Background: Central nervous system medication (CNS med) use among older adults is associated with high morbidity and mortality. This study described patterns of CNS medication use, and identified people most likely to have CNS medications initiated or deprescribed around hospitalization. Methods: Retrospective cohort study using electronic health record data from 3-hospitals. Patients aged 65 years [...]

Background: Advances in complex congenital cardiac care have promoted the survival of greater than 90% of pediatric patients. As adults with congenital heart disease (ACHD) have lifespans approaching that of the general population, there is a growing call to understand the experience of living with this childhood-onset chronic condition. Hospitalists are often the primary inpatient [...]

Case Presentation: A 43-year-old man presented to the hospital with three days of lethargy, confusion, jaundice, abdominal pain with associated vomiting and poor oral intake. Medical history includes recently diagnosed Adult-onset Still’s Disease (AOSD) 6 weeks prior to presentation, for which he was taking prednisone 60 mg daily. Exam was notable for lethargy, petechiae on [...]

Case Presentation: A 52-year-old man with a history of hypertension and coronavirus disease 2019 (COVID-19) two months prior presented to the emergency department (ED) with five days of fever, malaise, vomiting, and diarrhea. He tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) three days prior and received monoclonal antibody infusion the day prior [...]

Case Presentation: A 49-year-old man with known history of class III obesity (body mass index 43), hypertension, hyperlipidemia, and insulin dependent diabetes presented to the emergency department with bilateral lower extremity swelling and dyspnea on exertion of two weeks duration. Pertinent vitals included blood pressure 161/74 mmHg, heart rate 99 beats per minute, and saturation [...]

Case Presentation: A 25-year-old African American male with no significant medical history presented to the hospital with a new-onset skin rash. Over a month, he noticed a migratory pruritic rash growing on his trunk, arms and legs. He also experienced intermittent high-grade fevers, sore throat, and diffuse symmetrical joint pain. On arrival, patient was noted [...]