Background: In‐hospital strokes have distinctive risk factors compared with community‐onset strokes. Analysis of in‐hospital stroke quality of care and outcomes has never been performed at the national level. Methods: We conducted a retrospective cohort study of the American Heart Association's Get With The Guidelines (GWTG) Stroke Database from January 2006 to April 2012, using data […]

Case Presentation: A 59-year-old woman presented with acute worsening of chronic abdominal pain and nausea. Her past medical history included a stable type-B aortic dissection. Over the previous year, she had multiple hospitalizations for postprandial abdominal pain associated with nausea and vomiting. The pain had been increasing in severity and had led to a 10-pound […]

Case Presentation: An 82‐year‐old woman with chronic kidney disease was admitted to the hospital with a one day history of confusion, fever, and acute on chronic renal failure. She was empirically treated with vancomycin, cefepime, and fluids with rapid improvement. By hospital day 2 she was fully oriented and back to her baseline. Blood cultures […]

Case Presentation: A 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was […]

Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan […]

Case Presentation: A 73 year old woman with known ischemic cardiomyopathy with reduced ejection fraction and atrial fibrillation on Amiodarone presented with decompensated heart failure. Work up revealed Thyroid Stimulating Hormone (TSH) 0.0008 UIU/ML, Free Thyroxine (T4) >8 NG/DL, Total Triiodothyronine (T3) 144 NG/DL and Free T3 7.4 PG/ML. She had minimal symptoms consistent with […]

Case Presentation: A 40-year-old woman with a history of asthma presented with progressive shortness of breath and acute onset chest pain. Following a severe asthma exacerbation, she reported increasing dyspnea on exertion that slowly worsened over the subsequent 2 weeks, which she attributed to her asthma. On the day of presentation, she reported mild, asthma […]

Case Presentation: This is a 26‐year‐old white male who presented to the emergency department with chest pain for 4 days. He described the pain as dull, achy, and located over the left chest. The pain was 6/10 in severity, nonradiating, and associated with mild dyspnea and productive cough. He denied fever or chills. He also […]

Case Presentation: 37-year-old Hispanic male presented with an episode of painful priapism with history of a car accident in 2005 which resulted in spinal injury. Since then, he has had more than 20 recurrent episodes of priapism. He reported having multiple phenylephrine injections, aspirations and two shunt procedures performed in the past without improvement in […]

Case Presentation: Spontaneous renal artery dissection (SRAD) is a rare disorder that has been reported to occur in middle-aged men. It often presents similar to nephrolithiasis, making it’s presentation non-specific and easily missed. Including SRAD in the differential for renal colic type-pain is important to decrease morbidity and improve the chance of renal recovery. Discussion: […]