Background: Introduction: Point-of-care ultrasound (POCUS) expediently detects the pulmonary manifestations of COVID-19 and is predictive of patient outcomes. Although lung POCUS can be used in the diagnosis and management of patients hospitalized with COVID-19, there are no standardized scanning protocols. Furthermore, it is not known how much scanning is needed to sufficiently rule-in the pulmonary […]

Background: SARS-CoV-2 (COVID-19) pandemic continues to remain a global crisis with the emergence of new virulent variants, including the recent spikes in the cases of delta variant. While RT-PCR is the diagnostic test of choice, High-Resolution Computed Tomography (HRCT) chest has been utilized to assess disease severity. We aim to study the association between bilateral […]

Background: Hematopoietic stem cell transplantation (HSCT) remains the only definitive treatment for many benign and malignant hematologic disorders. Despite advances in transplant medicine, HSCT still carries a significant risk of serious complications, including idiopathic pneumonia syndrome (IPS). IPS is characterized by diffuse alveolar injury that is not due to infection or fluid overload. IPS affects […]

Case Presentation: 57-year-old female patient with no significant past medical history presented to the ER with a chief complaint of progressive dyspnea and lower extremity weakness for the past 3 months. Oxygen saturation was 87% on room air. Physical exam revealed bilateral crackles on lung auscultation. Bilateral lower extremities (BLE) had 3/5 strength with a […]

Case Presentation: A 41-year-old woman with a history of progressive ILD, Raynaud’s phenomenon, and Sjögren syndrome presented to ED for worsening dyspnea on exertion, malaise, fevers, chills, and body ache lasting more than 3 weeks. She had received treatment with antibiotics and a short course of steroids as an outpatient without effect. On physical exam, […]

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 […]

Case Presentation: A 64 year-old male with a history of childhood polio leading to severe kyphoscoliosis presented to our hospital with four months of progressively worsening shortness of breath and was found to be in acute hypoxic and hypercapneic respiratory failure requiring noninvasive positive pressure ventilation (NPPV). On exam, he was altered and not responding […]

Case Presentation: A 61-year-old man with no notable health history was admitted to the hospital for a month-long history of dysphagia and weight loss. The patient had been in his usual state of health until around six months ago when occasional back pain developed, which he attributed to his prolonged truck-driving. Four months prior to […]

Case Presentation: A 26-year-old otherwise healthy female was prescribed trimethoprim-sulfamethoxazole (TMP-SMX) for a recurring, spontaneously draining vaginal mass below her urethra with inguinal adenopathy. 5 days after starting TMP-SMX, she developed a full-body rash, fever, myalgia, nausea, and a depressed WBC of 2.4 K/mcL. Possible drug fever was suspected and TMP-SMX was discontinued and covered […]

Case Presentation: Here, we present a rare case of large bilateral pleural effusions arising from a pancreaticopleural fistula (PPF) with a complicated course of trapped lung. Our patient is a 41 year old woman with a history of chronic pancreatitis who presented to the emergency department with a 3-day history of dyspnea on exertion and […]