Case Presentation: A 78‐year‐old man with a medical history of atrial fibrillation presented with complaints of 5 days of severe generalized weakness and difficulty walking. He also reported difficulty in getting up from a chair and difficulty while lifting his arm. On further questioning, he also reported taking an influenza vaccine shot a few days […]

Background: Risk assessment for venous thromboembolism (VTE) is a part of every hospital admission. The workflow of who completes the assessment varies between hospitals, but often it is carried out by trainees. VTE risk assessment is further complicated by the variety of methods to identify those patients who are appropriate for chemoprophylaxis, mechanical prophylaxis, or […]

Case Presentation: An 81‐year‐old woman presented with a 5‐day history of worsening left upper‐extremity edema in the absence of trauma. On admission, vitals signs were stable, and physical exam was remarkable for ecchymosis and nonpitting edema of the left mid‐forearm extending proximally past the elbow. Upper‐extremity venous Doppler was notable for a hematoma with no […]

Background: Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), constitute a major health problem in the United States Health System, with a reported high mortality rate and significant economic toll. Despite the prevalence of VTE and associated mortality, clinicians have struggled in prescribing appropriate VTE prophylaxis for the inpatient population, often […]

Case Presentation: A 70‐year‐old man with biliary cancer was treated with a 5‐fluorouracil (5‐FU)–containing regimen. Three days after his first cycle, the patient presented with chemotherapy‐induced nausea and vomiting. Over the next week, he developed mucositis, diffuse maculopapular rash, pancytopenia, and fever. Infectious workup was negative . He was treated supportively with growth factors and […]

Background: VTE is associated with considerable morbidity and mortality, in fact, as many as 10% of deaths of hospitalized patients have been contributed to pulmonary embolism.1 The ACP and AACP in their 2011 and 2012 guidelines, respectively, recommend that all hospitalized patients be evaluated for risk of VTE, and subsequent prophylaxis be initiated if benefits […]

Case Presentation: AR is a 3-week-old full term, previously healthy girl, who presented to the Emergency Department (ED) with a rash involving the perianal skin and gluteal crease. The rash began at 1 week of life. The primary care provider (PCP) presumed it was a typical diaper dermatitis, and prescribed oral amoxicillin and mupirocin ointment. […]

Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have […]

Case Presentation: 60-year-old gentleman with a history of autoimmune hemolytic anemia presented to emergency department with acute onset of severe left leg pain, edema, and cyanosis. On examination of his left leg, pulses were not palpable distal to posterior tibialis but motor functions remained intact. There were no blebs or bullae noted. He was requiring […]