Background: Prescription opioids have come under increasing scrutiny in recent years due to the rise in use and misuse which has resulted in significant morbidity and mortality. There have been several efforts by government agencies to address this such as the FDA issuing a Risk Evaluation Mitigation Strategy (REMS) for extended release/long acting (ERLAs) opioids […]

Background: The field of medicine is continuously evolving. Hospital medicine is in the forefront of transforming care delivery. To continuously improve practice, hospitalists need to participate in accredited continuing medical education (CME). Accredited CME is required for maintenance of licensure, credentialing, and other professional privileges. The Ongoing Professional Practice Evaluation (OPPE) is a regulatory requirement […]

Background: Hospitalist have not previously had a primary role in the setting of eating disorders beyond stabilization in an acute care setting. Following stabilization, patients in need of further treatment are transferred to an eating disorder facility. While in inpatient or residential care for their eating disorder, patient are monitored by physicians or mid-level providers. […]

Case Presentation: A 29‐year‐old man with no medical history presented with increasing shortness of breath and orthopnea for ten days. He denied alcohol and drug abuse. Family history was negative for any cardiac disease. Examination revealed distended neck veins, bibasilar crackles, and S3. EKG showed normal sinus rhythm with QRS duration of 130 ms. An […]

Case Presentation: A 47 year old man with asthma and a 30 pack-year smoking history presented with shortness of breath, chest tightness, and intermittent fevers for the past week. For the month prior to presentation he was vaping tetrahydrocannabinol (THC) daily. He had no sick contacts and no other drug use or occupational exposures. Initial […]

Case Presentation: A 47 year old man with asthma and a 30 pack-year smoking history presented with shortness of breath, chest tightness, and intermittent fevers for the past week. For the month prior to presentation he was vaping tetrahydrocannabinol (THC) daily. He had no sick contacts and no other drug use or occupational exposures. Initial […]

Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed […]

Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed […]

Case Presentation: A 63-year-old man with a history intravenous heroin use disorder and chronic homelessness was readmitted for worsening right lower extremity pain secondary to recently diagnosed unprovoked bilateral deep vein thrombosis (DVT). He reported substernal chest pain without radiation and dyspnea but denied fevers, chills, weight loss or recent heroin use. His temperature was […]

Case Presentation: A 36 year‐old woman with history of asthma and hypertension presented with three weeks of rash, one week of gross hematuria, and acute onset dyspnea without hemoptysis or joint discomfort. She had been started on 60mg of prednisone without improvement as an outpatient for a possible vasculitis. Examination was notable for course crackles […]