Case Presentation: A 19‐year‐old female with a history of juvenile rheumatoid arthritis on immunosuppressants presented with 3 days of fevers, flank pain, and headaches. Two weeks prior, she was treated with penicillin because of a positive pharyngeal rapid streptococcal test. Her temperature was 39.4°C, heart rate 140 per minute, respiratory rate 28 per minute, and […]

Background: Our experience developing the Comprehensive Care Physician (CCP) program within the Section of Hospital Medicine at the University of Chicago has illustrated the value of relational continuity in the care of patients with complex medical needs. For patients with increased risk of hospitalization and who are willing to find a new primary care physician, […]

Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value and advances in relevant technologies have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the U.S. Where studied, these […]

Case Presentation: A large number of exudative pleural effusions remain unexplained despite an intensive diagnostic workup. Epstein–Barr virus infections occur worldwide and affect majority of the population. A 50‐year‐old man was admitted with left‐sided anterior and lateral pleuritic chest pain for 2 weeks' duration. Aggravating factors included deep breathing, climbing up stairs and lying down. […]