Background: Osteomyelitis is an acute or chronic infection of the bone structures which can be caused by either bacteria, fungi, or mycobacteria. Studies have reported a high annual incident of about 1 in 675 hospital admission in the United States. The overall incident is higher in the male population for reasons unclear and increases with […]

Background: Previous studies have identified racial differences in sepsis incidence and sepsis mortality. Some evidence points towards differential treatment and subsequent sepsis outcomes in Black versus White patients. However, it is unclear to what extent racial differences exist in presentation and subsequent interpretation of complaints in the early phase of sepsis. Using History and Physical […]

Background: Cirrhosis was the fifteenth leading cause of death in the United States in 2019, with ascites being the most common major complication leading to hospital admission. Patients with ascites have recurrent hospital admissions with disproportionate use of hospital resources. Large volume abdominal paracentesis can be done safely by trained providers and is associated with […]

Case Presentation: A 38 year old man presented to the ED noting 12 days of yellowing of his eyes and 3 days of abdominal pain and swelling. He endorsed subjective fevers and noted drinking 8 beers daily. He immigrated from Mexico 12 years ago. Exam showed tachycardia, tachypnea, scleral icterus, and distended abdomen with fluid […]