Background: To evaluate prevalence of non-adherence to breast cancer screening guidelines after bedside educational intervention and informed individualized risk assessment score during an inpatient stay. Methods: A prospective intervention study was conducted among 507 cancer-free (except skin cancer) women aged 50-75 years hospitalized to a general medicine service. Study intervention included one-on-one bedside education via […]

Background: Despite the proven mortality benefit of screening colonoscopy, approximately 27% of hospitalized women are non-adherent with colorectal cancer screening guidelines. Colonoscopy is the most frequently used test for colorectal cancer screening in US. Although Medicare and most insurance plans would cover screening colonoscopy, colorectal cancer screening has not been part of usual hospital care. […]

Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a […]

Background: In 2020, melanoma exhibited the 5th highest incidence rate of all cancers in the US. While metastatic melanoma constitutes only 4% of new melanoma cases, the 5-year survival rate of metastatic melanoma is 27% [1]. Immune Checkpoint Inhibitors (ICIs) were the first drugs to significantly improve the 5-year survival of late-stage melanoma patients; these […]

Background: Increasing evidence points towards incarceration causing poor health, with one study estimating that every year in prison is associated with a two-year reduction in life expectancy (1). Cervical cancer is the most common cancer among incarcerated females (2,3). No study has yet examined whether this increased rate of cervical cancer diagnosis persists after release. […]

Background: Long-term central venous access devices (CVADs) are integral to cancer care provision. Despite the high prevalence of CVAD occlusion in children with cancer, strategies to prevent occlusive events are understudied. We aimed to test the safety and feasibility of conducting a randomized controlled trial (RCT) comparing heparinised saline, with normal saline (0.9% sodium chloride) […]

Case Presentation: A 45-year-old Vietnamese female with history of H. pylori who presented with worsening nausea, vomiting, epigastric abdominal pain and early satiety. Patient reported her epigastric pain had been intermittent for the past six months but had acutely worsen in the last two weeks. There were no initial inciting events that triggered these symptoms. […]

Case Presentation: A 51-year-old female with no significant medical history presented to the hospital after a ground-level fall with severe thoracic back pain, paresthesia, paresis of both lower extremities and urinary incontinence. Exam revealed thoracic spine tenderness, bilateral diminished sensation up to two inches above the umbilicus and 1/5 bilateral lower extremity strength. Spinal MRI […]

Case Presentation: A 68-year-old woman presented with a small, right-sided neck lump, without any compressive symptoms. She reported the size of the lump had been constant for 7 years and denied hyper or hypothyroidism symptoms. No known family history of thyroid, pheochromocytoma or calcium disorder was noted. Past medical history showed hypertension.Her neck examination showed […]

Background: United States Preventive Services Task Force recommends clinicians provide smoking cessation counseling and interventions to all smokers and lung cancer screening with low dose CT scan for high-risk individuals. We aimed to determine the prevalence of smoking cessation counseling and lung cancer screening rate at the residents’ clinic and implement a multimodal plan to […]