Background: Decisional capacity requires four dimensions: 1) understanding of information given to make a choice 2) appreciation of situation as it relates to oneself and own situation 3) ability to engage in comparative and consequential reasoning while rationally manipulating information given and 4) ability to communicate a decision. Recently, there have been 2 main challenges [...]

Case Presentation: A 25-year-old Spanish-speaking man with a history of hypertension and post-streptococcal glomerulonephritis (PSGN) presented to the Emergency Department with abnormal kidney function tests. Two months earlier, his creatinine level was 2.68 mg/dL at an outside institution. He denied symptoms such as hematuria, dysuria, or edema. Physical examination revealed elevated blood pressure (172/92 mm [...]

Case Presentation: A 50-year-old man with a pmh of CKD stage 2 was admitted to our hospital for nausea, vomiting and acute kidney injury (AKI).2 months prior to presentation, he had been diagnosed with metastatic synovial sarcoma and had completed his first cycle of doxorubicin, ifosfamide, and mesna that was complicated by a mild AKI [...]

Case Presentation: A 53-year-old female with Stage IV diffuse large B cell lymphoma (DLBCL) with Myc and Bcl2 rearrangements. Chemotherapeutic regimens were initially successful at achieving remission, but her disease ultimately progressed. The patient elected to pursue CD19-directed Chimeric Antigen Receptor (CAR)-T therapy (axi-cel), and hospital admission was planned for the duration of therapy. The [...]

Case Presentation: An 83-year-old male with a complex medical history, including prostate cancer in remission, presented to the clinic. Routine labs revealed a serum calcium of 14 mg/dL and serum creatinine of 2.71 mg/dL and he was admitted directly from the clinic. Management included aggressive intravenous hydration, calcitonin, and a single dose of zoledronic acid. [...]

Case Presentation: A 41-year-old female with attention-deficit hyperactivity disorder and chronic back pain presented to the hospital with two weeks of progressive jaundice, scleral icterus, clay-colored stools, and dark urine. She had traveled to New Orleans two weeks prior to her presentation, where she reported engaging in two days of heavy alcohol consumption followed by [...]

Case Presentation: A 20 year old female with no past medical history presented for fever. She developed fevers, intermittent rash, polyarthralgias and odynophagia prompting her to present to the ED. She was febrile to 38.1 C and heart rate was 126 beats per minute. A faint erythematous facial rash was noted on physical exam along [...]