Background: Most drugs and active metabolites are eliminated through the kidneys and, if not carefully adjusted for the renal clearance, may have adverse effects. The purpose of the research study was to evaluate the impact that an electronic pharmacy alert system (Horizon Meds Manager) has on the incidence of inappropriate medication dosing for patients with […]

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 46-year-old man with history of hypertension and no prior history of heart failure presented with acute hypoxic respiratory failure and was subsequently intubated. Chest imaging revealed pulmonary edema and echocardiography showed an ejection fraction (EF) of 10-15% with severe global left ventricular systolic dysfunction. Patient’s respiratory status improved after two doses of […]

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 […]