Background: Sickle cell disease (SCD) is an autosomal recessive disease resulting in a broad range of functional and structural renal and cardiac alterations. Chronic kidney disease is with associated proteinuria, microalbuminuria and hemoglobinuria. Cardiac complications include diastolic heart disease, dysrhythmia and sudden death. In patients with advancing age, cardio-renal dysfunction can have substantial effects on [...]

Background: Falls are associated with significant morbidity and increased healthcare expenses for hospitalized patients. There are hundreds of thousands of inpatient falls every year. There are multiple validated scores to guide the need of imaging for patients presenting to ED after, but no such score exists for hospitalized patients who suffer a fall event. This [...]

Background: Medical errors and adverse events are leading causes of morbidity and mortality in the United States. Reporting errors – both those that do and do not cause harm to patients – is paramount to preventing recurrences within the medical system and, therefore, reducing future harm. However, physicians may be reluctant to disclose errors due [...]

Case Presentation: A 78 year old man with recurrent metastatic adenosquamous lung carcinoma (recently initiated pembrolizumab), CAD s/p CABG, HTN, DM2, and HLD, presented with 2 weeks of fatigue, myalgias, anorexia, and weakness acutely worsening in the prior 2 days. He had no fever, chills, chest pain, dyspnea, orthopnea, palpitations, or lower extremity edema. ED [...]

Case Presentation: A 52-year-old male with a history of type 2 diabetes mellitus, peripheral neuropathy, hypertension, hyperlipidemia, sleep apnea, and osteomyelitis of the right great toe presented to the hospital with a 3-day history of fever and chills. Of note, patient had been admitted 3 weeks prior with a complaint of a right foot ulcer, [...]

Case Presentation: A 66-year-old female with metastatic small cell lung cancer involving brain, liver, and bones was admitted via ED with generalized weakness, mild confusion, and decreased oral intake for 3 days. She was initiated on immunotherapy with immune checkpoint inhibitors, ipilimumab (human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody) and nivolumab (a programmed death receptor-1 [...]

Case Presentation: A 54-year-old male was admitted for six weeks of progressive lower extremity weakness and bowel and bladder incontinence. Work-up revealed an epidural abscess at T12-S1 with severe spinal stenosis at L1 and L2. He was started in empiric vancomycin and ceftriaxone before undergoing a T12-L5 hemilaminectomy and abscess drainage. During the surgery, absorbable [...]