Background: Acute decompensated heart failure exacerbation is the leading cause of hospitalization in the United States. It was associated with total medical costs of more than $30 billion in 2012 with projections estimating around $70 billion in costs by 2030. Currently, six million people in the U.S. have heart failure, with a little over half […]

Background: Chronic obstructive pulmonary disease (COPD) exacerbations occur in a significant proportion of hospitalizations but are often treated with substandard care. This may include inappropriate use of medications during and after hospitalization and failing to receive appropriate referrals for subspecialty care and rehabilitation. After discharge, lack of adequate education can lead to inappropriate medication use. […]

Case Presentation: An 81 year-old female with a history of CAD, diverticulitis, and GERD presented with abdominal pain. She denied any nausea or vomiting and had no associated stool changes or weight loss. On exam, the patient was afebrile with tenderness in the epigastrum and right upper quadrant without guarding or rebound tenderness. Laboratory studies […]

Case Presentation: A 40-year-old Caucasian male presented with a recent diagnosis of stage IV metastatic duodenal adenocarcinoma. Given the metastatic disease, after duodenal stent placement, the patient started on adjuvant mFOLFOX6 chemotherapy. During the second day of the first cycle of chemotherapy, the patient suddenly experienced complete right-sided weakness, headache, confusion, and slurred speech. He […]