Background: Structured interdisciplinary rounding (SIDR), also known as multidisciplinary rounding, has been shown to improve collaboration between allied medical providers. It may have additional positive effects on patient safety, hospital efficiency, and patient and provider satisfaction. Geographic rounding, in which physicians see patients in 1 medical unit or geographic location, has shown promise in improving […]

Background: When left untreated tuberculosis has the potential to cause significant morbidity and mortality. In many instances adequate microbiologic therapy does not exclude chronic respiratory complications. Bronchostenosis is an under recognized complication with potentially far reaching complications. Methods: Patients with evidence of bronchial stenosis and lung volume loss who were previously treated with pulmonary tuberculosis […]

Case Presentation: A 57 year‐old man presented with a one‐week history of non‐productive cough associated with fever, night sweats, pleuritic chest pain and dyspnea on exertion. His oxygen saturation was 70 percent on a non‐rebreather mask. He was tachycardic and was unable to speak in complete sentences. On exam he had diffuse pulmonary wheezes and […]

Case Presentation: Case of 53 years old female with a past medical history of rheumatoid arthritis, coronary artery disease and peripheral vascular disease who presented with worsening postprandial right upper quadrant abdominal pain. Pain was described as intermittent, sharp, and stabbing. The patient also reported a 20-30 pounds’ unintentional weight loss over 6 months and […]

Case Presentation: A 29-year-old African American female, who has a history of preeclampsia and recent stroke, presented with confusion, unusual behavior pattern, headache, involuntary movements and forgetfulness for 3 days. She reported difficulty performing easy tasks such as putting a bottle together, changing her baby and progressive cognitive decline. She denied having weakness, numbness, seizures, […]

Case Presentation: An 84-year-old Caucasian male presented with a two-week history of throbbing headaches, fever, jaw claudication, and neck stiffness. Vitals signs were T: 38C, BP: 171/86 mmHg, HR: 102 bpm, RR: 20 breaths/min, SPO2: 94% on room air. Examination revealed neck stiffness and swollen, mildly tender temporal arteries bilaterally but negative Kernig’s and Brudzinski […]

Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest […]