Case Presentation: A 67‐year‐old man with long‐standing bipolar disorder presented with acute psychosis. Two weeks after initiation of clozapine, the patient began to experience lethargy, vomiting, diarrhea, low‐grade fevers, and tachycardia. Physical exam revealed a new late‐systolic murmur that was loudest at the left lower sternal border. Labs revealed an elevated white blood cell count […]

Background: Although the vast majority of adult patients in the United States prefer to die at home, most patients die in acute care settings. Barriers include advanced care planning, communication between inpatient and outpatient providers, and delivery of medical equipment. In 2018, our General Medicine Service Line ranked 73rd out of 98 Academic Medical Centers […]

Case Presentation: 82-year-old female with atrial fibrillation, non-ischemic cardiomyopathy (EF 25%), rheumatoid arthritis, bed bound at home with hospice care presents for acute encephalopathy and tachycardia. Patient’s son (the primary caregiver) reported that patient is on four drops of oral 1% atropine solution daily for bronchorrhea. Accidentally a family member who is not a primary […]

Case Presentation: 68-year-old man presented to primary care physician after falling in the shower at home and was found to be hypotensive. His past medical history was significant for hypertension (HTN), hyperlipidemia, type 2 diabetes mellitus, coronary artery disease and obstructive sleep apnea. He was found to have intermittent elevated home blood pressures for at […]