Background:  The Society of Hospital Medicine considers stroke care to be a core competency in hospital medicine.  Hospitalists must be prepared to lead inpatient stroke alerts, as neurologists may not be readily available outside of academic medical centers.  However, even graduates of hospitalist training programs may report insufficient experience in leading these complex, time-pressured, high-stakes [...]

Case Presentation: A 31 year old male with no significant past medical history presented with recurrent fevers, nausea, vomiting and headaches.  He denied travel outside the U.S, camping, or hiking.  Temperature was 103F associated with tachycardia. Physical examination was unremarkable except for mild scleral icterus.Initial labs showed transaminitis, hyperbilirubinemia, leukocytosis, thrombocytopenia, and elevated ferritin > [...]

Case Presentation: This is a 65-year-old man with cryptogenic cirrhosis who was transferred to a tertiary care hospital for liver transplant evaluation. His course prior to transfer was complicated by decompensated cirrhosis leading to ascites requiring large volume paracentesis (LVP), acute kidney injury, and upper gastrointestinal bleed due to severe esophagitis with non-bleeding esophageal varices. [...]