Background: Last‐minute discharge planning and thereby lack of coordination in the discharge process can lead to inefficiencies and bed management constraints during this vital transition point of patient care. Our study was designed to assess the effect of a 24‐hour discharge planning tool and a discharge liaison on early discharges while maintaining patient preparedness for […]

Background: Alcoholic hepatitis (AH) related admissions have been increasing, and severe AH (as defined by a discriminant function [DF] > 32) can carry a one-month mortality rate of up to 50% (Crabb et al). With rising mortality from alcoholic liver disease, early detection of alcohol use disorder to achieve cessation and prevent progression to alcoholic […]

Case Presentation: A 19-year-old, 22-week pregnant woman with no significant past medical history presented with cough, fever, myalgia, abdominal pain and diarrhea for two weeks. On admission, she was febrile to 101.2 F and tachycardic with HR of 110-120 bpm. Physical exam revealed right upper quadrant (RUQ) tenderness upon palpation and one vesicular genital lesion. […]

Case Presentation: A 36‐year‐old Caucasian male presented to the emergency room with several days of fatigue, emesis, abdominal pain, and dyspnea. He denied any recent travel but noted that he lived in an apartment with 6 dogs and 1 kitten. His physical examination and initial blood work were unremarkable except for a mild leukocytosis and […]

Case Presentation: A 45 year old African American Male with no significant past medical history presented with hematuria, shortness of breath, black tarry stools, and multiple bruises throughout his body for the past two weeks. Physical Exam revealed an afebrile, hemodynamically stable patient, with multiple areas of bruises throughout the body. Labs on admission revealed […]

Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 […]

Case Presentation: A 40 year old previously healthy female was incidentally found to have elevated transaminases on routine lab work. She was sent to our hospital for further evaluation. On admission, she complained of fatigue, right sided abdominal discomfort, and jaundice of a few weeks. She denied taking prescription medications but reported taking a supplement […]

Case Presentation:                A 24-year-old man with no past medical history was brought to the emergency department after being struck in the chest by a post while docking a water taxi. On arrival, he complained of shortness of breath and chest pain. Physical exam revealed an alert man with […]

Case Presentation: A 31-year-old man presented to the ED with one week of worsening cough, headaches, and abdominal pain. Initial laboratory evaluation revealed a total bilirubin level of 15.6 mg/dL, ALP 181 U/L, ALT 518 U/L, AST 829 U/L. Lipase and GGT were within normal range. Chest x-ray and abdominal ultrasound showed no abnormalities. He […]

Case Presentation: A 47year old Caucasian man came to the emergency room with of fever, severe headaches, severe body aches and pain for 4days. Headaches worsened and he developed photophobia on day 5. He was taking Bactrim for an infected left arm wound which he stopped after these symptoms started. On examination, he was acutely ill looking, […]