Case Presentation: A 70‐year‐old man complained of left leg pain 2 days after coronary artery bypass graft (CABG) for an acute ST‐elevation myocardial infarction. Patient was treated with intravenous unfractionated heparin (UFH) during CABG. Platelet count before and after the surgery was 130,000/μL and 78,000/μL, respectively. Antiheparin IgM and IgG antibodies (or heparin‐induced thrombocytopenia [HIT} […]

Background: Resistance in learning (RIL) defines a set of attitudes or behaviors demonstrated by learners in an educational setting that result in decreased learning. Literature describes the etiology as multifactorial, including learning environment, characteristics of the learner, and teaching style. Hospitalists often use quality improvement methodology, such as PDSA cycles to improve the clinical care […]

Background: Patients (pts) with congestive heart failure (CHF) are at an increased risk for community-acquired bacterial pneumonia (CABP) [1]. Moreover, CABP itself and macrolide antibiotics, which current guidelines recommend for CABP treatment [2], are both associated with increased risk of cardiac events, including worsening heart failure [3,4]. Lefamulin (LEF) is a first-in-class systemic pleuromutilin antibiotic […]

Case Presentation: A 32‐year‐old man with chronic low back pain presented with tonic–clonic seizures and altered mental status approximately 12 hours after he underwent an outpatient CT myelogram with Iopamidol contrast. Headache, nausea and vomiting preceded the seizure. His temperature was 37.9°C; he had nuchal rigidity and was unresponsive but able to move all extremities. […]