Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed [...]

Case Presentation: A 70-year-old woman visiting from India with history of hypothyroidism and adrenal insufficiency presented with four days of profuse diarrhea and fever. She was admitted for sepsis secondary to Rotavirus gastroenteritis with initial sodium level 132 (135-145 mmol/L). On day 2 of hospitalization, sepsis resolved with isotonic fluids and stress dose steroids, but [...]

Background: Despite advances in pharmacologic care for side effects of Hematopoietic stem cell transplant, patients often suffer from long hospitalizations, multiple side effects including fatigue, insomnia, nausea, anxiety, and poor sleep. Non-pharmacologic treatments for side effects of therapy are attractive adjuncts due to a low side effect profile. Purpose: To develop, implement and evaluate a [...]

Background: Hospital disaster response has historically been the purview of emergency medicine and surgery, without significant involvement of hospitalists themselves or consideration of how mass casualty incidents impact the hospital as a whole. However, many disaster modalities, e.g. pandemic infectious disease or bioterrorism, are outside of the surgical scope of practice and require involvement of [...]

Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed [...]

Case Presentation: A 70-year-old woman visiting from India with history of hypothyroidism and adrenal insufficiency presented with four days of profuse diarrhea and fever. She was admitted for sepsis secondary to Rotavirus gastroenteritis with initial sodium level 132 (135-145 mmol/L). On day 2 of hospitalization, sepsis resolved with isotonic fluids and stress dose steroids, but [...]

Case Presentation: A 65-year-old African American male with known comorbidities of Hypertension, coronary artery disease was brought to the hospital with a new-onset seizure. Upon presentation, vital signs were within normal limits. Physical examination noted left gaze preference, right hemiplegia, and aphasia. All labs including blood chemistries, complete blood counts, infectious workup, and urine drug [...]

Case Presentation: A 53-year-old Filipino woman with a history of lupus nephritis status post renal transplantation presented with 1 month of the right upper quadrant (RUQ), lower abdominal pain and a new fever. Her RUQ pain radiated to her back and worsened after meals, while her lower abdominal pain had no clear triggers. She reported [...]

Case Presentation: The patient is a 64-year-old male, BMI 35.6 kg/m2, with a history of diabetes mellitus II, hypertension, hyperlipidemia, and recent CAD after syncope, who was under going CABG. A cardiac tumor was incidentally found intraoperatively (Figure 1). The pre-operative transthoracic echocardiogram (TTE) was negative for signs of tumor (Figure 2), however, when it [...]

Case Presentation: The patient is an 83 year-old Caucasian man with a history of hypertension, tobacco use, and COPD who presented to the emergency department with a four day history of chest pain, shortness of breath, and mild non-productive cough. His chest pain was constant and had no exacerbating or alleviating factors. He denied any [...]