Case Presentation: 53 year‐old Caucasian male with history of hairy cell leukemia, diagnosed in 1997 with three relapses, now in remission, diabetes mellitus, obesity, hypothyroidism, COPD, hyperlipidemia, and hypertension presented with worsening generalized pain, high‐grade fevers (T=103F), night sweats, and a worsening rash for one month. The patient had a bone marrow biopsy one month […]

Case Presentation: A 40 year old woman with a recent allergic reaction from olive oil was seen and treated in the dermatology clinic, presented with a sudden onset of right‐sided chest pain, shortness of breath, and a recurrent fever of more than 101.3 degrees Fahrenheit for one day. She received broad spectrum intravenous antibiotics initially […]

Case Presentation: A 52 year old Haitian woman was admitted for right leg cellulitis with a hyperpigmented lesion and recurrent fever for the last 3 weeks after failed oral antibiotic treatment. During the first few weeks of hospitalization, she received multiple intravenous broad spectrum antibiotics without improving her fever or cellulitis. She further developed altered […]

Case Presentation: A 58 year‐old male with Human Immunodeficiency Virus (HIV) and chronic Hepatitis C presented with a three‐day history of worsening dyspnea on exertion. No chest pain, cough, or constitutional symptoms were noted. On physical exam vitals were: BP 134/78, HR 110, RR 22, Temperature 37.8°C, Oxygen saturation 95% on room air. The patient […]

Case Presentation: A 65 year old male with decompensated alcoholic cirrhosis with large right hepatohydrothorax and refractory ascites had a transthoracic echocardiogram prior to transjugular intrahepatic portosystemic shunt placement to rule out high cardiac output failure. External compression of the right atrium was noted, producing a constrictive physiology with impaired ventricular filling, septal bounce and […]

Case Presentation: A 26 year‐old female with history of Ulcerative Colitis (UC), status‐post partial colectomy and ileostomy five years ago presented with nausea, vomiting and abdominal pain for one day. She developed severe pain around her umbilicus area within few hours of eating a burger, associated with constant bilious vomiting. She also noticed increased output […]

Case Presentation: A 58 year old woman with a history of hypothyroidism on levothyroxine was directly admitted to our hospital after seeing her gastroenterologist with nausea, vomiting, weakness, and weight loss. She had a 6 month history of progressive weakness and intermittent episodes of emesis associated with palpitations and presyncopal episodes including an admission to […]

Background: Balancing academic work with expanding clinical demands is a challenge for many academic hospital medicine programs (AHMs). Understanding the infrastructure that best positions successful programs to thrive academically is important to facilitate broader maturation of the field. The SCHOLAR project research group, a joint venture between the Academic Hospitalist Committee of SHM and the […]