Background: Pulmonary arterial hypertension (PAH) is a progressively debilitating disorder characterized by sustained increases in pulmonary vascular resistance and pulmonary arterial pressure, which eventually leads to right-sided heart failure. Current therapies for PAH work predominately as vasodilators to target symptoms, rather than focusing on the initial signals that promote disease progression. These therapies have proved […]

Background: With recent duty‐hour restrictions for internal medicine residencies, hospitals are increasingly hiring hospitalists to meet the demand of higher patient volumes not on the teaching services. This creates an interesting dilemma about how newly admitted patients will be distributed between the nonresident hospitalist services and the resident teams. Both services often have unique rules […]

Case Presentation: A 55 year old Caucasian male patient with medical history of hypertension, osteoarthritis and smoking presented with dizziness, oliguria and right gluteal pain for 5 days following a blunt injury that occurred when he fell on wet grass while mowing his yard. His symptoms persisted despite a course of ciprofloxacin as an outpatient. […]

Case Presentation: A 44 year old woman with a history of Roux-En-Y gastric bypass (RYGB), hypothyroidism, and morbid obesity, presented with one day of confusion and somnolence. In the emergency department, she was unresponsive to voice with an initial Glasgow Coma Score of 9. Her temperature was 94 F, pulse 94 beats per minute, blood […]