Background: Malnutrition, defined as deficiencies or excesses in nutrient intake, is associated with worse short and long-term outcomes compared to similar people without the diagnosis. The ASPEN or GLIM criteria are used to diagnose malnutrition, but these criteria are somewhat vague and measurement standards are typically not objective. The Inpatient Prospective Payment System considers severe [...]

Background: Growth faltering or failure to thrive is a common cause of admission in infancy and early childhood. In the United States, approximately 2-10% of children experience lower-than-expected growth associated with malnutrition (Tang et al). Growth faltering accounts for 3-5% of pediatric hospitalizations (Mazze et al, 2019). Malnutrition is associated with complications of increased risk [...]

Case Presentation: A 55-year-old man with a history of chronic alcohol abuse, anxiety, and Crohn’s disease treated with right hemicolectomy and ileocolic anastomosis 30 years ago presented with symptoms of altered mental status, generalized weakness, and weight loss for 10 days. He endorsed chronic diarrhea but was not on immunosuppressants. He had a temperature of [...]

Case Presentation: An exclusively breastfed 2-month-old male born at 31 weeks gestation presented with 10 days of progressively worsening rash over his face, genitalia, and right upper extremity. Prior to transfer, the patient had previously been treated for suspected impetigo with topical mupirocin, oral cephalexin, and IV cefazolin without improvement. Upon presentation, the patient was [...]

Case Presentation: We present a case of a 63-year-old male with a past medical history of hypertension and alcohol use disorder (multiple beers per day) who presented with a two-week history of black stools. On arrival, he was hypothermic, tachycardic, and hypotensive, likely due to hemorrhagic shock. Physical examination revealed melena and anasarca. Labs were [...]

Case Presentation: A 51-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (CKD) presented to the hospital following a fall at home. The patient described a disease course that started six months prior with bilateral knee weakness and shooting pains that progressed to severe gait imbalance and inability to ambulate. [...]