Background: The field of Hospital Medicine continues to expand and diversify in exciting ways, but it’s well known that we lag behind other fields in scholarly output and promotion (1,2). Our academic group has grown from 62 to 135 partners over the last 5 years, bringing in a plethora of new interests and areas of [...]

Background: Multiple previous studies have indicated that patient experience is linked to the interactions with caregivers in healthcare settings.These interactions impact a patient’s perception in areas like trust and service quality. These are also thought to be associated with improved patient compliance and thus clinical outcomes. Purpose: Managing Up is a process to help create [...]

Background: The SARS-CoV-2 pandemic has required healthcare systems around the world to rapidly innovate and adapt to unprecedented operational and clinical strain. Many healthcare systems have turned to virtual care capabilities as an innovative means to safely and efficiently monitor patients while reducing staff exposure and resource constraints. Purpose: The overarching aim of this project [...]

Background: Diabetic Ketoacidosis (DK)A at our center has historically been managed in the intensive care unit (ICU) utilizing low-dose insulin infusion. According to the American Diabetes Association (ADA) and a 2016 Cochrane review, cases of mild to moderate DKA can be safely managed on general medical floors utilizing subcutaneous short-acting insulin. Prior studies have demonstrated [...]

Case Presentation: Our vignette is of a 14-year-old female who presented to the emergency room for complaints of right elbow pain and swelling. Patient underwent open reduction internal fixation (ORIF) for right elbow fracture when she was 2-years old. The hardware was removed successfully after the fracture healed. Since then, the patient had 3 fractures [...]

Case Presentation: An 81-year-old man with a history of paroxysmal atrial fibrillation and angiosarcoma on immunotherapy presented with acute onset of shortness of breath, chest pressure and lower extremity edema. He had been started on ipilimumab and nivolumab 1 year prior to presentation and had developed immune checkpoint inhibitor (ICI) thyroiditis, hepatitis, and pneumonitis while [...]

Case Presentation: A 19-year-old female with past medical history of asthma, GERD, and anxiety presented with chief complaint of dyspnea, fever, pleuritic chest pain, and vomiting. She was diagnosed with community acquired pneumonia based on multifocal opacities on CT and started on ceftriaxone and azithromycin with initial improvement of symptoms and leukocytosis. On hospital day [...]

Case Presentation: 74 y/o F w/ a PMH of Chronic Myelocytic Leukemia on nilotinib who presented with progressive weakness and anuria for the week prior to admission. On presentation, patient was hypotensive with SBP in the 80s. Physical exam was notable for 3/5 strength on all four extremities, however no focal deficits. Lab data was [...]

Case Presentation: The patient is a 52 year old female with a history of Scleroderma, Raynaud’s, and APLS who presented to the emergency department for new onset chest pressure for 1 day. On physical exam, vital signs were 99 F, 152/99, 109, and 96% on RA and no cardiac murmurs, crackles on lungs, or pitting [...]

Case Presentation: A 35-year-old female with tobacco use disorder presented to the emergency department with three months of recurrent fevers, non-productive cough, and dyspnea on exertion. She was initially seen by her primary care physician for these symptoms in the context of multiple sick contacts and was treated empirically for streptococcal pharyngitis with amoxicillin. Due [...]