Background: The obesity paradox describes a counterintuitive observation of improved outcomes in patients with obesity. Analysis of the association among overweight/obesity and leading causes of inpatient mortality in a systemic manner has not been conducted. Methods: We used STATA (StataCorp, College Station, Texas) to analyze the 2016 National Inpatient Sample (NIS). We recognized patients with […]

Background: In light of the new ACGME intern duty‐hour restrictions, many internal medicine residency programs have turned to an intern night‐float system. This system intrinsically brings with it a number of patient safety issues related to handoffs, especially early on in the residency year and particularly at large tertiary‐care centers. One of the unique patient […]

Case Presentation: A 77 year-old Hispanic woman with a past medical history of heart failure with preserved ejection fraction (HFpEF), atrial fibrillation, and chronic kidney disease presented with progressive dyspnea and increased lower extremity swelling for two days. She had been admitted for decompensated heart failure two months earlier, when a cardiac catheterization revealed no […]

Case Presentation: A 62-year-old female with a past medical history of stroke, obesity, hypertension, and hyperlipidemia presented to the emergency department with fever and altered mental status. She was started on empiric meningitis treatment and her mentation improved dramatically with eventual return to baseline. Cerebrospinal fluid (CSF) studies from a lumbar puncture performed later during […]