Background: It is estimated that 20% of patients who encounter the ED suffer from Alcohol Use Disorder (AUD) . Hospitalists encounter many Alcohol Withdrawal admissions and are often tasked with providing short counseling sessions on AUD due to time restraints. Furthermore, up to 50% of of patents admitted for Alcohol withdrawal will be readmitted for […]

Case Presentation: We present the case of a 58 -year-old opioid naïve man admitted for elective knee arthroplasty received parenteral hydromorphone and enteral oxycodone for analgesia. On post-operative day one, he developed abdominal pain. Abdominal X-ray showed stool burden suggesting constipation (OIC) prompting management with laxatives; he was given 12 mg parenteral methylnaltrexone. Overnight he […]

Case Presentation: A 45 year-old male with a history of nephrolithiasis and hypertension presented with acute onset of right-sided flank pain and hematuria. He presented to an outside hospital and underwent workup for suspected nephrolithiasis. Urinalysis was negative for pyuria or leukocyte esterase. Non-contrast CT scan of his abdomen and pelvis was performed and was […]