Background: With current health information technology, the electronic health record (EHR) is accessible to review clinical information from remote locations. Although patterns of remote EHR access by residents have been described, little information exists regarding how attendings are using the EHR away from the hospital. We hypothesized that attendings may be using the EHR as […]

Background: Although hip fractures in the elderly are largely due to osteoporosis, rates of treatment for osteoporosis after fragility fracture have been reported as

Case Presentation: A 56‐year‐old woman presented with severe abdominal pain, nausea, vomiting, fever, and hypotension. Admission laboratory tests were significant for serum amylase 420 IU/L (17–95 IU/L) and serum lipase 292 IU/L (12–84 IU/L). Computed tomography of the abdomen revealed no abnormalities. Two days after admission the patient's condition was stable, but she continued to […]

Background: Length of stay (LOS) is an important quality indicator and has significant financial implications and impact on hospital throughput. Geriatric Fracture Center (GFC) is a co-management program between Hospital Medicine and Orthopedic for patients who are age 60 and above with fragility fracture. Delays in skilled nursing facility (SNF) rehabilitation placement are a major […]

Case Presentation: A 29 year old female with past medical history significant for hyperemesis gravidarum requiring total parenteral nutrition (TPN) presented to the Emergency Department (ED) with chest pain. She had been having intermittent chest pain for the last 3-4 years, which she had always attributed to the scar from her infusion port. An infusion […]

Case Presentation: An 87-year-old male with a history of atrial fibrillation, a myeloproliferative disorder, and recently diagnosed cirrhosis presented with shortness of breath. He reported three weeks of progressive shortness of breath and weight gain, and on the night prior to admission, he developed fevers and chills. In the ED, he was febrile to 101.6 […]

Case Presentation: A man in his 20s with morbid obesity presented to an urgent care center with a sudden onset of fever, cough and shortness of breath (SOB). He was noted to have wheezing and received nebulized albuterol for presumed “new onset” bronchial asthma. He reported improvement in symptoms and was subsequently discharged. He visited […]

Case Presentation: A 29-year-old Japanese man who attended to an orthopedist in an outside hospital with multiple fractures of rib bones and a compression fracture of vertebral bones was referred to our hospital for further investigation for the tentative diagnosis of rheumatoid arthritis worried about increased serum level of matrix metalloproteinase-3. In advance of the […]