Background: Acute kidney injury (AKI) is a common complication of renal cell carcinoma or its treatment. It is unclear whether AKI, compared to inpatients with similar clinical and hospital-level characteristics without AKI, is associated with worse clinical outcomes and higher costs. To address this void, our study aimed to evaluate how an AKI diagnosis affects […]

Background: There are several scoring models used for risk stratification of patients presenting with chest pain. The HEART score is a tool recently developed in a European cohort of patients. It combines 5 elements: history, EKG, age, risk factors, and troponin. We aimed to compare its predictive value with that of TIMI and GRACE scores […]

Background: Rhabdomyolysis is a condition of rapid muscle breakdown resulting in myalgia, enzyme elevations, electrolyte imbalance. Released heme pigment may lead to tubular obstruction, vasoconstriction, and tubular epithelial cell injury, causing acute kidney injury (AKI) as a severe complication. Especially with predisposing conditions such as volume depletion. Early and aggressive fluid resuscitation is an essential […]

Background: An estimated 1 in 5 HIV‐positive Americans is unaware of their HIV status. Experts warn that this subgroup notably contributes in propagating the U.S. HIV epidemic. Universal opt‐out screening may mitigate this problem but remains haphazardly implemented. Inpatient‐based programs are a potential pathway toward efficient HIV screening. However, supportive studies are sparse and focus […]

Case Presentation: This is an 8‐year‐old female with Marfan's syndrome and mitral valve prolapse who had been experiencing daily fevers for 1 week prior to presentation. On the day of admission she had a sudden headache with subsequent depressed neurologic status. She was seen in a regional emergency department where a rapid influenza test was […]

Background: Acute kidney injury (AKI) is common in adult hospitalized patients, with the incidence being reported as high as 7.2%. While evaluation of the cause of AKI is often necessary, in hospitalized patients the causes of AKI are more likely to be pre-renal or intrinsic. Previous studies have found that decreased renal perfusion, medications, radiographic […]

Case Presentation: A 52-year-old male presented with one week of abdominal pain, myalgia, and diarrhea. The patient was referred to our Emergency Department after outpatient testing revealed an increase in serum creatinine to 11 mg/dL from 0.7 mg/dL six months prior.The patient had medical history of hypertension, gastroesophageal reflux disease, and former alcohol use disorder. […]

Case Presentation: A 27‐year‐old man without medical issues presented with a severe headache after weight lifting. Initially waking him from sleep, it was described as pounding and bitemporal. It worsened over the next several days and was associated with fever, chills and nausea. In the ED, he was noted to have a temperature of 104.5°F […]

Case Presentation: A previously healthy 51‐year‐old man presented to our institution with a 6‐month history of intermittent rash. He described his rash as 2‐3 centimeter raised, red, pruritic lesions occurring on the face, extremities, back and torso almost every day. The rash occurred without any obvious trigger and resolved in 2‐3 hours. He denied associated […]

Case Presentation: 73 year old male with solitary kidney due to prior renal cell carcinoma and splenic marginal zone lymphoma currently treated with chlorambucil presented to the emergency department with acute kidney injury. He complained of red “kool-aid” urine and lower extremity rash. The rash was non-blanching, erythematous, papular and present on his ankles and […]