Case Presentation: Spontaneous spinal epidural hematoma (SSEH) is a hematoma that happens without an insult. Although a rare entity, it can result in spinal cord compression. Etiologies include anticoagulant therapies, coagulopathies, blood dyscrasias, pregnancy, and vascular malformations (1). We present a case of SSEH in the setting of heparin and clopidogrel use during a vascular […]

Case Presentation: This is a 4-year-old previously healthy girl, fully immunized with the exception of COVID-19 immunizations, who was hospitalized after presenting with fevers and fatigue for one week followed by gross hematuria. At the outset of her fevers, she tested negative for COVID-19 using a home antigen test. 4 days prior to admission, she […]

Case Presentation: A 15-year-old male with HIV and inconsistent antiretroviral therapy adherence presented to an HIV clinic in Lilongwe, Malawi with weight loss, night sweats, lower extremity rash, and diarrhea. The rash on his legs had been present for 4 months and then spread to his arms. On exam, his vital signs were unremarkable. He […]

Case Presentation: A 16 year old boy with obesity presented for dehydration in the setting of three months of abdominal pain, nausea, and non-bloody, non-bilious emesis. Outpatient work-up had been unrevealing. He also endorsed cannabis use and vaping. He had lost 70 pounds during this time. New symptoms in the days prior to admission included dizziness […]

Case Presentation: A healthy five-year-old girl was admitted from Ophthalmology Clinic for evaluation of bilateral anterior uveitis, fatigue and weight loss. History was notable for a cat scratch to the right eye one month prior which had prompted the referral to Ophthalmology Clinic. Patient also reported fatigue, night sweats, intermittent headache, poor oral intake, and […]

Background: Effectively communicating information to a patient is the driving force for a successful physician-patient relationship. Patient outcomes depend on successful communication. As efficiency metrics and clinical productivity remain top priorities for most health systems, time spent with each patient gets affected hindering effective patient-physician communication. This in turn affects the HCAHPS (Hospital Consumer Assessment […]

Background: There are few hospitalist-specific training supports for writing clinical vignettes and case reports. This can limit participation in academic scholarship and opportunities to share informative cases encountered in everyday practice. Efforts to build hospitalists’ scholarly writing capacity—particularly for junior faculty—must effectively counter modifiable barriers including perceived lack of knowledge and ability. Purpose: Our Division […]

Background: Advanced Practice Providers (APP) are an expanding workforce within hospital medicine. Training and onboarding APPs is essential for developing a confident and competent workforce. However, onboarding options for APP training in hospital-based medicine have been limited due to the breadth and complexity of knowledge required to practice. Purpose: To develop an inpatient hospital medicine […]

Background: The Palo Alto VA Hospital has an interdisciplinary Clinical Command Center (C3) that includes “Flow” nurse practitioners (NPs) who work closely with case management, social work and primary medical teams to identify and address barriers to care and assist in discharge planning and coordination. We have created a novel collaboration between a C3 Flow […]

Background: The American opioid epidemic is a public health emergency, with over 100,000 opioid-related overdose deaths occurring in 2021 (1). Harm reduction treatment models, formulated with the goal of reducing the negative consequences of opioid use, have been implemented as an alternative approach in minimizing opioid overdose and mortality (2). With approximately 4-11% of hospitalized […]