Case Presentation: A previously healthy 4-year-old female born in Mexico was sent to the emergency department for elevated blood pressures noted at her routine outpatient clinic visit. On arrival, her blood pressure was 161/126. The patient reported polydipsia, polyuria, and weight loss. Her initial physical exam was unremarkable and her vitals were otherwise within normal [...]

Background: Many academic hospitalists begin their careers directly after residency and are expected to become teaching attendings without additional training or experience. Early attendings must quickly learn how to balance autonomy and supervision, advance patient care, and educate a wide spectrum of learners. Although tools such as faculty development workshops or peer observation programs are [...]

Case Presentation: A 53-year-old immunocompetent female with a history of well-controlled type 2 diabetes mellitus had incidentally found asymptomatic right lower lobe lung masses, the largest of which measured 6.5 cm x 2.4 cm. She underwent a CT-guided lung biopsy of these for further evaluation. The pathology report did not reveal a malignancy, but instead [...]

Case Presentation: A 70-year-old female with a complex medical history including Barrett’s esophagus, Class 3 obesity, obstructive sleep apnea, obesity, atrial fibrillation, and adenocarcinoma of the esophagus in remission, presented with three days of intractable nausea, vomiting, and epigastric abdominal pain. She categorized the pain as sharp and radiating to the right and left upper [...]

Case Presentation: A 75-year-old male with atrial fibrillation on apixaban and eradicated HCV presented to the Emergency Department one day after a syncopal episode with right upper quadrant abdominal pain. On initial presentation, he was hemodynamically unstable with hypotension and atrial fibrillation with rapid ventricular response. His vital signs normalized after 2 liters of intravenous [...]

Case Presentation: A 41-year-old female with Acquired Immunodeficiency Syndrome (AIDS) presented with a complex clinical picture involving seizures, falls, and fever. Limited historical information hindered a comprehensive understanding of the patient’s medical background. Upon examination, the patient exhibited signs of cachexia, lethargy, and distinctive skin lesions. Laboratory results revealed anemia, leukocytosis, and a significantly low [...]

Case Presentation: 65-year-old man with a history of end stage renal disease on hemodialysis, hypertension, cervical spine stenosis status post surgical decompression presented with melena, a decreased appetite, dysphagia for solids and liquids, and a ninety-pound weight loss over the prior six months. He was admitted with acute hypoxic respiratory failure and stridor requiring endotracheal [...]

Case Presentation: A 6-year-old male with 4-month history of recurrent otitis media presented with one day of headache, ear pain, and left-sided facial droop. Parents claimed that he completed multiple courses of different antibiotics and steroids with incomplete resolution of symptoms. On presentation, he was afebrile. Physical exam was notable for left facial paresis House-Brackmann [...]

Case Presentation: A previously healthy, 7-year-old girl presented to the emergency department with intermittent episodes of achy abdominal and right-sided flank pain for one month. The patient’s mother endorsed pain severe enough to wake the patient from sleep, as well as occasional constipation, and an associated 12-lb weight loss over the previous six months. On [...]

Case Presentation: A 59-year-old female presented with a one-month history of right upper quadrant abdominal pain and unexplained weight loss. On initial examination, the patient had a BMI of 27.1 kg/m2, blood pressure of 134/88 mmHg. A computerized tomography (CT) scan revealed a substantial tumor centered in the right adrenal gland region, compressing the inferior [...]