Background: Co-managed care models have become increasingly popular as a result of their positive impact on patient care. This has been seen through improvement in quality metrics such as readmission, LOS, and adherence to evidence-based care pathways. Surgical hospitalist models have paved the way for new collaborative models that standardize care and optimize inter-specialty communication. […]

Case Presentation: A 60-year-old male with chronic kidney disease 3a, hypertension (HTN) and type 2 diabetes was found unresponsive at work. The patient’s home medications were carvedilol, nifedipine, spironolactone and valsartan for his resistant HTN. Initial evaluation revealed undifferentiated shock with an inappropriately low heart rate of 40 beats per minute. Labs showed potassium of […]

Case Presentation: A 70-year-old woman with a past medical history of CKD stage IV, nephrolithiasis, Crohn’s disease presented to the Emergency department for two weeks of nausea, anorexia, dehydration, fever, chills, lightheadedness with right upper quadrant pain. Upon admission the patient was in shock, differentials included septic vs cardiogenic. BNP was 354 pg/mL and troponin […]

Case Presentation: An 86 year old man with hypertension, COPD, and a 100 pack year smoking history presented to the emergency department with 1 week of dyspnea and neck pain. He had a blood pressure of 104/74, heart rate 85, respiratory rate 27, and SpO2 95% on 3 liters nasal cannula. Labs were significant for […]

Case Presentation: A healthy 43-year-old Caucasian male who recently traveled to East Africa was presented to the emergency department with a high-grade fever (105.3F), and myalgia. He denied taking malaria chemoprophylaxis. On presentation, he was febrile, hypotensive, and tachycardic. He appeared to be ill, and toxic with no palpable organomegaly. His initial blood tests revealed […]