Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the purchase of skin care products such as prophylactic dressings, little is known about the association between these products and reductions [...]

Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the purchase of skin care products such as prophylactic dressings, little is known about the association between these products and reductions [...]

Background: Patients, physicians and health technology developers are increasingly interested in mobile health applications. However, there are few examples of partnerships between hospitalists and the private companies to test novel health technologies in the inpatient setting.   Purpose: To test the feasibility and uptake of a Hospital-Medicine based program for prescribing mobile health applications to hospitalized [...]

Background: Patient understanding of prescription medication regimens is an important aspect of health literacy and inpatient medication reconciliation. There is a lack of data regarding patient knowledge of their own outpatient prescription medications. This study evaluated the ability of patients admitted to a community hospital medicine service to provide, from memory, their preadmission prescription medication [...]

Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures.  We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity in a 48 year-old female presenting with chronic productive cough. This previously healthy patient presented with dyspnea, productive cough, and [...]

Case Presentation: A 45 year old female with history of psoriatic arthritis and renal transplant from a living unrelated donor (performed in the Philippines in 2014) presented with symptoms of fever, fatigue, weakness, tremors, epigastric pain, and loose stools. At the time of presentation, she had recently completed three cycles of plasmapharesis/IVIG and one cycle [...]

Case Presentation: A 56 year-old man with a history of immunosuppressive therapy with prednisone and tacrolimus for a cadaveric kidney transplant presented with 1 month of personality change and lethargy. He was also noted to have generalized weakness and fatigue. He was initially seen 3 weeks prior to admission for these symptoms, which were attributed [...]

Case Presentation: Pericardial effusion is relatively common in patients with uncontrolled hypothyroidism, but rarely, it progresses to cardiac tamponade. We describe a case of myxedema coma presenting with cardiac tamponade.   Discussion: A 63-year-old African American morbidly obese lady with history of hypothyroidism presented with worsening dyspnea and unresponsiveness. Family reported that she is non-compliant [...]

Case Presentation: A 54-year-old male was diagnosed with left renal pelvic, caliceal and ureteral transitional cell carcinoma(CA) 3 years before presentation. Patient had a history of transitional cell CA of the bladder that had extended to both kidneys despite local intervention. Patient underwent left sided nephroureterectomy 2 years later because of massive disease burden. Renal function [...]

Case Presentation: An 88 year old female with no past medical history presented to the ED with low back pain, chronic cough and one episode of pinkish sputum.  Chest CT showed bilateral nodular lesions. Serological tests including ANCA were sent before her discharged home. Next day, she returned with acute right lower extremity weakness and [...]