Background: Anemia is a risk factor for cognitive impairment as a result of reduced delivery of oxygen to the brain from low hemoglobin (Hb) levels. In ambulatory patients, mild anemia (Hb 10-12g/dL) has been associated with reductions in patients’ cognitive function [1–3]. In hospitalized patients it is standard of care to maintain Hb levels far […]

Background: Recent changes in resident work hours have placed an increased emphasis on attending service and supervision of residents, especially at night. There are little data about how non–critical care pediatric inpatient teaching services are staffed at night and the responsibilities of those attendings. Our objective was to define the current attending staffing of pediatric […]

Case Presentation: A 38‐year‐old otherwise healthy Laotian refugee presented with a week of fevers, cough, and hemoptysis. He had initially been treated for pneumonia but soon developed progressive headache, somnolence, and myoclonic jerks. Basic labs were normal except for an eosinophil count of 600,000/mm3. A noncontrast brain computed tomography (CT) demonstrated periventricular hemorrhage and hydrocephalus […]

Background: Intravenous (IV) low molecular weight iron dextran is a safe and effective treatment for iron deficiency anemia (1). However, oral (PO) iron supplementation remains a preferred mode of iron repletion due to low cost and ease of administration. Unfortunately, the efficacy of PO iron varies due to differences in drug absorption and patient adherence. […]

Case Presentation: A 48-year-old female with spina bifida was admitted for sepsis secondary to sacral osteomyelitis. She improved with broad-spectrum antibiotics, and her antibiotic regimen was narrowed to Zosyn (piperacillin + tazobactam) to complete a 6-week course. On hospital day 12, discharge was delayed pending insurance approval of an air mattress for home. Three days […]

Case Presentation: A 48-year-old female with spina bifida was admitted for sepsis secondary to sacral osteomyelitis. She improved with broad-spectrum antibiotics, and her antibiotic regimen was narrowed to Zosyn (piperacillin + tazobactam) to complete a 6-week course. On hospital day 12, discharge was delayed pending insurance approval of an air mattress for home. Three days […]

Case Presentation: A 75 year old woman with past medical history of hypothyroidism presented with weakness and the sensation of “large folds of skin” on the bottom of her feet. Pertinent physical exam findings included conjunctival pallor, nonspecific diffuse abdominal tenderness, and hyperpigmented macules of the dorsal finger tips and soles, which were also new […]

Case Presentation: 53 year‐old Hispanic male with history of recently diagnosed coronary artery disease, hypertension and diabetes mellitus presented with one day of abdominal pain followed by painful hematochezia. The abdominal pain was described as intermittent and colicky followed by tenesmus. The initial bloody stool had mixed bright blood and was followed by smaller bowel […]

Case Presentation: A 76-year-old Chinese woman with history of cryptogenic cirrhosis (MELD-Na 25) presented to our hospital with 1 week of worsening jaundice, abdominal distension, and right upper quadrant pain. Cirrhosis was diagnosed by imaging on admission 2 months previously and presumed to be secondary to Hepatitis C infection due to antibody positivity. CT of […]

Case Presentation: A 42 y/o Hispanic female with a history of IV drug abuse and dermatitis since 2005 with recurrent episodes of cellulitis presented to the hospital with severe edema, erythema and pain of the right lower extremity for 3 days. She had been treated with steroid injections and topical steroids intermittently for her dermatitis […]