Background: Mentorship has long been an impactful process in the training of medical students and physicians. It is apparent that young professionals benefit from mentorship, but how to maximize this benefit is unknown. We elected to approach the revitalization of our mentorship program through a 6-month human centered design (HCD) project to form a curriculum [...]

Background: Hypertension occurs in up to 75% of hospitalized patients. However, less than 1% have “hypertensive emergency,” defined as severely elevated blood pressure (BP) with end-organ injury. Current guidelines support emergent treatment of hypertensive emergency but recommend against immediate reduction of severely elevated BP in patients without end-organ injury (i.e., asymptomatic hypertension). Recent literature suggests [...]

Background: Many patients admitted to the hospital are seriously ill and at risk of dying. Inpatient providers must be able to communicate to their patients the severity of their illness so that they may have realistic expectations and be able to make informed medical decisions.1 However, evidence suggests that physicians perform poorly in predicting prognosis [...]

Case Presentation: A previously healthy 15-year-old M presented for 2-week history of fevers and painless right-sided limp noticed by parents. He was evaluated at an outside hospital three times in the week prior to presentation at Tufts, and ultimately diagnosed with tendonitis. Although he denied hip pain, he endorsed right-sided anterior thigh pain. Denied trauma, [...]

Case Presentation: A 3-month-old male of Asian descent with a past medical history of congenital CMV and right-sided sensorineural hearing loss presented to the ED with two days of GI bleeding tendencies, easy bruising, and diffuse rash. The patient was otherwise healthy with normal appetite and vital signs. He had no falls, traumas, or sick [...]

Case Presentation: A 19-year-old male with no known medical history presented to the ED after being found down and profusely diaphoretic by his parents. He was unresponsive to multiple doses of Ativan and Narcan. He was tachycardic to the 150s and had respiratory insufficiency, so he was intubated in the ED. Initial EKG showed sinus [...]

Case Presentation: A 25 year old woman with history of asthma presented to the emergency department with one week of sore throat, cough, shortness of breath, nausea, vomiting, and diarrhea. Upon arrival, she was hypotensive, tachycardic, tachypneic, febrile, and was found to have leukocytosis, elevated lactate, procalcitonin, and creatinine prompting concern for septic shock. She [...]

Case Presentation: A 70-year-old male with medical history significant for rheumatoid arthritis presented to the emergency department with several days of odynophagia, oral ulcers, skin lesions and epistaxis. He was treated for foot cellulitis with TMP-SMX for one week prior to admission. The patient had been receiving 10 mg SQ weekly injectable MTX for Rheumatoid [...]

Case Presentation: A 75 year old male with atrial fibrillation, osteomyelitis of the right first digit of the lower extremity on IV Vancomycin presented as a transfer from an outside hospital with 3 weeks of worsening pressured speech, delusions, insomnia, and a seizure like event. The patient was admitted for further work up and management [...]

Case Presentation: A 19-year-old male with recent diagnosis of human immunodeficiency virus (HIV) (CD4 580/mm³ and viral load 1.2 million/mm³) and Kaposi sarcoma (KS) was transferred to our hospital for refractory thrombocytopenia. Prior to his presentation, he experienced a month of fatigue, night sweats, weight loss, and facial and neck swelling. His outside hospital workup [...]