Case Presentation: We present the case of a 31-year-old female with a medical history of superior mesenteric artery syndrome status-post duodenojejunostomy, postural orthostatic tachycardia syndrome, and joint hypermobility who presented with acute-on-chronic abdominal pain and a two-week history of postprandial diarrhea. CT angiography of the abdomen and pelvis revealed severe proximal celiac artery stenosis with [...]

Background: Emory Healthcare’s approach to monitoring high-risk mortality patients relies heavily on retrospective data collection and analysis, which delays identification of and addressing critical issues. Additionally, the absence of standardized processes for mortality reviews and improvement efforts across the system leads to inconsistent practices and hinders proactive quality improvement initiatives. Purpose: We seek to improve [...]

Case Presentation: Our patient is a 68-year-old man with a past medical history of renal cell carcinoma s/p nephrectomy, metastatic melanoma s/p small-bowel resection in 2025 on immune checkpoint inhibitor therapy started 3 weeks prior, and CKD stage III, who presented due to shortness of breath, right-sided ptosis, and worsening bilateral lower extremity edema.In the [...]

Case Presentation: Anaplasma phagocytophilum, a gram-negative tick-borne pathogen, presents with a notably diverse clinical spectrum ranging from mild flu-like symptoms to multi-organ failure. A 50-year-old man initially presented after experiencing two syncopal episodes. His course began with malaise and weakness, followed by a day of profuse diarrhea and subsequent syncope without any prior history of [...]

Case Presentation: A 55-year-old woman with diabetes, hypertension, and hyperlipidemia presented with a rapidly progressive pustular eruption of one week’s duration. Two months earlier, she had been treated with terbinafine and doxycycline for presumed onychomycosis, during which nail dystrophy, dactylitis, and bullous lesions were noted. Four weeks into therapy, she developed urticarial plaques and pustules [...]

Case Presentation: A 73-year-old male with laryngeal cancer, under treatment at Mayo Clinic and complicated by severe dysphagia and malnutrition requiring PEG tube feeds, was admitted to the ICU with code status of DNR/DNI, with septic shock secondary to multifocal pneumonia. He had two prior admissions for pneumonia in recent months.On admission, empiric therapy with [...]

Case Presentation: A 49-year-old male with hyperlipidemia presented with two days of progressive numbness in the right lower limb and groin. Several weeks prior, he experienced back pain radiating to the left upper limb, followed by transient left leg numbness that gradually resolved. He denied recent illness, fever, or exposure to environmental toxins, but reported [...]

Background: Inter-hospital transfer (IHT, patient transfers between acute care hospitals) is common among hospitalized medical patients (1). However, few data describe which patients may be exposed to the risks of discontinuity of care from IHT without clear benefit (i.e., undergo potentially inappropriate IHT). Methods: The POINT Study, “Identification and Prevention of Potentially Inappropriate Inter-Hospital Transfers” [...]

Background: Accurate and timely discharge summaries are critical to safe transitions of hospitalized patients to the outpatient setting and reduce readmissions1–6. However, composing the hospital course (HC) section of the discharge summary is laborious and time consuming, contributing to increased documentation burden7,8, work outside of work9, and clinician burnout10,11. Recent retrospective studies demonstrated that large [...]

Background: Physical function (PF) impairment is a key determinant of hospital discharge disposition, yet real-time PF assessments remain underutilized in inpatient care. The Patient-Reported Outcomes Measurement Information System Physical Function 5-item tool (PROMIS PF5, or PF5) was embedded into the electronic health record (EHR) across 21 Kaiser Permanente Northern California (KPNC) hospitals to standardize PF [...]