Background: Residents are uniquely positioned to learn from and contribute to informatics. As key electronic health record (EHR) users, they offer practical solutions and feedback. Resident informatics engagement promotes EHR proficiency and accelerates implementation of best practices and quality improvement. Understanding how clinical data are structured creates a foundation for future scientific inquiry using clinical [...]

Background: Despite the widespread use of technology across our daily lives, many processes in the hospital remain manual and labor-intensive. As hospital medicine divisions grow, there is an increasing need for automated and scalable solutions. While many hospitals look to external vendors to provide automated solutions, these often lack customizability and gaps remain. Purpose: To [...]

Background: Use of stigmatizing language in clinical note documentation is a recognized problem, but such notes may be viewed disparately and irregularly. Whether such language is also used in highly visible behavioral alerts (BAs), which are presented forcefully through push notifications and viewed repeatedly whenever a chart is opened, is unknown. Further, whether BAs with [...]

Background: As of April 2020, the Center for Disease Control and Prevention recommends one-time Hepatitis C testing for all adults age 18 and over and all pregnant women during every pregnancy. Previous research shows that Emergency Departments (ED) are effective settings for screening and diagnosing individuals for Hepatitis C Virus (HCV). The purpose of this [...]

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: 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 [...]

Case Presentation: A 75 year old male with atrial fibrillation, osteomyelitis of the right first digit of the lower extremity on IV Vancomycin presented as a transfer from an outside hospital with 3 weeks of worsening pressured speech, delusions, insomnia, and a seizure like event. The patient was admitted for further work up and management [...]

Case Presentation: A 19-year-old male with recent diagnosis of human immunodeficiency virus (HIV) (CD4 580/mm³ and viral load 1.2 million/mm³) and Kaposi sarcoma (KS) was transferred to our hospital for refractory thrombocytopenia. Prior to his presentation, he experienced a month of fatigue, night sweats, weight loss, and facial and neck swelling. His outside hospital workup [...]

Case Presentation: Pachymeningeal enhancement (PME) is a radiological phenomenon describing the enhancement of the dura and outer layer of the arachnoid meninges best appreciated on contrast-enhanced MRI. We present a case of diffuse PME in the setting of a transient ischemic attack (TIA) which has been previously unreported. An 83-year old female with a history [...]

Case Presentation: A 34-year-old female with a history of hypertension, hyperlipidemia, and SLE presented with acute substernal tightness associated with nausea and vomiting. She denied fever, chills, diaphoresis, or palpitations. Her EKG showed sinus rhythm with new T wave inversions in anterior leads. Troponin elevation was noted with a peak of 4.48. Echocardiogram showed normal [...]