Background: Perioperative patient management in accordance with the clinical practice guidelines is effective only when followed. The ACC/AHA perioperative guidelines contain many recommendations which cannot be translated in electronic health record alerts or order sets. Purpose: We built an app to improve efficiency in preoperative evaluations based on the ACC/AHA guidelines. We present results of [...]

Background: Geographic information science and technology (GIST) is an academic field that explains the importance of geospatial data and analysis. GIST is a powerful tool that has been successfully implemented to help address a number of significant health issues ranging from disease management to improved services. In this study, we have used GIST to help [...]

Background: Clinical excellence is the mainstay of faculty development and advancement in academic hospital medicine groups (HMGs). Attaining clinical excellence relies heavily on feedback of current clinician skills. However, following completion of medical training, physicians and advanced practice providers (APPs) experience a gap in relevant and real-time feedback. A paucity of literature exists in academic [...]

Case Presentation: Inappropriate sinus tachycardia (IST) was initially described as a non-paroxysmal increase in the resting sinus heart rate in otherwise healthy individuals (1). It is most often seen in young females and rarely in the elderly (2). Herein we report a case of an elderly female diagnosed with IST. 67-year-old female with past medical [...]

Case Presentation: A 56-year-old man with a past medical history of hypertension, hyperlipidemia, polysubstance abuse, and perforated appendicitis presented to the emergency department for one-week right lower quadrant abdominal pain. Of note, two-years prior, the patient had one-day of similar pain associated with nausea and emesis. A computed tomography (CT) scan of the abdomen and [...]

Case Presentation: A 76-year-old Caucasian male with a past medical history of essential hypertension and type II diabetes mellitus presented with groin pain, nausea, vomiting, and right lower quadrant (RLQ) abdominal pain. The patient’s labs showed a high neutrophil count (82.3) and leukocytopenia (7). CT scan of the abdomen showed an abnormality of the mid [...]