Background: Hospital medicine (HM) continues to be primarily composed of junior faculty and research has highlighted a paucity of mentors and academic output. Faculty advancement programs have been identified as a means to support junior faculty in their career trajectories and to advance the field. The optimal approach to supporting faculty development (FD) efforts is [...]

Case Presentation: A 54-year-old woman with type 2 diabetes mellitus with hyperglycemia and hypertension presented to our hospital with new fevers, nausea, vomiting.Four days prior, the patient was found to have a diabetic foot infection and started on trimethoprim/sulfamethoxazole (TMP-SMX) and metronidazole as an outpatient. At this time, her sodium was 133, corrected to 139 [...]

Case Presentation: A 65-year-old man presented to outside hospital post-fall with weakness, back pain and fever. He had sinus tachycardia, leukocytosis, and a meth-positive urine drug screen (UDS). Chest x-ray and CT abdomen/pelvis were unremarkable. Blood and urine cultures grew MRSA. Empiric antibiotics and infectious disease (ID) consult ordered. Transthoracic (TTE) and transesophageal (TEE) echocardiogram [...]

Case Presentation: A 38-year-old female presented to the emergency department with profuse vomiting, fever, chills, lightheadedness, dizziness, and the inability to tolerate oral intake. She had been in her usual state of health until two hours after returning from a doctor’s appointment where she received methylene blue intravenously. Past history included hypothyroidism, postural orthostatic tachycardia [...]

Case Presentation: A 80 year-old man with past medical history of frontotemporal dementia and seronegative rheumatoid arthritis (RA) presented with a maculopapular rash that started two weeks ago on his back that progressed to his chest, abdomen, neck, face, scalp, and arms. Physical exam also showed oral mucositis. For his RA, he had been on [...]

Case Presentation: A 65-year-old male presented to his primary care clinic with a one-week history of right-sided facial pain radiating around his jaw with a negative dental workup. Patient had progressive neck pain and CT scan found an ill-defined soft tissue in the superior mediastinum encasing the proximal left common carotid artery, concerning for lymphoproliferative [...]

Case Presentation: We present the case of a 64-year-old male with a history of pulmonary embolism status post IVC filter, and recent viral constrictive pericarditis with exudative pericardial effusion requiring pericardiocentesis and bilateral pleural effusions requiring chest tubes, who was admitted for dyspnea, cyanosis, and confusion. Vitals were blood pressure 78/51, heart rate 60, respiratory [...]

Case Presentation: Patient is a 23-year-old male with attention deficit hyperactivity disorder and depression who presented with a chief complaint of shortness of breath and bluish discoloration of his skin. Patient was at a friend’s house for dinner where he ate pork leg and returned home thereafter. One hour after dinner, he began to experience [...]

Case Presentation: An 88-year-old female with autoimmune iritis on chronic methotrexate presented after a ground level mechanical fall. Vitals were unremarkable except for O2 saturation of 80% on room air, which improved with 3 lpm of O2. Initial pulmonary exam was unremarkable; her right wrist was swollen and tender. Initial work up showed an elevated [...]

Case Presentation: Methemoglobinemia is a hematological condition that is most commonly acquired when substances cause oxidation of iron to the ferric state (Fe3+) from the ferrous state( Fe 2+). It is a clinical diagnosis based on effective history taking and signs of hypoxemia resistant to supplemental oxygen. Here we describe a patient who had been [...]