Case Presentation: Day 1 — A 41‐year‐old woman presented with 1 week of progressive neck pain and 2 days of fevers and chills. Her medical history included AIDS (CD4 count of 49) and ESRD requiring hemodialysis (HD). On exam, she was febrile and tachycardic with slurred speech. Her tunneled HD catheter had no signs of […]

Background: Testing of ascitic fluid is recommended in all patients admitted to the hospital and delay in paracentesis has been shown to increase in-hospital mortality. Academic hospitalists in collaboration with internal medicine residency programs are establishing medicine procedure services to address concerns about resident training in procedures and patient safety. Our aim in this study […]

Case Presentation: The patient is a 56-year-old Caucasian male who presented from an outside hospital (OSH) for recurrent chylous ascites. Four years ago, he was diagnosed with unprovoked left subclavian and left internal jugular deep vein thromboses (DVTs) and had been placed on chronic warfarin therapy. At that time, he developed chylous ascites which resolved […]

Case Presentation: A 36‐year‐old Caribbean male with a past medical history of type 2 diabetes mellitus and hypertension presented acutely to the hospital with syncope along with muscle aches, fevers to 104 degrees Fahrenheit (F) and profuse diarrhea after returning from a trip to Grenada. Two days prior he had presented to the emergency department […]