Case Presentation: A 79-year-old African American male patient with a past medical history of prostate cancer presented with progressive weakness, headache, and confusion. Free and total PSA levels were within normal limits. Brain MRI showed a 4.1×3.3×4.1 cm left frontal lesion at the surface of the left lateral ventricle with vasogenic edema and midline shift. […]

Background: Venous thromboembolism (VTE) accounts for more than 100,000 deaths per year and costs the health care system about $15,000 per event. Methods to increase appropriate prophylaxis have included computerized physician order entry (CPOE) with decision support, dashboards, and pay‐for‐performance (P4P) programs. In this study, we sequentially examined CPOE‐based decision support alone, group and individualized […]

Case Presentation:             A five year old Hispanic female presented with a five day history of high grade fevers and generalized rash.  She also had bilateral anterior and posterior cervical lymphadenopathy with strawberry tongue on physical examination.  Laboratory evaluation for fever at day 3 revealed elevated inflammatory markers.  Patient was […]

Case Presentation: A 28-year-old HIV positive male presented with one week of rectal pain and bloody diarrhea. He was found to have bright red blood in vault on rectal examination. Laboratory studies were concerning for a leukocytosis with left shift, an elevated CRP (>80 mg/dl), and a positive fecal calprotectin. His CT scan demonstrated circumferential […]

Case Presentation: An 11-year-old girl presented to the Emergency Department with one week history of sore throat, 3 days of abdominal pain, headache, diarrhea and increasing dizziness over the last day.  She had been seen by her PCP 4 days prior to presentation and started on Amoxicillin for presumptive streptococcal pharyngitis.   In the waiting room […]

Case Presentation: A 57-year-old female with a history of herpes simplex virus was seen at Rheumatology clinic for 3 weeks of myalgias and arthralgias, positive rheumatoid factor and elevated inflammatory markers. By her first visit, her symptoms resolved. Review of systems revealed chronic sinusitis associated with nasal septal deviation and nasal polyps, which previously failed […]

Case Presentation: A 70 year old man with past medical history of prostate cancer, s/p prostatectomy and radiation therapy, CVA requiring tPA treatment and diet controlled diabetes was seen initially at an outside medical facility with complaints of decreased appetite, weight loss and fatigue . His physical exam was only remarkable for a purpuric rash on […]

Case Presentation: A 76-year-old woman complaining with generalized edema underwent CT at a local hospital. It revealed diffuse subcutaneous edema and infiltration in pelvic area and both lower extremities and enlarged inguinal lymph nodes. She admitted our hospital for further evaluation. On physical examination, her vital sign was stable except high blood pressure of 172/88 […]

Case Presentation: A 21 year old male with no significant past medical history presented to the ED after a sudden drop of consciousness and two minutes of tonic clonic seizure activity witnessed by his colleagues; the episode lasted approximately two minutes. Upon arrival, he was found to have post ictal symptoms including disorientation and slowed […]

Case Presentation: A 69 year-old man with a history of urothelial carcinoma of the bladder status-post cystoprostatectomy with ileal conduit presented with fatigue, tachycardia, night sweats, and foul-smelling urine. At an outside hospital, he had recently been diagnosed with a new 11cm right renal mass with apparent diaphragmatic invasion. On exam, he was a pale, […]