Case Presentation: An 80-year-old female with a past medical history of breast cancer status post bilateral mastectomy and hepatocellular carcinoma status post radiation therapy presented with chest pain and progressive shortness of breath. The Computed tomography (CT) chest revealed a mass in the right ventricle extending into the main pulmonary artery with flattening of the [...]

Background: Hospital-acquired venous thromboembolism (VTE) is a common complication that leads to prolonged hospitalizations 1 and increased morbidity and mortality 2. Data analyzed from the Computerized Registry of Patients with VTE (RIETE) suggests that 1 in every 3-4 patients with VTE develop this condition in the hospital 3. A study done using data collected from [...]

Background: The midline catheter (midline) has emerged as a reliable vascular access device for peripherally compatible infusates. Current guidelines recommend midlines when the intended dwell is ≤14 days since little is known about its safety beyond this period. We sought to describe characteristics and outcomes of midlines that dwell for >14 days. Methods: Trained abstractors [...]

Background: Pulmonary embolism (PE) is the third most common cause of death from cardiovascular disease despite significant improvements in diagnosis and management in recent years. PE patients are risk-stratified to guide treatment, and multidisciplinary PE response teams (PERTs) have been established to optimize patient care. This study aims to compare PE patient outcomes over a [...]

Case Presentation: A 62-year-old man presented to the emergency department with chest pain and dyspnea after recently driving from Michigan to Florida. In the ER, he was hypertensive and tachypneic with normal saturations. EKG showed sinus tachycardia with a classic S1Q3T3 pattern. Labs revealed an elevated D-dimer and troponin. CTA chest revealed a large saddle [...]

Case Presentation: A 61-year-old female with a medical history of heart failure, hypertension, asthma, and prior history of stroke presented to the emergency department with progressive dyspnea, right-sided chest pain, and increased bilateral lower extremity edema. On presentation, she was hemodynamically stable with blood pressure 138/86 mm Hg, pulse 99 bpm, saturating 98% on room [...]

Case Presentation: An 83-year-old female with a past medical history of COPD, CAD s/p CABG 2022, hypertension, hyperlipidemia presented to the hospital for an elective revision right hip total arthroplasty. She is on no home oxygen for her COPD and is prescribed steroids and Trelegy Ellipta by her PCP. She does not see a pulmonologist. [...]

Case Presentation: A 28-year-old, 447 lb man with hypothyroidism and depression was hospitalized for neurosurgical intervention for severe lumbar spinal stenosis. He had one risk factor from the Revised Cardiac Risk Index due to the spinal procedure, and his EKG, echocardiogram, and renal function were normal. He had no history of diabetes, TIA/CVA, or cardiac [...]

Case Presentation: A 61-year-old woman presented to the emergency department with a one day history of left leg pain. Of note past medical history is significant for coronary artery disease status post stent times two, coronary artery bypass graft (CABG), hypertension, hyperlipidemia, gastroesophageal reflux disease, heart failure with preserved ejection fraction, deep vein thrombosis (DVT) [...]

Case Presentation: An 80 year old man presented to the hospital with progressively worsening dyspnea for three weeks. His past medical history was most significant for stage IV parotid gland adenocarcinoma. One week prior to presentation he was hospitalized for exertional dyspnea. Though the hypoxia workup at that time did not reveal a clear etiology, [...]