Case Presentation: A 68‐year‐old woman presented to our hospital with worsening orthopnea 3 times during 1 month. On her first hospitalization, she was diagnosed with diastolic heart failure in the setting of a normal B‐type natriuretic peptide (BNP) and echocardiogram. Shortly after discharge she developed sudden‐onset dysarthria which resolved over several hours. The subsequent re‐admission […]

Background: Teaching trainees clinical reasoning is a critical skill for clinical teachers. Advances in the fields of cognitive science and educational theory have provided a conceptual framework of core concepts in clinical reasoning: problem representation, illness scripts, treatment thresholds, and test-treatment thresholds. Purpose: We designed a one-hour workshop to teach interns core concepts in clinical […]

Case Presentation: A 22 year old African American male, with no significant past medical history, presented to the Emergency Room with fever, chills and productive cough of 2 weeks duration. A diagnosis of left upper lobe pneumonia was made at an outpatient visit 1 week ago for which a 5 days course of oral azithromycin […]

Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT […]

Case Presentation: A 25-year-old female with a history of End Stage Renal Disease (ESRD) due to Focal Segmental Glomerulosclerosis (FSGS) status post cadaveric kidney transplant one year ago presented with acute rejection of the transplanted kidney, likely due to medication non-compliance. Renal biopsy demonstrated that the kidney was no longer salvageable, and she was started […]