Background: Acute decompensated heart failure exacerbation is the leading cause of hospitalization in the United States. It was associated with total medical costs of more than $30 billion in 2012 with projections estimating around $70 billion in costs by 2030. Currently, six million people in the U.S. have heart failure, with a little over half […]

Background: Chronic obstructive pulmonary disease (COPD) exacerbations occur in a significant proportion of hospitalizations but are often treated with substandard care. This may include inappropriate use of medications during and after hospitalization and failing to receive appropriate referrals for subspecialty care and rehabilitation. After discharge, lack of adequate education can lead to inappropriate medication use. […]

Case Presentation: The case begins with a 71-year-old female named MB. She initially presented with two weeks of worsening back pain, falls, and renal insufficiency. The pain itself radiated from her mid epigastrium to her back. The patient had a past medical history of COPD, paroxysmal atrial fibrillation, and heart failure with reduced ejection fraction. […]

Case Presentation: A 51-year-old male with past medical history significant for chronic pancreatitis was admitted to the hospital with a history of hematemesis and intermittent epigastric abdominal pain. About one year before the current admission, he was admitted with a history of severe microcytic anemia and a workup included an unremarkable upper and lower gastrointestinal […]