Background: Over the last 2 decades there has been increasing adoption of Observation (OBS) units across the healthcare facilities in United States. Health reforms like 2 midnight rule and 30 day readmission penalties, congestion in the ED, poor operational outcomes in OBS population mixed with inpatients (IP) etc. further added to the need for dedicated […]

Case Presentation: A 5‐month‐old female with worsening skin rash for 2 months was admitted for evaluation. The rash began as generalized flesh colored papules on the upper chest and antecubital fossae. Initially, the patient was treated with OTC moisturizing creams. However, the rash began to spread to include her face and abdomen. The color changed […]

Background: There is growing adoption of Observation units as an answer to increasing payment denials in short stay admissions (ranging from 24-72 hours), overcrowding in emergency room, need for inpatient capacity and mismatched resource utilization. There is quite a bit of variation in the type of OBS units like Level I OBS unit- which is […]

Case Presentation: This is a 66‐year‐old woman with no diagnoses of any pulmonary diseases or any occupational exposures but with ulcerative colitis diagnosed 9 months prior to admission for which she was started on sulfasalazine, who was admitted to the internal medicine service for fever of 39°C at home, nonproductive cough and dyspnea. Patient had […]