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 [...]

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 14-month-old male with history of hemihypertrophy of left lower extremity and macrodactyly of the left third to fifth toes, as well as syndactyly of third and fourth toes, presented to the ER because of facial swelling and anasarca. The swelling began 10 days prior to admission, diagnosed initially as bilateral preseptal cellulitis [...]

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 56-year-old man with type 2 diabetes and hypertension presented to the ER with uncontrolled blood sugars, intermittent nausea, vomiting, fevers, and a 15-pound unintentional weight loss over one month. He was recently hospitalized with similar symptoms, started on insulin, and evaluated for fevers with negative blood and urine cultures, which were attributed [...]

Case Presentation: A 30-year-old man with no significant medical history was brought to the ED for a ventricular fibrillation (VF) arrest after he was hit in the chest by a soccer ball during a game. After successful resuscitation, exam was notable for a 3/6 systolic murmur heard in the 5th intercostal space at the left [...]

Case Presentation: 44-year-old male with past medical history of diabetes mellites, hypertension, pancreatitis and hypertriglyceridemia presented to the ED with acute abdominal pain and vomiting. Physical examination was unremarkable other than epigastric tenderness and elevated BMI of 33. Chemistry revealed glucose: 259 mg/dL, bicarbonate: 20 mmol/L, anion gap 19, lipase 1170 U/L, WBC count 15.6K/cc, [...]

Case Presentation: The patient was a 74-year-old male with past medical history significant for atrial fibrillation and Type II Diabetes Mellitus who presented due to 5 days of diarrhea and change in mental status. Per family, the patient had poor oral intake for the past week. Pertinent vitals included heart rate of 123 beats/minute, respirations [...]