Case Presentation: A 60 year old female with small cell cancer, type 2 diabetes on an insulin pump and empagliflozin, and recently diagnosed pulmonary embolus (PE) on apixaban presents to the hospital with intractable nausea with vomiting and symptomatic tachycardia. This patient presented 1 month prior with dyspnea and tachycardia and was found to have [...]

Case Presentation: We present a case of a 55-year-old Caucasian woman with a history of hypothyroidism, anxiety, depression, burns affecting 70% of body area (sustained in a motor vehicle accident 4 months before this admission), and recent COVID-19 infection, who presented for altered mental status. She was noted to be less conversive than baseline and [...]

Case Presentation: This is a case of a 65-year-old man with a history of prostate cancer who presented with a 3-day history of fatigue and shortness of breath. Initial diagnostic work-up revealed a hemoglobin of 7.8 g/dL (10.1 g/dL the day prior), normal platelets, and an indirect hyperbilirubinemia. Lactate dehydrogenase was elevated, haptoglobin was undetectable [...]

Background: We aimed to represent the effects of SARS Co V -2 on kidney functioning during the COVID-19 pandemic in patients of varied baseline GFR values staged into renal categories of one to five. Methods: We conducted a single-center, retrospective study using data of patients hospitalized for COVID-19 with acute kidney injuries. Demographic characteristics, clinical [...]

Background: Migraine headache is a common disorder in pediatrics. Children experiencing migraine headache that cannot be managed with oral medications may require hospital admission for treatment. Inpatient treatment typically involves a poly-pharmaceutical approach, including dihydroergotamine (DHE) for intractable migraine headaches. At our institution, patients receive DHE if other medications fail to abort migraine headache.. DHE [...]

Background: The REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) study sought to improve teamwork and quality for hospitalized patients by providing mentorship and resources to hospitals as they implemented: (1) Unit-based Physician Teams, (2) Unit Nurse-Physician Co-leadership, (3) Enhanced Interprofessional Rounds, (4) Unit-level Performance Reports, and (5) Patient Engagement Activities. Two [...]

Background: Non-beneficial treatment can be defined as medical interventions that are ineffective in achieving the desired goals or are “a disservice to patients who are subjected to ongoing and likely uncomfortable conditions with no benefit”. At times, critically ill patients are declined Intensive Care Unit (ICU) admission due to perceived lack of benefit from medical [...]

Background: There are more than 1.2 million annual emergency department (ED) visits for syncope in the United States. Prior studies have demonstrated that many associated admissions and diagnostic studies, including echocardiogram, carotid ultrasound and head computed tomography (CT), may be unnecessary. Our objective was to determine the effectiveness of a novel protocol for syncope care [...]

Background: The hospital discharge represents a time-dependent and vulnerable chapter in the patient pathway. Approximately one-fifth of hospital discharges suffer delays due to non-medical reasons with one major factor being inadequate assessment and recognition of barriers to discharge when first admitted. Promising work in the existing literature demonstrates a relationship between a measure of patient’s [...]

Background: Pulmonary B-lines are a highly sensitive sonographic sign of pulmonary edema in patients with Acute Decompensated Heart Failure (ADHF) (3). When found prior to discharge, this finding has been shown to accurately predict re-admission and mortality on short term follow up (4,5,6). Inferior vena cava (IVC) diameter and collapsibility can be used as a [...]