Background: Pulmonary nodules are among the most frequent and medically relevant incidental findings, but are easily overlooked – especially when discovered incidentally during hospitalization. While CT imaging has become an invaluable tool for expedited medical evaluation, its use has been associated with an increasing number of incidental findings, the handling of which creates both medical […]

Background: Christiana Care’s medicine service line previously implemented Interdisciplinary Admission (IDA) and Inter Disciplinary Rounding (IDR) to enhance team-based care of our patients. IDA included an admissions team comprised of attending physician, nurse, pharmacist, case manager and social worker. IDR included the bedside nurse, pharmacist, case manager and social worker. More recently, units have started […]

Case Presentation: A 13 month-old girl presented with twenty-one days of fever and lethargy, as well as one week of decreased oral intake and intermittent diarrhea. She had been previously healthy and was current on her vaccinations. On day twenty-one of illness her pediatrician directly admitted her after initial laboratory assessment was notable for WBC […]

Case Presentation: A 25-year-old man with a past medical history of Ulcerative Colitis (on mesalamine and non-compliant with steroid suppositories) presented as a transfer from an outside hospital (OSH) with fevers, left sided chest soreness, abdominal pain, and bloody diarrhea for 1 week. CT chest, abdomen, pelvis from OSH revealed diffuse colitis as well as […]

Case Presentation: A female of 70-years with a history of osteoarthritis presented with four weeks of fever, weight loss, night sweats, and fatigue. She was hypotensive, febrile, tachycardic and tachypneic. She was initially managed per sepsis protocol. Laboratory data revealed WBC 2.7 K/UL, Hgb 9.8 g/dL, PLT 77 K/DL, AST 71 IU/L ALT 49 IU/L, […]

Case Presentation: Exogenous lipoid pneumonia (ELP) is an unusual respiratory disease caused by inflammation from a foreign body reaction to inhaled lipid particles. Here we present a case of this illness in the absence of a history of vaping, and we show how diagnosis can be delayed while searching for more common respiratory disorders. Discussion: […]