Background: The importance of accurate patient care records for effective communication and medical education is well documented. However, medical documentation as a tool for financial compensation is not emphasized in graduate medical education. We performed a review and analysis of resident charting errors during inpatient rotations to determine the potential revenue loss and economic impact. […]

Case Presentation: Patient is a 41-year-old male with no relevant medical history who presented with 3 days of right orbital swelling. Accompanying symptoms included fevers, chills, and tinnitus. There was erythema above the right vermillion border with extension to the nasal cavity and right orbit. Sensation to light touch was decreased over the V2 nerve […]

Case Presentation: A 31 year old male with no known medical history presented to the hospital with complaints of acute onset chest pain, shortness of breath and 30 lb weight gain. History was notable for a period of starvation with intake of exogenous testosterone, T3 and growth hormone prior to a bodybuilding competition followed by […]

Case Presentation: A 76-year-old female with a history of an incarcerated hernia, Clostridium difficile colitis, hypertension, and dyslipidemia presented to the emergency department (ED) with bloody diarrhea and weakness. On admission, the patient denied fevers, chills, or cough. Additional symptoms included self-limited hyponatremia (133 mmol/L), likely due to excessive diarrhea, bleeding internal hemorrhoids with discomfort, […]

Case Presentation: 62-year-old male admitted following new onset generalized tonic clonic seizure lasting 5-6 minutes witnessed by mother. Per EMS on scene, he was agitated and required ketamine and midazolam while on route to the hospital. Upon admission, he was hemodynamically stable with physical exam only remarkable for raised maculopapular rash extending from the left […]

Case Presentation: A 73 year old female with previous history of IgG lambda multiple myeloma presented to the emergency room with three weeks of gradually worsening shortness of breath, fatigue, and loss of appetite. Her multiple myeloma was diagnosed 2.5 years ago and she had since undergone several rounds of radiation and chemotherapy. Upon arrival […]

Case Presentation: A 30-year-old male with no significant past medical history presented with one year of progressive vision loss. He saw an ophthalmologist one month after the initial onset and described it as a “dark curtain” progressing from his central vision. He was diagnosed with decreased visual acuity bilaterally. He was prompted to go to […]

Case Presentation: A 65-year-old male presents to hospital with a 1-day history of confusion and fever. Past medical history is significant for heart failure requiring AICD, chronic kidney disease, type-2 diabetes mellitus, May-Thurner syndrome, and recent admission three weeks prior due to sepsis from streptococcus bacteremia requiring hemodialysis, with dialysis catheter removed before initial discharge. […]