Case Presentation: A 25‐year‐old Filipino female presented after being brought To the emergency department by a friend who noticed her “very abnormal behavior.” The patient was found wandering outdoors and was unaware of her surroundings and the month and year and could not recall recent events. On presentation the patient was afebrile, and her vital […]

Case Presentation: A 59‐year‐old man presented with a 3‐month history of a dry cough. He denied smoking. On further questioning, he noted a 9‐month history of dyspnea that began after an appendectomy. During that hospital course, a urinary catheter had been placed secondary to urinary retention and hypospadias. Prior to surgery, he ran 5K races. […]

Case Presentation: A 75‐year‐old woman with a history of stage II colon cancer in remission and PE 2 years ago presents with 3 days of progressive dyspnea and weakness She was admitted to an outside hospital, where she underwent CT chest angiography and was found to have new pulmonary emboli. She was started on therapeutic […]

Case Presentation: A 24‐year‐old woman with sickle cell disease (SCD) presented with 1 day of progressive bilateral lower‐extremity pain. She was afebrile and had no chest, back, or joint pain. She had edema and tenderness to palpation of both lower extremities. Her sclerae were anicteric, JVP was not elevated, and lungs had clear breath sounds. […]

Case Presentation: A 76‐year‐old woman presented with a 1‐day history of bloody bowel movements and syncope. She also noted weakness and lower abdominal pain but denied nausea or vomiting. She had been constipated for the past 10 days, until her recent maroon and bright red bowel movements. She has type 2 diabetes, hypertension, congestive heart […]

Case Presentation: Three previously healthy premenopausal women with negative past medical history presented with chest pain. The patients had positive biochemical cardiac markers and ECG changes showing acute cardiac injury. An emergent cardiac catheterization was done, and the angiographic appearance was that of a diffusely diseased left anterior descending artery (LAD) artery with the proximal […]

Background: Considerable resources have been devoted to improving hand hygiene compliance, yet true compliance remains unacceptably low, especially among physicians. Estimates from U.S. hospitals conclude that 2 million hospital‐acquired infections occur yearly, resulting in 100,000 deaths and direct costs, according to the CDC, of $30‐$40 billion. Few studies have observed physician team dynamics in relation […]

Case Presentation: A 36‐year‐old white woman presented to the emergency department with 1 day of hematochezia, crampy abdominal pain, and diarrhea. She denied recent travel, antibiotics, or sick contacts. She was a nonsmoker, without cardiovascular risk factors. Past medical history was significant for migraine headaches and depression. Medications included sumatriptan, oral contraceptive pills (OCPs), and […]

Background: Urinary catheters are frequently used in acute care settings, resulting in substantial morbidity and costs from catheter‐associated urinary tract infection (CAUTI). National data from 2005 revealed that preventing CAUTI was a low priority for most U.S. hospitals with little attention given to either CAUTI or urinary catheters as a patient safety problem. It is […]

Background: Neutropenia is a serious and potentially fatal complication of drug therapy that can be induced by a number of medications. Failure to correctly identify and remove the offending agent can result in serious morbidity and mortality. Methods: The patient is a 52‐year‐old African American woman with diabetes, chronic anemia, and refractory HTN who presented […]