Background: While hospitalists pursue a primarily clinical role, we have carved a niche in clinical research, particularly Quality Improvement based research. However, clinical research often involves time intensive chart review, which can become a barrier to hospitalists with heavy clinical roles. A mechanism to mitigate this will be revolutionary. Purpose: In this innovations abstract, we [...]

Background: To mitigate COVID-19 related hospital crowding, our hospital internal medicine (HIM) department collaborated with our emergency department (ED) to launch a service in which an HIM team was placed in the ED to assist with triage. The goal was to expedite patients with a clear need for admission, while diverting others who could be [...]

Case Presentation: A 58-year-old Spanish-speaking, uninsured man presents to primary care for a rash and is diagnosed with poison ivy and treated with prednisone. He eventually presents to the emergency department with ulcerative, crusting lesions of his right nasal ala, eyelid, scalp, philtrum, and lips. The lesions overlay a desquamative rash that covers his right [...]

Case Presentation: We present a case of a 64-year-old woman with metastatic neuroendocrine pancreatic carcinoma with abrupt left facial and oculomotor cranial nerve palsy as well spastic tetraplegia after one dose of Ipilimumab/Nivolumab. She had a history of sudden onset diplopia, fever and ground-level fall a few hours after her initial dose of immunotherapy. Initial [...]

Case Presentation: A previously healthy 18-year-old male presented with a loculated pleural effusion. 10 days prior, the patient had sudden, acute, left sided anterior wall chest pain and shortness of breath. He reported night sweats, but no other symptoms. He was initially treated with doxycycline in the outpatient setting. Despite antibiotics, the symptoms worsened, and [...]