Case Presentation: 39-year-old male with history of previously treated TB meningitis 15 years ago, chronic hydrocephalus who received endoscopic third ventriculostomy few months ago, presented again with headaches and was found to have hydrocephalus. Patient received Ventriculoperitoneal shunt placement and CSF was obtained after the procedure. CSF studies showed (216-WBCs lymphocytic predominant fluid 81 %), [...]

Case Presentation: A 43-year-old male with no past medical history presented to the emergency room (ER) with fever, headache and generalized body pains for 3 days. He recently returned to the USA 5 days ago after a three week trip to Northern India to visit his extended family. His vitals signs and physical exam was [...]

Case Presentation: A 45 year-old male with a history of nephrolithiasis and hypertension presented with acute onset of right-sided flank pain and hematuria. He presented to an outside hospital and underwent workup for suspected nephrolithiasis. Urinalysis was negative for pyuria or leukocyte esterase. Non-contrast CT scan of his abdomen and pelvis was performed and was [...]

Case Presentation: A 69 year old male presented with one week history of worsening delusional behavior and encephalopathy. His medical history included hepatitis C (in remission), hypertension, hyperlipidemia, and polysubstance abuse (cocaine, alcohol). Initial CT head revealed a hypodensity involving right temporal, parietal, and occipital lobes suggestive of acute infarction. Subsequent MRI brain revealed T2 [...]

Case Presentation: A 57 year-old man presented with new-onset shortness of breath and fatigue. He was admitted for symptomatic anemia which improved after receiving a unit of red blood cells. He endorsed mild fatigue and night sweats but no fevers. Further questioning revealed recent unintentional weight loss of 40 pounds and an outpatient anemia workup [...]

Case Presentation: Goodpasture’s disease is an autoimmune condition characterized by pulmonary hemorrhage, glomerulonephritis and production of anti-GBM (glomerular basement membrane) antibodies. Anti-GBM disease approximately accounts for 15 percent of all cases of crescentic glomerulonephritis. We report a young female patient diagnosed with Goodpasture’s disease who initially presented with recurrent pneumonias.A 19 year old female patient [...]

Case Presentation: A 24-year-old male presented to the hospital with abdominal pain, vomiting, and fevers for one week, followed by dyspnea and cough. He denied animal exposure or recent travel, but admitted to vaping daily and using marijuana occasionally. On admission, vital signs were as follows: temperature 101 F, BP 107/64 mmHg, heart rate 109 [...]

Case Presentation: A 16 y/o male presented with an acute onset of palpitations, generalized chest pain, and rash (Figure 1). In light of recent camping exposure and targetoid lesions compatible with erythema chronicum migrans (ECM), Lyme disease was suspected. An EKG demonstrated 1st degree AV block with a PR interval of 384 msec. Echocardiogram and [...]

Background: Failure to promptly recognize clinically deteriorating patients in the hospital leads to delays in critical interventions and worse health outcomes. Current standard practice in patient monitoring on most medical-surgical wards involves vital sign assessment at discrete time points, typically every four to eight hours. More frequent or continuous vital sign monitoring has historically been [...]

Background: According to AHRQ, patient safety culture refers to the beliefs, values, and norms shared by health care practitioners and other staff throughout the organization that influence their actions and behaviors. Safety reporting (or incident reporting) is an important aspect of safety culture. Safety reporting of adverse events is a valuable epidemiological tool to measure [...]