Background: Rapid Response System (RRS) was designed as a safety tool for early detection and intervention of a deteriorating patient on a general floor in a hospital and Modified Early Warning System (MEWS) scores can be used to identify these patients. Obstructive Sleep Apnea (OSA) has been described as an independent risk factor for long [...]

Case Presentation: A 68 year-old-woman with right upper lobe non-small cell lung cancer on chemotherapy presented with shortness of breath. A CT scan of the chest prior to admission revealed a right hilar mass encasing and narrowing the distal superior vena cava (SVC). Her exam was notable for distended neck veins and diminished breath sounds [...]

Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left [...]

Case Presentation: A 71-year-old woman presented to the hospital after her granddaughter noticed two days of worsening jaundice. The patient reported a one-week history of fatigue, early satiety, poor appetite, nausea, and vomiting. She also noted having tea-colored urine and a 30-pound unintentional weight loss during the previous eight months. She denied history of trauma, [...]