Background: Unnecessary hospitalizations and testing for syncope remain common (1), and physician attitudes continue to favor overuse for syncope (2). Structured protocols, specialized units, and decision support algorithms may reduce health service use, but lack of data precludes the ability to advocate for use of a specific decision support algorithm (3). Purpose: Our primary aim […]

Case Presentation: A 48‐year‐old woman with systemic sclerosis and secondary interstitial lung disease on 4–6 L/minute oxygen per nasal cannula at baseline presented to the emergency department with 2 days of new onset nonproductive cough, pleuritic chest pain, worsening shortness of breath and subjective fever. Patient's home medications included prednisone 10 mg daily and dapsone […]

Case Presentation: A 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 […]

Case Presentation: 70 year old man with a history of hepatitis C, diabetes mellitus type 2, hypertension, and coronary artery disease presents with worsening pneumonia.  The patient had recently traveled to Italy for 2 weeks with his wife and on return to the United States developed subjective fevers, dizziness and knee pain for one week.  […]