Background: Onodera’s prognostic nutritional index (PNI) is useful in predicting prognosis of various diseases. In hospitalized patients, malnutrition is an important factor that affects the quality of life and morbidity. Here, we aimed to evaluate whether PNI is related with clinical outcomes in patients who admitted to hospitalist ward. Methods: This study included 3,993 patients [...]

Background: Most primates, including humans, belonging to the suborder Haplorrhine lack the innate ability to synthesize ascorbic acid (Vitamin C) and hence exclusively depend on dietary intake (generally plant-based diets) to prevent deficiency. Modern humans’ trend of consuming ultra-processed foods that lack crucial micronutrients places us at risk for developing micronutrient deficiencies. Currently, there is [...]

Case Presentation: A 13- year-old male with a history of food aversions receiving outpatient feeding therapy and normal BMI presented to the ED with one month of vomiting, dysphagia, anorexia, and an unintentional ten-pound weight loss. He was afebrile with normal vital signs. On exam, he had dry mucus membranes and mild diffuse abdominal tenderness. [...]

Case Presentation: A 47-year-old female with history of gastric bypass complicated by dumping syndrome, opioid use disorder on methadone, alcohol use disorder, migraines, and seizures presented with 3 weeks of painful bilateral lower extremity swelling, and 2 months of poor oral intake with persistent diarrhea. Her exam was also notable for tooth fragility, course hair, [...]

Case Presentation: A female patient was referred to hematology/oncology with severe neutropenia and leukopenia. Bone marrow biopsy revealed ringed sideroblasts with multilineage dysplasia consistent with MDS. Further diagnostic workups did not reveal common genetic mutations, and she was scheduled to start treatment with either erythropoietin or luspatercept. Copper deficiency was later found in follow-up, which [...]

Case Presentation: A 64-year-old male presented to the Emergency Department with fevers, anorexia, flank pain and two months of progressive oral sores diagnosed as refractory oral candidiasis by his outpatient provider. Comorbidities included hypertension and obesity (body-mass-index 70). Labs revealed an elevated white blood cell count (14,000/L). Bilateral pyelonephritis was diagnosed on computed tomography. Broad [...]

Case Presentation: Patient is a 57-year-old female with past medical history significant for alcohol use disorder who presented to an outside facility with one month history of bilateral lower extremity (BLE) weakness associated with nausea, vomiting, diarrhea, and weight loss. CT abdomen pelvis showed evidence of diverticulitis. She was treated with antibiotics and discharged. Patient [...]