Background: Each year, 14 million Americans are diagnosed with HPV and 33,700 Americans are diagnosed with a cancer caused by HPV. The HPV vaccination can prevent 92% of these cancers. In 2018 only 42.74% of adolescents in Wisconsin ages 13-18 had completed the HPV series and only 56.47% had received the first dose. Hospitalization represents […]

Case Presentation: A 65‐year‐old woman presented with acute right flank pain. A CT scan of her abdomen revealed a 4.7‐cm right renal infarction. The patient was hospitalized for 5 days during which her pain resolved. Her workup found no evidence of atrial fibrillation, intracardiac thrombus, or inheritable hypercoagulable state. The decision was made to empirically […]

Background: It has been reported that vaccination rates with pneumococcal vaccine are low in elderly persons in Japan. The primary aim of this study was to examine whether introduction of a vaccination status checkbox in electronic medical records increased the vaccination rates. Methods: Subjects were inpatients and outpatients in the Department of General Medicine at […]

Case Presentation: A 47‐year‐old female smoker presented to the emergency department for right rib pain for 4 days. She had nausea, nonbloody and nonbilious emesis, nonproductive cough, and sore throat. She denied fever, headaches, dizziness, chest pain, palpitations, shortness of breath, or dysuria. In the emergency department, a computed tomography scan showed consolidation in the […]

Case Presentation: 66 year old man with a history of eosinophilic granulomastosis with polyangiitis presented with ascending numbness and unsteadiness that worsened over two days and finally manifested as paraesthesia and weakness in all extremities, gait imbalance, and diplopia. Three weeks prior to presentation, the patient had received the flu vaccine. Neurology was consulted upon […]

Case Presentation: A 27‐year old man presented with severe muscle cramping in all extremities. The symptoms began following hours of yard work in hot weather. He had previously experienced two similar episodes but otherwise had no medical history. He took no medications, had no allergies and denied illicit drug use; he stated his brother sometimes […]