Background: With the COVID-19 pandemic overwhelming the hospital systems rapidly, our Manhattan hospital was no exception. Supplies were in high demand, donning and doffing was taking precious time from patient care. We implemented geographic teams on several units to prevent the spread of COVID-19, decrease supply usage and time spent outside the patients’ rooms. When [...]

Background: Transitions of care, including Inter-Hospital Transfers (IHT), are known to be a period of elevated risk in patient care. Patients who are transferred via the IHT process face a higher inpatient mortality rate than patients who are not admitted via the IHT process1 as well as higher costs, longer length of stay, and lower [...]

Case Presentation: A 14-year-old previously healthy female presented to the Emergency Department with 3 days of fluctuating mental status and gait difficulty. Parents noted one episode of urinary incontinence and endorsed avoidance of right sided gaze. Ten months prior to these symptoms, the patient was diagnosed with COVID-19 complicated by anosmia and dysgeusia. Since her [...]

Case Presentation: A 28 year-old unvaccinated man with a history of Hodgkin’s lymphoma in remission presented with thrombocytopenia. Six weeks ago, he was exposed to COVID-19 and developed cough and rhinorrhea. He was not tested but started taking hydroxychloroquine and azithromycin. Three weeks prior to admission, he began noticing mucosal bleeding. One week prior to [...]

Case Presentation: A 77-year-old female was admitted with a 3-week history of pruritus and a 1-week history of jaundice and fatigue. Patient had not used any new medications, except for recently prescribed ACE inhibitors. There was no history of alcohol abuse or liver disease and no recent sick contacts. Other medical conditions are type 2 [...]

Case Presentation: A 46-year-old white male with a history of prior MI (at age 37) presented to ED with left-sided weakness, facial droop, and decreased left-arm sensation. He did not have a history of obesity, hypertension, smoking, excess alcohol consumption, or hyperlipidemia but had a family history of a sister who had a stroke in [...]

Case Presentation: A 33-year-old female presented to the Emergency Department (ED) with one week of worsening shortness of breath and lightheadedness with exertion. She reported a history of iron deficiency anemia, endometriosis, and hypertension. She had received an injection of depot-medroxyprogesterone acetate approximately one week prior to presentation. On presentation, she was tachycardic, but vital [...]

Case Presentation: A 60-year-old farmer with a past medical history significant for antiphospholipid syndrome, atrial fibrillation (AF), and longstanding rheumatoid arthritis on infliximab therapy presented to the ED with weakness and dyspnea. History from family and recent rheumatology visit revealed a history of non-compliance and self-injection with livestock glucocorticoids due to self-diagnosed rheumatoid vasculitis and [...]

Case Presentation: Our patient is a 62 year-old gentleman with PMH significant for HTN, moderate-severe bilateral RAS and stage IIIa CKD who was transferred to our hospital for AKI requiring dialysis. 1 month prior to presentation, spironolactone was added to his antihypertensive medications of amlodipine, carvedilol, azilsartan and furosemide. He was in his usual state [...]

Case Presentation: 56-year-old woman with past medical history of hypertension, cerebrovascular accident, coronary artery disease, atrial fibrillation on apixaban presented with worsening left arm weakness. Patient was on full dose anticoagulation with apixaban 5 milligram(mg) every 12 hours and antiplatelet therapy with aspirin 81 mg. On physical examination patient had ischemic left upper extremity. Computed [...]