Background: Coordination of inpatient and outpatient care is an important challenge in improving population health but evidence examining the effectiveness of existing care coordination programs is mixed. The Comprehensive Care Physician (CCP) Program at the University of Chicago provides patients at increased risk of hospitalization the opportunity to receive inpatient and outpatient care from the [...]

Background: Coordination of inpatient and outpatient care is an important challenge in improving population health but evidence examining the effectiveness of existing care coordination programs is mixed. The Comprehensive Care Physician (CCP) Program at the University of Chicago provides patients at increased risk of hospitalization the opportunity to receive inpatient and outpatient care from the [...]

Background: Pneumonia (PNA) is the fourth most common diagnosis for hospital admissions in the United States. Although the Infectious Diseases Society of America (IDSA) defines PNA as requiring specific clinical features (cough, fever, sputum production and pleuritic chest pain) along with radiographic imaging confirmation, older adults can present with non-specific symptoms. Furthermore, in a landmark [...]

Background: Hospital-acquired disability (HAD) is common, and a key contributor to this process is low hospital physical activity. This study examines whether objective measures of hospital physical activity from wearable accelerometers can be used to predict HAD. Methods: Prospective observational study of community-dwelling older adults aged ≥ 60 years, admitted to an academic hospital’s general [...]

Case Presentation: 61-year-old woman history of type 2 diabetes mellitus presented to medicine clinic with complaint of rash on her face and legs. Exam revealed an erythematous rash over both ear lobes, arms, and extensor surface of both knees. There was no mucocutaneous involvement and no palpable purpura. Drug reaction was suspected, therefore tramadol and [...]

Case Presentation: A 65-year-old Japanese man presented with a 5-month history of bilateral leg edema. He visited his family doctor 3 months ago and started taking furosemide, but the symptom didn’t improve. His past medical history included chronic atrial fibrillation. He reported malaise, constipation and weight gain but denied fever or night sweats. On admission, [...]

Case Presentation: IgA Vasculitis, formerly known as Henoch-Shönlein Purpura, is a systemic vasculitis most often seen in children. We present a case of a 28 yo obese man who presented to his primary care physician with complaints of fever, chills, nausea, vomiting, and sore throat for twelve hours. He was diagnosed with viral gastroenteritis and [...]

Case Presentation: A 19-year-old woman with a history of anxiety was admitted to the hospital with one week of fever to 103 degrees F, sore throat, fatigue, and severe arthralgias. History was notable for pleuritic chest pain, an intermittent rash over her arms and thighs, and a 23-pound weight loss over 12 months, which she [...]