Background: In July 2011, the Accreditation Council for Graduate Medical Education (ACGME) mandated new residency work‐hour restrictions. These changes limited the maximum hours of continuous clinical responsibilities from 30 to 16 hours for interns, 24 hours for upper‐level residents. Our objective was to determine how inpatient staffing of non–critical care teaching services within pediatric residency […]

Background: Cancer-associated thrombosis (CAT) is a common complication in patients with malignancy. Management of venous thromboembolism (VTE), in these patients, is challenging due to the high risk of recurrence and inherent risk of bleeding in this population. Direct oral anticoagulants (DOACs) have emerged as a treatment options for CAT. As yet there have not been […]

Case Presentation:    The patient is a 16 year old male who presented with 6 days of fever, nausea, vomiting, and diarrhea, 2 days of headache and neck pain, and 1 day of dysuria. He had returned from a month long trip to Bolivia, where he stayed with family.   Physical exam revealed normal vital […]

Case Presentation: A 46-year-old female presented with a 2-day history of shortness of breath, pleuritic chest pain and lower extremity swelling while taking low-molecular weight heparin (LMWH). One month prior she was diagnosed with a left lower extremity DVT after a hysterectomy. She was treated with LMWH with a planned transition to rivaroxaban. Medical history […]