Background: Hospital-associated sleep loss and poor overall sleep efficiency are associated with poor glycemic control and exacerbated insulin resistance. in diabetic patients. The relationship between sleep, sleep hygiene, and diabetes is confounded by social determinants of health, such as health literacy. The evaluation of insomnia often utilizes complex sleep diaries or logs that may not [...]

Background: Hospital-acquired delirium induced via disruptions of the sleep cycle contributes to increased mortality and morbidity in hospitalized patients (1,2). Surveys of hospitalized general internal medicine patients at our institution, a tertiary academic medical center, have found that sleep duration is decreased in the hospital, with inpatients sleeping on average 4-6 hours, and reporting worse [...]

Case Presentation: A 70-year-old male with a past medical history of hypertension presents to the hospital for new onset of right-sided chorea interfering with his everyday activities with no associated weakness, numbness, speech, visual disturbances, rashes, or joint pains. A full initial laboratory work-up was performed notable for non-hemolytic anemia and elevated inflammatory markers. CT [...]

Case Presentation: Salmonella is a Gram-negative rod with multiple serotypes. This bacterium is part of resident flora of poultry, which the most common source of Salmonella. Consumption of under cooked chicken is a risk factor for Salmonella infection, which can cause invasive gastroenteritis. In less than 5% of Salmonella infections, bacteremia occurs, and more seldom [...]

Case Presentation: A 27-year-old incarcerated female with no past medical history presented with abdominal pain and fevers. Initial workup demonstrated neutropenia, anemia, and thrombocytopenia as well as an elevated ferritin level of 2000mg/dL. Abdominal imaging revealed hepatomegaly and diffuse adenopathy concerning for a lymphoproliferative disorder. A comprehensive workup revealed a positive EBV PCR, positive HSV [...]

Case Presentation: A 53-year-old woman with a history of systemic lupus erythematosus (SLE) not on immunosuppressive therapy presented with confusion and body rash. She was discharged 2 weeks prior, following admission for bacterial meningitis and brain abscess; her abscess was drained with negative cultures, and she was discharged with a prolonged course of ceftriaxone and [...]

Case Presentation: A 3-year-old male with past medical history of mild persistent asthma and allergic rhinitis presented with persistent hypoxia. He had a history of multiple prior hospitalizations for hypoxia, mainly in the setting of acute respiratory illness. At an outpatient cardiology visit, he was found to be hypoxic to 87%, though echocardiography was unrevealing [...]