Background: UC Davis Medical Center is a 646-bed tertiary care center and level 1 pediatric and adult trauma center, serving over 33 counties. Most inpatient internal medicine consultations originate from orthopedic and trauma services, with a significant subset of fragility fractures and geriatric patients. We established a co-management service to provide additional assistance for the [...]

Background: In-hospital cardiac arrest (IHCA) remains a leading cause of mortality in the United States, with an estimated 290,000 cases annually and survival to discharge rates ranging from 15% to 40% as of 2024. For those patients who achieve return of spontaneous circulation (ROSC), predicting their neurological outcome and survival in the intensive care unit [...]

Case Presentation: A 31-year-old male with HIV (CD4 75, undetectable viral load four months prior) and visceral and pulmonary Kaposi Sarcoma on Doxorubicin presented with one month of dyspnea, fatigue, abdominal distention, and peripheral edema. His temperature was 102.3 F, blood pressure was 127/66 mmHg, heart rate was 120 beats per minute, respiratory rate was [...]

Case Presentation: A 77-year-old male with a history of bladder cancer who had not seen a primary care physician in 11 years presented to the emergency department (ED) for progressive decline in his mental status over 4-6 weeks, with significant worsening starting one week before his ED assessment. Associated symptoms included fatigue, constipation, and decreased [...]

Case Presentation: The patient is a 37-year-old male with medical history significant for HIV infection. He was admitted for evaluation of a rapidly enlarging, left maxillary mass over the previous 6 months. At the time of presentation, it was estimated that he had not been on highly active antiretroviral therapy (HAART) for 12 months. His [...]

Case Presentation: A 53-year-old female with history of two recent admissions for idiopathic pericarditis presented with several days of increasing chest pain, dyspnea, and lightheadedness. During her first admission three months prior, she underwent urgent pericardiocentesis with pericardial drain placement for early cardiac tamponade. Fluid cytology results were unremarkable. Cardiac computed tomography demonstrated a focal, [...]

Case Presentation: A 33-year-old man sought medical evaluation due to an ongoing cough which had persisted following infection with COVID-19. His chest xray (CXR) was negative at that time and he was discharged with symptomatic treatment. He presented again five months later due to persistent cough non-responsive to symptomatic treatment and underwent another CXR which [...]

Case Presentation: A 42-year-old male with HIV (CD4 79, Viral Load >1.35 Million) presented to the hospital with altered mental status, fever, tachycardia, axillary lymphadenopathy and cachexia. Initial work-up revealed profound anemia with a hemoglobin of 3.0 and no identifiable source of bleeding. Infectious screen was positive for norovirus and Enteropathogenic E. coli gastroenteritis, and [...]

Case Presentation: A 17-year-old female presented with a one-month history of persistent dry cough, worsened by lying flat, requiring multiple pillows to sleep comfortably. Initially treated for presumed pharyngitis, her symptoms persisted, prompting further evaluation. Echocardiography revealed a large pericardial effusion with a normal ejection fraction, leading to hospital admission. Imaging studies identified a 3.5 [...]

Case Presentation: This case underscores the diagnostic challenge of pulmonary Kaposi’s Sarcoma (KS) in HIV/AIDS patients, emphasizing oral mucosal lesions as significant markers, especially alongside biopsy-proven results when bronchoscopy findings are negative.A 36-year-old HIV/AIDS male ([CD4 3 cells/mm³, viral load 1.4 million copies/mL]), with a history of cryptococcal meningitis, presented with a 3-week history of [...]