Background: There are 400,000 cases and 30,000 deaths from Clostridium difficile (C. diff) infections in the United States annually. Efforts to reduce the transmission of C. diff have focused on patients with diarrhea, however, many patients with C. diff are carriers who do not have symptoms. Because they are not isolated, carriers serve as a [...]

Background: Catheter Associated Urinary Tract Infection (CAUTI) is the most common hospital acquired infection and constitutes upto 40% of all Healthcare Associated infections. Urinary catheter is used in 15% to 25% of hospitalized patients and often utilized for inappropriate indications. Daily risk of Urinary Tract Infection (UTI) is 3 to 7% with the use of [...]

Case Presentation: A fifteen-year-old previously healthy male presented with one and a half months of intermittent right upper quadrant pain with one month of decreased appetite and weight loss. He was followed by his primary care physician who initiated an outpatient workup approximately two weeks into his disease course. A CT scan of the abdomen [...]

Case Presentation: A 36 year old male from Central America who immigrated to the United States ten years ago presented with cough and headache accompanied with fevers. He did not have any past medical conditions. On admission his vitals were T 39.1 C, HR 114, RR 20, BP 129/85 mmHg. He was noted to have oral [...]

Case Presentation: A 30-year-old woman was presented with two days progressive swelling and pain of her right hand after blunt trauma. The pain was associated with paresthesia of the right thumb and fever. There was no associated vaginal discharge, joint pain, sore throat or skin rash. Past medical history was significant for uncontrolled diabetes. The [...]

Case Presentation: A 37-year-old Caucasian male with a history of uncontrolled diabetes and tobacco abuse presented with right flank pain, hematuria, and pyuria. He had several days of fever with temperature of 38.8 upon initial evaluation and white blood cell count was 19.2. His urinalysis had more than 100 white blood cells, more than 100 [...]

Case Presentation: A 71-year-old male with a PMH of HTN, HLD, tongue cancer, GERD, CAD, and BPH presented to the hospital with a chief complaint of right-side shoulder pain, erythema, and warmth that started two days prior. Two days before noticing these symptoms, he had undergone an EGD without complications where he had a peripheral [...]

Case Presentation: A 57 year-old Japanese female with no significant past medical history presented with fever, productive cough and swelling of right ankle for seven days. She lived with her grandchild and her son. Her grandchild had fever and rash three weeks ago, diagnosed with hand foot and mouth disease. Her son had elevated hepatic [...]