Background: People experiencing homelessness (PEH) face barriers to accessing regular ambulatory care, which increases their risk of having poorly controlled chronic medical conditions and contributes to high acute care utilization. The role of field-based homeless healthcare teams in improving hypertension and diabetes control and reducing acute care utilization (e.g., emergency department [ED] visits, inpatient hospitalizations) [...]

Background: People experiencing homelessness (PEH) face barriers to accessing regular ambulatory care, which increases their risk of having poorly controlled chronic medical conditions and contributes to high acute care utilization. The role of field-based homeless healthcare teams in improving hypertension and diabetes control and reducing acute care utilization (e.g., emergency department [ED] visits, inpatient hospitalizations) [...]

Background: Hypertension and diabetes are common comorbidities frequently managed by primary care physicians. Poorly controlled cases of these conditions can lead to increased healthcare resource utilization. We conducted a prospective pilot study involving high-risk patients with hypertension and diabetes to evaluate whether a multidisciplinary team approach could lead to improved clinical outcomes and reduced healthcare [...]

Case Presentation: A 60-year-old Caucasian female with a history of morbid obesity, type 2 diabetes, uncontrolled hypertension, and obstructive sleep apnea presented to the emergency department with chief complaint of a headache. Her blood pressure was elevated, and she was discharged on lisinopril 20 mg daily.Two days later, she returned with severe, diffuse abdominal pain, [...]

Case Presentation: A 47-year-old female with a history of hypertension was admitted with worsening dyspnea, leg swelling, and a blood pressure of 219/147. She was nonadherent to home BP meds due to cost. Exam showed signs of fluid overload, including pitting edema and jugular venous distention. Labs revealed elevated serum creatinine (1.38 mg/dL), calcium (11.0 [...]

Case Presentation: Many patients are being treated with biologic therapies for autoimmune diseases in the outpatient setting. It is critical for the hospitalist to recognize these patients as immunosuppressed and generate a broad differential when they are admitted to the hospital. The patient in this case was a 35-year-old male with a past medical history [...]

Case Presentation: The patient is a 52 year old male with a history of GERD on omeprazole therapy. In the period of one month, the patient developed significant exertional symptoms without any evidence of concomitant illness. The patient sought out further work up and evaluation by a cardiologist. Due to the presenting symptoms, an echocardiogram [...]

Case Presentation: 71M with PMHx of pAfib on Eliquis, HTN, and CKD3a admitted to MICU as transfer for AHRF with severe pulmonary HTN s/p intubation, pressor support, NGT placement during planned TEE cardioversion for persistent Afib. On arrival active upper GIB was present through his NGT and emergent EGD revealed large distal esophageal mass; cytology [...]

Case Presentation: A 28-year-old man, recently experiencing homelessness, presented to the ER of an urban medical center with complaints of severe chest pain, shortness of breath, and lower extremity edema. For the past 5 days he did not take his outpatient medications including isosorbide, doxazosin, hydralazine, nifedipine, carvedilol, and furosemide prescribed by his nephrologist, who [...]