Case Presentation: A 30‐year‐old man with history of HIV and metastatic Kaposi sarcoma presented with 3 days of worsening pain, bilateral swelling, and progressive purplish discoloration of his lower extremities. Initial blood pressure was 95/56 mm Hg, heart rate 138 beats/minute, and respiratory rate 22/minute. Both legs were markedly swollen, dusky, and tender to midthigh. […]

Background: Inpatient addiction consultant services are an innovative and proliferating tool used to confront the opioid epidemic. As healthcare systems seek to address gaps in care for patients with substance use disorder (SUD), the inpatient setting is increasingly understood as a unique opportunity for counseling, referral for treatment, and initiation of medication assistance treatment (MAT) […]

Background: Discharges against medical advice (AMA) account for 0.8-2.2% of all national discharges and represents an extreme in non-compliance. Patients who elect to leave AMA have increased rates of mortality, morbidity and readmission rates. Literature on this topic, to date, has focused on AMA in the context of specific admitting diagnoses or discharges from certain […]

Case Presentation: A 51‐year‐old man presents to the emergency department with shortness of breath for 2 days. In 2008, 4 years prior to presentation, the patient had a red papular 4‐cm painful mass on the medial fourth digit of his right foot. The mass was resected, and biopsy revealed moderate to well‐differentiated invasive adenocarcinoma with […]