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: Nationally, inpatient medical oncology services are transitioning from services led by oncologists to hospitalist led with a consultant medical oncology team. There is national literature surrounding inpatient medical oncology services being poorly received by residents for a variety of reasons. Inpatient medical oncology is generally limited to medical complications and challenging goals of care [...]

Background: Improving efficiency and throughput in cancer patients with high acuity is challenging and requires a multi-disciplinary effort to coordinate care delivery. In The James Cancer Hospital, two separate Internal Medicine Divisions (Medical Oncology and Hospital Medicine) have historically provided inpatient oncology hospitalist care to an average daily census of 98 patients throughout The James, [...]

Case Presentation: Patient is a 53-year-old female with a medical history of hypertension, hyperlipidemia, diabetes, and tobacco use, presented with a right middle cerebral artery (MCA) stroke and left-sided weakness. She initially delayed seeking care, attributing her symptoms to chronic back pain, but was eventually brought to the hospital by her family. MRI revealed a [...]

Case Presentation: A 55-year-old female with a history of metastatic left renal cell carcinoma to the left hemipelvis status post nephrectomy and immunotherapy, and generalized anxiety disorder presented for chronic diarrhea described as over 10 episodes of large volume watery stools daily persisting with fasting and associated with cramping abdominal pain. She reported that previous [...]

Case Presentation: A 38-year-old woman with suspected metastatic right breast cancer presented to the acute care hospital for a second opinion. The patient first noticed a breast lump one year ago and had been receiving homeopathic medical care without improvement. She was evaluated in a foreign country one week prior to admission and was advised [...]

Case Presentation: A 68-year-old male with 6-months history of dark stools, lightheadedness, and fatigue. He was not on blood thinners. He had three ED visits, two hospitalizations and several office visits and received seven units of packed red blood cells (PRBC) during that time for iron deficiency anemia. Extensive workup with upper GI endoscopy (EGD) [...]

Case Presentation: A 39-year-old male presented with persistent abdominal pain and was found to have a large, left-sided renal mass measuring 15 x 11 x 23 cm. Initial biopsy results were inconclusive, demonstrating nonspecific necrosis and inflammation. Two weeks later the patient developed worsening abdominal distention and acute kidney injury. He was found to have [...]

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 73-year-old male with hypertension, hyperlipidemia, and mild COPD presented with word-finding difficulties. Initial brain imaging at an outside hospital suggested a left intra-axial peri-Rolandic lesion, raising suspicion for a primary brain tumor like glioma. He was transferred for neurosurgical evaluation, where MRI revealed a ring-enhancing lesion with restricted diffusion, consistent with a [...]