Case Presentation: A 32 year old male presented to the emergency department unresponsive. Three months prior he had developed urinary incontinence, cognitive impairments, paresthesias in his extremities and weakness requiring crutches. His symptoms progressed leaving him bed bound weeks prior to arrival. EMS was contacted when he became unresponsive to verbal-noxious stimuli and exhibited difficulty […]

Case Presentation: 71-year-old female with history of DM2, HTN, breast carcinoma in situ status post mastectomy, B-cell lymphoma (R-CHOP in 2016 & RT, currently in remission), autoimmune hepatitis related cirrhosis on Azathioprine presented to the hospital with a 4-day history of progressively worsening productive cough, mild hemoptysis, fever and shortness of breath. In the Emergency […]

Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in […]

Case Presentation: A 64 year-old male with past medical history of prostate adenocarcinoma, hypertension, gout, GERD, and alcohol abuse presented to the hospital with jaundice for seven days. Past surgical history was notable for cholecystectomy. Patient was currently on radiation therapy and set to initiate chemotherapy later. A course of Bicalutamide and Augmentin were recently […]

Case Presentation: A 68-year-old man with a history of cryptogenic cirrhosis and hepatocellular carcinoma status post liver transplant with donor positive for cytomegalovirus (CMV), and recent treated CMV reactivation, was transferred from a nearby hospital with acute hypoxic respiratory failure requiring intubation secondary to Pneumocystis jirovecii pneumonia (PJP) identified on bronchoalveolar lavage. He was treated […]

Background: Continuing medical education (CME) sessions that teach the principles of root cause analysis (RCA) and offer CME credit to attendees are already widely available (1.) However, to our knowledge, no institutions offer physicians CME credit for participation in actual RCAs that are conducted to investigate real adverse events. A 2015 review recommended increasing the […]