Background: Anywhere from 20-50% of all hospitalized adult patients are impacted by malnourishment on admission. Although malnutrition has a worldwide impact on patient outcomes, it is frequently under documented. This proves detrimental to patient outcomes as the average length of stay is 1.5 times greater than those not affected by malnutrition. This is further exemplified [...]

Case Presentation: A 24-year-old man with no significant past medical history presented with a petechial perifollicular rash, polyarthralgia of his large joints (hips, spine, knees), 20-pound weight loss, myalgia, and fatigue, all of two months duration. For prior six months, the patient had been homeless, living in his car which he scrupulously cleaned with Lysol [...]

Case Presentation: A previously healthy 8-month-old infant presented with poor weight gain, edema, and hypotonia. Vital signs were notable for heart rate 126, blood pressure 58/32, respiratory rate 32, and temperature 36.1C. Mucous membranes were dry with capillary refill of 3-4 seconds and edema of all extremities. He had decreased muscle tone, minimal spontaneous movement, [...]