Background: With current health information technology, the electronic health record (EHR) is accessible to review clinical information from remote locations. Although patterns of remote EHR access by residents have been described, little information exists regarding how attendings are using the EHR away from the hospital. We hypothesized that attendings may be using the EHR as […]

Background: Although hip fractures in the elderly are largely due to osteoporosis, rates of treatment for osteoporosis after fragility fracture have been reported as

Case Presentation: A 69‐year‐old woman with a history of pancreatic cancer and degenerative disk disease was admitted for an evaluation of cholestatic liver disease and 70 pound weight loss. On day two of hospitalization, she developed cholangitis and polymicrobial sepsis. She underwent an ERCP procedure to establish biliary drainage; however, she was unable to move […]

Background: Delirium is a well know post-operative complication that has been shown to increase mortality, length of stay, and post-operative complications. Despite extensive study, there is limited treatment for delirium once it occurs. Emphasis on preventing delirium and identifying patients at risk is an important part of reducing its impact on the individual and the […]

Case Presentation: A 38‐year‐old otherwise healthy Laotian refugee presented with a week of fevers, cough, and hemoptysis. He had initially been treated for pneumonia but soon developed progressive headache, somnolence, and myoclonic jerks. Basic labs were normal except for an eosinophil count of 600,000/mm3. A noncontrast brain computed tomography (CT) demonstrated periventricular hemorrhage and hydrocephalus […]

Background: Intravenous (IV) low molecular weight iron dextran is a safe and effective treatment for iron deficiency anemia (1). However, oral (PO) iron supplementation remains a preferred mode of iron repletion due to low cost and ease of administration. Unfortunately, the efficacy of PO iron varies due to differences in drug absorption and patient adherence. […]

Background: Perioperative co-management has become an increasingly important part of a hospitalist’s role. A new MSIV course was created to teach and showcase this unique aspect of hospital medicine to medical students. Perioperative co-management can provide excellent educational value and a new framework of thinking for medical students regardless of the specialty they pursue. Purpose: […]

Case Presentation: The patient is a 48‐year‐old Hispanic man who was admitted for anuria. He had a recent diagnosis of colon cancer with liver and omental metastases accompanied by malignant ascites. Beginning 1 week prior to admission, the patient noticed a gradual decrease in his urine output until he was no longer able to urinate. […]

Case Presentation: A 56 year-old man with heart failure with preserved ejection fraction, aphasia and right-sided weakness from prior strokes presented with two days of difficulty with speech and ambulation. His vital signs were normal except for an oxygen (O2) saturation of 94% on 6 liters. On exam he was somnolent but able to follow […]