Background: Hospital medicine is the fastest growing subspecialty within internal medicine, growing from 10,000 hospitalists in 2002 to over 50,000 in 2016. Despite this growth, there remain relatively few hospitalists who are clinician investigators. We sought to quantify the number of clinician investigators, their dedicated time for research at major United States academic medical centers, [...]

Case Presentation: A 47 year old man with asthma and a 30 pack-year smoking history presented with shortness of breath, chest tightness, and intermittent fevers for the past week. For the month prior to presentation he was vaping tetrahydrocannabinol (THC) daily. He had no sick contacts and no other drug use or occupational exposures. Initial [...]

Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed [...]

Case Presentation: A 37-year-old male auto-mechanic, with a history of tobacco use, presented with acute right-sided pleuritic chest pain. He was diagnosed with musculoskeletal pain and discharged from the ED. Several days later he returned with dyspnea, dry cough, fever and diaphoresis. He revealed that he recently tried vaping marijuana (THC) oil. Vital signs were [...]

Case Presentation: A 19-year-old man with no medical history presented to gastroenterology clinic with four days of nausea, vomiting, malaise, fevers, and epigastric pain. An esophagogastroduodenoscopy (EGD) was scheduled for the following day. The next morning, the EGD was cancelled when he was found to be to be hypoxemic on pre-procedure vital signs and was [...]

Case Presentation: A 25-year-old female with no significant past medical history presented to the emergency room with chest pain and shortness of breath. She was febrile to 40 degrees Celsius and tachypneic. Physical exam was notable for bilateral crackles in her lower bases. Her social history indicated former marijuana use and current e-cigarette use (Juule, [...]

Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from [...]

Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness [...]

Case Presentation: A 29-year-old male with no significant past medical history was admitted with 10 days of persistent fevers, cough, shortness of breath that worsened with exertion, weight loss, nausea, and vomiting. The patient had no history of travel to any TB-endemic areas, was in a monogamous relationship with his wife, denied IVDU, and had [...]

Case Presentation: A 48-year-old woman presented with a history of intermittent abdominal pain for eight years, with an extensive workup that had been negative. She ended up being labeled as having irritable bowel syndrome. The pain was localized to the epigastrium, was present during most of the day, but was aggravated by large meals. Upon [...]