Cypress campus opening at the end of October. Visit our physician career site and search our latest openings. Although patients leukocytosis initially decreased after initiation of chemotherapy, it quickly rebounded, indicating unresponsiveness to treatment. Residency Stipends available to selected candidates. Patient was seen at the emergency department with symptoms of left-sided eyelid droop and difficulty swallowing two days prior. For technical questions on an application to HCA or an HCA Affiliate only, call (844) 422-5627, then press Option 1. Left and right heart catheterization shows an invasive gradient of 20 mmhg and angiographically normal epicardial coronary arteries. Computed Tomography (CT) head/brain revealed extensive intracranial calcification and mineralization. Measured beta-hCG was not in range with 9-weeks of pregnancy. The time frame for recurrence varied between 3 to 18 months after the final treatment visit. Providing an inclusive work environment where everyone is treated with fairness, dignity and respect. As these are baseline parameters with no comparative measures, results were grouped into greatest three subjective strengths and weaknesses of the program. Our patients initial hyperglycemia was likely multifactorial from rebound hyperglycemia after inappropriate insulin administration, stress-induced, chronic alcohol use, and starvation ketoacidosis. Just like a family, we pull together to care for, support and celebrate with each other. She was treated with and discharged on insulin each visit. The primary endpoint was any dermatologic diagnosis or condition requiring treatment beyond the 2-week follow-up visit. Home On admission, her creatine was 17.9 along with hyperkalemia which required urgent hemodialysis. Jun 2021;9(1):153-166. doi:10.1007/s40487-021-00138-4, Riddhiben Patel, Anas Hamadeh, and Senthil Thambidorai. After the loop of jejunum was lysed the patient recovered without any more symptoms and was able to return home. Wherever you go, youll be part of one of the areas biggest and most people-focused healthcare providers. 8,9 Beyond the individual faculty, there can be system wide cultural shifts supportive of scholarly teaching. It can be extrapolated from the survey results that residents feel a relatively strong sense of interpersonal support and personal pride in their work, however there is relative negative perception of the overall healthcare environment. As part of the Case Manager Float Pool team, you will help support the following hospitals: Alliance, Arlington, Fort Worth, Las Colinas, North Hills, and Weatherford. Due to the discordant clinical findings, both biopsies were sent to Weill Cornell Medicine for histopathological review. Residency is a demanding period of training that requires long hours and prolonged periods of high mental functioning coupled with an emotionally and physically exhausting work load. Find the location nearest you. Background: Erythema nodosum (EN) is characterized as a delayed hypersensitivity reaction to subcutaneous adipose tissue. CT head and CTA head/neck then were negative. 1-3 There are multiple strategies for faculty development with methods including workshops, lunch-ins, and online modules. After carts were delivered, they were stocked and implemented in both of the hospital ICUs. HCA North TX Division. Create a free account to manage your job search and find the right practice. Interested in physician and advanced practice provider career opportunities? Resident knowledge was still greater 6 weeks after our lecture when compared to pre-test results. Being a part of HCA Healthcare, we provide unprecedented career opportunities including the ability to move within 184 hospitals and 1,800 sites of care located in 21 U.S. states and in the United Kingdom. In Phase 2, after the intervention, there was a statistically significant reporting rate increase to 49.71% (85/171) in the intervention group (chi-squared test, p < 0.001). Telephone: (844) 422-5627 option 1 (844) 422-5627 option 1 Being a part of HCA Healthcare, we provide unprecedented career opportunities including the ability to move within 184 hospitals and 1,800 sites of care located in 21 U.S. states and in the United Kingdom. Mark Cheneler, Tapannita Padhi, Khizir Qureshi, and Carlos Bahrami. She had extensive work up to look for the source of infection and her septic embolism. Screening usually includes the Hepatitis C Antibody test. On further questioning it was revealed that about 20 years ago, the patient was advised to take medication for hypocalcemia, but was non-compliant. One of the proposed manifestations is Bells Palsy, an acute idiopathic facial nerve palsy that affects the lower motor neuron. Since PTS is widely understudied, the goal of our project is educate residents and other medical professionals on the full scope of PTS including pathophysiology, epidemiology, clinical features, diagnosis, treatment and prognosis through a single-session one-hour oral presentation. Copyright 1999-2020 C-HCA, Inc.; All rights reserved. Minimum # of 12 hour Shifts per Pay Period, Search All RN Resource Pool Opportunities & Apply Now. Out of 341 individual cases of malignancy, four were suspected of recurrence during follow-up visits. There were total 45 responses to the survey. Presentation is typically asymptomatic with indeterminate imaging characteristics with diagnosis dependent solely on histopathology findings. There are currently no events available.Please check back again later. The cart also contains a check list of proper central line placement protocol. Her only further complaint is that she felt numbness to her lower and upper extremities. 2. A possible mechanism is corticosteroids having anti-inflammatory properties that can improve the perivascular inflammation associated with WNV neuroinvasive disease. Joseph Kim, Andrew Malinow, and Rosemary Schuh, Cellular oxygen consumption and lactate production rates have been measured in both placental and myometrial cells to study obstetrics-related disease states such as preeclampsia. Shortly after, they presented to ED with recurrent stroke-like symptoms. Within a few seconds she became very stiff with arms extended, her head turned towards the left, and her eyes rolled towards the back of her head. WebOur North Texas Division Office team is looking for a Director of Community Public Relations. As we continue to support your continued health needs our benefit plans offer a wide range of options that will meet the needs of you and your family. She stopped breastfeeds three years postpartum and noticed a palpable left breast mass a week later. In a matter of 4 months, the patient had a rapid progression with metastatic disease to the brain and lungs. Forward Pathology Solutions is seeking a general staff pathologist for HCA Dallas/North Texas Division. Euglycemic diabetic ketoacidosis (EuDKA) is a rare complication of type 2 diabetes mellitus (T2DM) characterized by normoglycemia in the presence of anion gap metabolic acidosis and blood ketone. CONCLUSION/DISCUSSION: Physician In Training delivered faculty development is an original, innovative model that can increase education. A 401k (100% annual match from 3% to 9% of pay based on years of service). FAQ | Using Seahorse respirometry, we analyzed platelets for oxygen consumption (OCR) and extracellular acidification (ECAR) rates, indicators of mitochondrial electron transport and glucose metabolism, respectively. INTRODUCTION: The Patient Health Questionnaire-9 (PHQ-9) is a tool used to help diagnose depression and assess a patients response to treatment. In response to these findings, program specific resident wellness initiatives are now required for accreditation. RESULTS: Five dermatology residents delivered 45 presentations to 15 faculty individuals over a 30 month period. David Bassa, Makenzie Morrissey, Adewuni Ojo, and Adeel Raza, Low-grade Adenosquamous Carcinoma of the Breast: Case Report and Literature Review Authors: David Bassa DO, MaKenzie Morrissey MD, Adewuni Ojo MD, Adeel Raza MD Abstract: Introduction: Low-grade adenosquamous carcinoma (LGASC) is a rare variant of metaplastic carcinomas of the breast. Serving Houston and South Texas, HCA Gulf Coast Division is comprised of 16 hospitals, plus freestanding ERs, urgent care centers, surgery centers, physician practices, womens health clinics, imaging centers, and more. Further studies will determine the long-term efficacy of the intervention. Trans-thoracic echocardiogram obtained was consistent with HFrEF with a LVEF 30-35%, severe diffuse hypokinesis, bileaflet aortic valve, severely calcified aortic stenosis with a peak systolic velocity 3.2m/sec, peak systolic gradient 50 mmhg, mean gradient 30 mmhg, and valve area 1.1. The patient's right ventricle was dilated with systolic and diastolic septal flattening suggestive of pulmonary hypertension. WebHan H, Gade A, Ceci FM, Lawson A, Auerbach S, Nestor MS. Superficial radiation therapy for nonmelanoma skin cancer: A review. Therefore, the USPSTF recommends screening of women who are 50-74 years of age via mammography at average risk of breast cancer every two years. Stool cultures grew Shiga-toxin 1, leading to diagnosis of Shiga-toxin producing E. coli dysentery. She was started on treatment for nonketotic hyperglycemia with insulin. Office-based radiation therapy for cutaneous carcinoma: evaluation of 710 treatments. We at least, were properly documenting PHQ-9 utilization. Current employees are encouraged to apply through our internal career site, internalcareers.hcahealthcare.com. Accessibility Statement. The goal of this project is to educate and provide physicians with the most recent guidelines for managing bleeding risks with periprocedural procedures. A transthoracic echocardiogram revealed a medium to large perimembranous ventricular septal defect (VSD) measuring 6 mm with predominantly right to left shunting with a QP/QS ratio of 0.66. Switch View to List View Slideshow. You can find all jobs here. METHODS: Our intervention was to give an educational presentation regarding depression, the PHQ-9, as well as how to properly document the PHQ-9 in eClinicalWorks (eCW) for data tracking. Weve heard that an individual or individuals impersonating an HCA Healthcare hiring manager may be conducting online interviews and attempting to convince people to send money, supposedly to purchase equipment or set up payroll direct deposit as part of the hiring process. SGLT2i has become popular for its antihyperglycemic, cardiovascular, and renal health benefits; however, physicians should be cautious to prescribe this medication when the patient is on a low-carbohydrate diet. A conference The first topic "Teaching House Staff Safely During the COVID19 Era was delivered 8 times. Our objective was successful implementation of the quality improvement project with improvement or increase in faculty development received. View contact profiles from HCA Healthcare Popular Searches HCA Less than 10 cases of CLL/SLL presenting as bilateral tonsillar enlargement have been described in English literature, highlighting the rarity of this case. 2023;3(6):409-417. Supplies include: ChloraPrep, Leur Lock Caps, sterile gloves, sterile gowns, saline flushes, dressing kits, chlorhexidine BioPatches, ultrasound gel packets, sterile ultrasound probe covers, and razors. Fetal heart monitoring, AWHONN and other HCA required courses for L&D nurses in accordance with department education schedule. HCA HealthcareOne Park PlazaNashville, TN 37203, Telephone: (844) 422-5627 option 1(844) 422-5627 option 1. For technical questions on an application to HCA or an HCA Affiliate only, call (844) 422-5627, then press Option 1. We are a new Multispecialty Surgery Center encompassing 23,000 SF with 6 ORs, 2 procedure rooms located on the 1st floor of new MOB on HCA North Cypress campus opening at the end of October. High dose corticosteroids were found to be very effective for the management of WNV neuroinvasive disease in this case. At the time of this QI projects inception, QM 371 was reporting at 0%. Long-term efficacy will be assessed through data collection and analysis of RFs for biopsies obtained from January 1, 2023 to June 30, 2023. My Account | The patient who developed cutaneous lupus after therapy had no prior history systemic or cutaneous lupus. Crucially, her blood ketone and glucose levels normalized without insulin but with the initiation of a dextrose and water infusion and IV thiamine. Gianfaldoni S, Gianfaldoni R, Wollina U, Lotti J, Tchernev G, Lotti T. An Overview on Radiotherapy: From Its History to Its Current Applications in Dermatology. Our QI project identified a major gap between our clinical practices, in this case use of the PHQ-9, and the clinical informatics that were being reported. Her story highlights the importance of MRSA management from medical and patient standpoint, early source control from endovascular complications and the essential role addiction medicine plays into caring for IV Drug Users. Case Presentation A 31-year-old woman with a past medical history of alcoholism presented with a five-day history of diffuse achy abdominal pain and intermittent nausea and vomiting. She was found to have septic thrombophlebitis with multiple abscesses along the left great saphenous vein( GSV). Abnormality of the SVC has implications for electrophysiology procedures and ICE/CT and cMRI imaging are helpful in delineating the anatomy. 41yo M with PMHx significant for Von Gierke type 1a, HFrEF complicated by VT s/p ICD, HTN who presented for complaints of continued SOB with new muscle soreness. This case report examines an unusual presentation of symptoms mimicking ovarian torsion with accompanying ipsilateral subcutaneous inguinal hematoma secondary to aberrant pelvic vasculature. The developed protocol was used within the Family Medicine outpatient clinic sites at Grand Prairie, North Hills, and Denton to increase screening compliance. As per the Centers of Disease Control (CDC), the worsening opioid epidemic has created a snowballing effect, in that there is not only an increase in invasive MRSA infections but also in complications from MRSA. Operative findings revealed a loop of jejunum that was adhered down to the anterior pelvis wall along a previous peritoneal flap dissection. Early source control through the form of early foci identification, obtaining serial blood cultures, decolonization and hygiene measures, appropriate antibiotic stewardship are used to eradicate this bacteria and prevent its spread. WebHCA Gulf Coast Division 3737 Buffalo Speedway Suite 1400 Houston, TX 77098 Telephone: (713) 852-1500 Quick Links About Us --About HCA Gulf Coast --Mission and First regional brain attack/stroke network in the United States. What is the application process for Current Employees? Because EuDKA is uncommon, delayed diagnosis and treatment can lead to other complications and prolonged hospitalization. There is currently no evidence-based treatment for WNV infection. We strive to celebrate cultural and other differences and consider them strengths of the organization.We are committed to: Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, gender identity, protected veteran status, or any other legally protected category in accordance to applicable federal, state, or local laws. Due to no significant improvement, the patient was started on high dose intravenous corticosteroids. Industry: Blast Furnaces and Steel Mills. However, symptoms reappeared two days later and now with right-sided facial droop along with dysphagia,and left sided extremities with weakness/tingling sensation. Hairy Cell Leukemia is a rare leukemia seen with the classic triad of splenomegaly, pancytopenia, and hairy appearing leukemic b cells in the bone marrow. Top three weaknesses were as follows: Feeling of connection to work; feeling that ones work makes the world a better place; feeling eager to come back to work tomorrow. Residents who were educated on the recent screening guidelines for hepatitis c set by USPSTF retained this knowledge to a satisfactory degree immediately after our lecture on hep c. Prior to our lecture, resident average score on hepatitis c screening knowledge was 52%. Labs showed mild leukocytosis, normocytic anemia, elevated CRP and sedimentation rate, and thrombocytosis. TTE showed normal LVEF, a large mobile ACT. Case: A 63-year-old female patient with a history of Paroxysmal Atrial flutter (AFL) and atrial fibrillation (AF) on apixaban, HTN, and HLD was brought to the electrophysiology lab for electrophysiology study (EPS) and AF/AFL ablation due to recurrent symptomatic episodes of AF and AFL despite being on antiarrhythmic medications. We offer a robust benefits package to meet all of your needs, including: insurance plans (medical, dental, vision, and life), long- and short-term disability, flexible spending accounts, 401K with company match, PTO, employee assistance program, on-site childcare, tuition reimbursement, free parking, and discounted tickets to many local attractions and events. NORTHTEXAS2023, Shiva Mohan, Brandon Vu, and Danielle Ford. HCA Healthcare includes 185 hospitals in the United States and England. PTS typically presents with similar signs and symptoms as chronic venous insufficiency (CVI) and treatment modalities also mirror each other with the use of compression therapy, emollients, and topical steroids. It Wasnt a Duck: A Case of the Misdiagnosis of Ketoacidosis, Lesion Size Inclusion on Dermatopathology Requisition Forms: a Quality Improvement Project, Low-grade Adenosquamous Carcinoma of the Breast in a Pregnant Patient: Case Report and Literature Review, Monitoring Concordance in the Management of Transfusing Blood Components in Cirrhotic Patients for Paracentesis with Evidence-Based Guidelines, Outpatient Breast Cancer Screening Documentation, PHQ -9 Utilization in the Primary Care Setting, Platelets in Preeclamptic Pregnancies Fail to Exhibit the Decrease in Mitochondrial Oxygen Consumption Rate Seen in Normal Pregnancies, Post-Thrombotic Syndrome: Assessing Medical City Weatherford Resident Physicians Knowledge in Diagnosis, Treatment, and Prevention, Presentations of Tumor Recurrence of Non-Melanoma Skin Cancer After Treatment with Low-Energy Superficial Radiation Therapy, Rare Presentation of Primary Malignant Peripheral Nerve Sheath Tumor of the Femur in Neurofibromatosis-1, Retrospective Review of Adverse Events Following Treatment of Non-Melanoma Skin Cancer with Low-Energy Superficial Radiation Therapy, The Domino Effect: Spontaneous Abortions as a Sequela of Eisenmenger Syndrome, West Nile Virus Encephalitis with Status Epilepticus Treated with High-Dose Steroids: A Case Study. As her mentation improved, she was able to cooperate with neurological physical examination, which was positive for irregular and violent movements in the left upper and lower extremities. EN may be idiopathic or may be caused by a number of factors such as infection, chronic systemic inflammatory processes, drugs or malignancy. If diagnosed early on, patient can be treated with drainage of the pericardium and directed antimicrobial therapy before complications such as cardiac tamponade or constrictive pericarditis can arise. This project sought to assess utilization of the PHQ-9 in our clinical practice. You can find all jobs here. Renal biopsy can further differentiate the types of crescentic glomerulonephritis. Featuring scholarly activity by HCA Healthcare Graduate Medical Education residents from the North Texas Division. Methicillin resistant staph aureus (MRSA) Bacteremia has become a serious re-emerging infection. The ethics line number is 1-800-455 Mary DaCosta, Evelyn Chicas, Kiana Clem, and Shelby Collymore. A woman with ES should ideally avoid conception given the increased risk of unexpected fetal demise and maternal mortality. WebHCA, North Texas Division is comprised of 9 premier Medical Centers located in the Dallas/Fort Worth metroplex. Introduction: Dermatopathology requisition forms (RFs) are a critical communication tool between dermatologists and dermatopathologists. A 73-year old woman with a past medical history of hypertension and seizures presented to the emergency department due to altered mental status. WebMedical City Healthcare 13155 Noel Rd. The fifth topic Burnout was delivered 3 times. I am a physician interested in HCA employment opportunities. Here, we present a case of a 40-year-old male with NF1 who presented with a giant MPNST that originated in the right proximal femur. Marshall Hall, Henry Lim, Christian Scheufele, Christopher Wong, Daniel A. Nguyen, Michael Carletti, and Stephen Weis, Background: Basal cell carcinoma and squamous cell carcinoma are the most common types of non-melanoma skin cancer.1 Superficial radiation therapy (SRT) is a treatment modality that utilizes low-energy x-rays to disrupt cell mitosis directly and indirectly.2 This method of treatment offers advantages for select patients. Complications were defined as adverse events within the treatment site persisting beyond the treatment period. Committed to the care and improvement of human life, Medical City Healthcare strives to deliver excellence always providing the highest quality, cost-effective healthcare in the communities it serves. 10 Delivering content that is convenient and valuable to the faculty can be challenging. EuDKA has been associated with the use of sodium-glucose cotransporter-2 inhibitors (SGLT2i) but the reported adverse events are scarce. Although chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) differ in clinical presentation, they are both arise from the same pathologic process, namely the clonal expansion of mature B-cells. Patients who present with WNV neuroinvasive disease have significant morbidity and mortality, with about 10% of cases resulting in death. Rest assured, HCA Healthcare and its affiliates never do business in this manner. His ASO- titer came back significantly elevated which helped confirm our diagnosis. Of note, the daughter stated that the patient was tested positive with COVID about 1.5 weeks ago and had upper respiratory infection symptoms that had resolved. METHODOLOGY: We implemented a quality improvement project where resident physicians deliver content to faculty at each rotation in their curriculum. WebLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. We herein describe a case of LGASC presenting in a young premenopausal female, an extremely rare occurrence. Dermatological Reviews. Currently a quality improvement project is underway to implements several of these measures. This unique case has several important teaching points ranging from hematology/oncology, critical care, infectious disease, surgery, and laboratory science. Extracorporeal membrane oxygenation may be utilized as a bridge for treatment when the insult is identified quickly before permanent damage has been done to the lungs. Our educational presentation was given on Sept 1st at the start of the reporting period for QM 371 and included screen shots depicting the workflow for inputting the PHQ-9 into the eCW smart form. Since the change, this project was done to ensure the appropriate screening and testing thereafter was done, as well as appropriate communication and documentation. The patient was intubated and sedated, started on multiple antiepileptic medications. Pauci immune RPGN associated with small vessel vasculitis, a necrotizing GN with few or negative immune deposits. My Account | Eventually, the patients clinical status improved, and he was transferred out of the intensive care unit (ICU). Featuring scholarly activity by HCA Healthcare Graduate Medical Education residents from the North Texas Division. Grow your skills with a variety of interesting cases as you work alongside top care professionals, all while enjoying a flexible schedule. NORTHTEXAS2023. Interestingly, there is a higher incidence of Bells Palsy in those with COVID-19 and there is an increased relative risk with Bells Palsy in those with COVID-19 in comparison to those who were vaccinated. WebHCA Houston Healthcare Mainland - Texas City, TX. Given the rarity of this cancer, there are no current guidelines for best practice management of adjuvant chemoradiation. Visit our physician career site and search our latest openings. Total Papers Total Downloads Downloads in the past year. Its an organization whose scale enables caregivers to deliver great outcomes for patients and gives our colleagues unparalleled opportunities to learn and grow. This is a unique case report of a 30-year-old female with a past medical history of polysubstance and intravenous heroin use who presented with a painful swelling and blister around the left ankle for the past two weeks. Most patients will classically present with a constellation of symptoms that correspond to pancytopenia such as fatigue, easy bruising, bleeding, dizziness, weakness, or recurrent infections. WebNorth Cypress Surgery Center is located in Houston, Texas. Patient appeared to be in a hemolytic state based on anemia, thrombocytopenia, low haptoglobin and reticulocyte count, which along with severe renal failure on presentation suggested possibility of hemolytic-uremic syndrome (HUS). She was symptomatically managed with antiemetics and intravenous (IV) hydration. Currently, there is no official guideline placed in the hospital for the administration of a hemostatic agent such as fresh frozen plasma in the setting of an elevated international normalized ratio, which paradoxically is an anticipated finding in cirrhotic patients. When the electrolyte abnormalities were corrected and patient returned to baseline, she was determined stable for discharge.
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