Case Presentation: A previously healthy 57-year-old man with a history of chronic sinusitis who received the Ad26.COV2.S vaccination 13 days ago without incident presented to the ED with left lower extremity swelling and pain, left medial thigh ecchymosis, transient episodes of right hand paresthesia and weakness, severe headache with transient blurry vision, and progressively worsening [...]

Case Presentation: A 73-year-old woman with past medical history of metastatic endometrial adenocarcinoma previously treated with Pembrolizumab (stopped 4 months prior) presented with six weeks of persistent fatigue, myalgias, nausea, and vomiting. On presentation, she was noted to be hypotensive with labs notable for hyponatremia and hypomagnesemia. She appeared lethargic with dry mucous membranes and [...]

Background: The relationship between autonomy and supervision (A/S) on general medicine inpatient services requires a balance to ensure patient safety while fostering graduated competency in residents. Previous research at our institution has shown a tension hospitalists feel when balancing these two principles. For example, hospitalists reported that the ideal clinical culture should offer more autonomy [...]

Background: A recent study found that 10% of emergency department (ED) patients experiencing homelessness had their housing status documented by the healthcare team. Identification of homelessness may inform care decisions and direct patients toward community resources, both of which may improve health outcomes. Standardized screening tools for homelessness exist but are not commonly used. We [...]

Background: Increasing evidence points towards incarceration causing poor health, with one study estimating that every year in prison is associated with a two-year reduction in life expectancy (1). Cervical cancer is the most common cancer among incarcerated females (2,3). No study has yet examined whether this increased rate of cervical cancer diagnosis persists after release. [...]

Background: COVID-19 vaccines have greatly decreased both rate of morbidity and mortality of the COVID-19 infection, but studies have reported myocarditis in patients after vaccination especially with mRNA vaccines. The purpose of this study is to identify if there is a significant correlation between COVID-19 vaccines and myocarditis. Methods: We systematically searched PubMed, Web of [...]

Background: The increased morbidity and disproportionately high mortality rates among Black and Hispanic patients hospitalized due to coronavirus disease 2019 (COVID-19) are well documented. However, little is known about how patients’ experiences differ across racial and ethnic lines after discharge. Methods: A survey was conducted online in the United States by the Harris Poll from [...]

Background: International VTE management guidelines recommend outpatient management for appropriate patients with low-risk deep vein thrombosis (DVT) or pulmonary embolism (PE)[1-3]. Despite the evidence and recommendations, previous studies reported low prevalence of outpatient management, especially for PE[4, 5]. This analysis aimed to characterize trends in outpatient vs. inpatient management of VTE in the last 5 [...]

Case Presentation: A healthy 3-year-old boy presented with 5 days of a scaly and crusting rash on the left side of his face that began as a few bumps on his left forehead (Image 1). He had no history of chickenpox, is up to date on immunizations including varicella, and has no family history of [...]

Case Presentation: A 14-year-old boy with autism presented with a five-day history of high fever (40.5 degrees C), vomiting, shortness of breath, and a rash involving the palms-and-soles. He was evaluated at urgent care and was believed to have hand-foot-mouth disease. He was brought to the emergency department for ongoing symptoms, where he was noted [...]