Background: Hospital medicine is the fastest growing specialty in the United States. An interesting aspect of the rapid expansion of hospital medicine is the current expansion of the field beyond North America. While the health care systems, regulations and cultural norms in these nations differ, some of the reasons for the development of hospital medicine [...]

Case Presentation: A 44-year-old African woman presented to the ED complaining of productive cough, headache, fever, chills and nausea for 5 days. PMH was significant for HIV (CD4 557 cells/ mm3, HIV RNA 20 copies/mL) and non-Hodgkin lymphoma (in remission since 2009). Medications included darunavir, ritonavir, abacavir/lamivudine and valacyclovir. She denied travel, drug and alcohol [...]

Case Presentation: A 35 year-old female with a past medical history significant for type 2 diabetes mellitus, polycystic ovarian syndrome and migraine headache presented with alteration of mental status for 2 weeks. Patient endorsed progressive, generalized fatigue with intermittent episodes of confusion, behavioral disturbance, hypersomnia and short-term memory loss. Vital signs on admission were significant [...]