Case Presentation: A 68 year-old Spanish-speaking female with PMH of type 2 diabetes mellitus, GERD, and tobacco use presented to the Emergency Department (ED) with one day of acute-onset substernal chest pain associated with nausea/vomiting and bilateral arm numbness L>R. Initial workup revealed CXR with mass-like opacity in the right upper lobe, high sensitivity troponin […]

Case Presentation: A 76 year-old woman with coronary artery disease, hypertension, and chronic kidney disease presented to the ER with a one-day history of profound generalized weakness and acute severe anemia. She had known diverticulosis and was taking aspirin 81 mg twice daily status-post a left total hip arthroplasty three weeks prior. Review of systems […]

Background: Residents receive little feedback on their clinical reasoning (CR) documentation due to time constraints of supervisors and lack of a shared mental model. We developed an innovative workplace-based assessment tool using machine learning (ML) to provide feedback on CR documentation. Here, we describe the impact of feedback using this assessment tool. Methods: In earlier […]

Case Presentation: A 67-year-old man with tobacco use disorder, class I obesity, OSA, and recurrent basal cell carcinoma (BCC) of the external auditory canal presented to his preoperative appointment prior to planned surgical removal of his BCC with partial temporal bone resection, parotidectomy, and reconstruction. At the time, he endorsed subacute progressive dyspnea, dry cough, […]

Case Presentation: A 70-year-old man with history of diffuse large B-cell lymphoma (status-post 2 cycles of CHOP chemotherapy), COPD, stage 3 chronic kidney disease, and diabetes mellitus presented with generalized weakness and diarrhea. His symptoms began three days prior with head pain, chills, and weakness. He then developed increasing diarrhea from his baseline of one […]

Case Presentation: A 59 year old woman with presumed systemic lupus erythematosus (SLE) was admitted to hospital medicine for severe pancytopenia (WBC 1.3 x109/L, hemoglobin 9.2g/dL, platelet 14×109/L). She had an extensive diagnostic work-up with rheumatology and hematology without a definitive diagnosis; rheumatology questioned her prior SLE diagnosis. Imaging showed diffuse lymphadenopathy and splenomegaly. Three […]