Case Presentation: A 44-year-old man with thrombocytopenia and hypertension was admitted with acute left pontine ischemic stroke. One week later, he underwent computed tomography (CT) of abdomen for persistent abdominal pain and fever, revealing multiple emboli involving the pulmonary, mesenteric and splenic artery. Doppler studies revealed right lower extremity deep vein thrombosis (DVT) and arterial [...]

Case Presentation: A 37 year-old female with history of menorrhagia on oral contraceptives (OCP) for 2 months, presented with abrupt onset of right lower quadrant abdominal pain (RLQ) for 1 day. Pain was 10/10, constant, sharp, with radiation to right flank, without alleviating factors. Pain was associated with nausea and multiple episodes of vomiting. She [...]

Case Presentation: A 54 year-old Hispanic man with a history of deep vein thrombosis (DVT) and glioblastoma multiforme treated with right parietal craniotomy and temozolomide, presented with fever, headache, and odynophagia. He reported a week of odynophagia with solids and liquids, worsening headaches, and fever of 100.4 F. His last cycle of temozolomide and radiation [...]

Case Presentation: A 59-year-old male with a past medical history remarkable for obesity, asthma, and anxiety sought medical attention for the chief complaint of dyspnea for approximately 10 days. Computed tomography with angiogram of the thorax on admission was negative for any pulmonary emboli, but did demonstrate central and peripheral ground glass opacities throughout both [...]

Case Presentation: A 20-year-old man with type 1 diabetes, hypothyroidism, and hypomagnesemia presented for evaluation of hypocalcemia. Patient reported progressive lack of motivation and depression. He developed lower extremity swelling and abdominal distention over the past 3 months. He denied fatigue, heat or cold intolerance, weight change, polydipsia, polyuria, chest pain, palpitations, shortness of breath, [...]

Case Presentation: A 36 y/o African American female with a history of hypertension, possible congenital right renal atrophy, and endometriosis, presented with a two-day history of severe left flank and abdominal pain similar to her prior endometriosis flares. She noted no personal or family history of thromboembolic disorders. On physical exam, vitals were significant for [...]

Case Presentation: A 39 year old female presented on day 10, status post (s/p) laparoscopic gastric sleeve, with nausea, vomiting, abdominal pain and loose mucoid stools intermittently since surgery. She had history of rheumatoid arthritis, morbid obesity, with provoked lower extremity deep venous thrombosis (DVT) and pulmonary embolism (PE) who had previous IVC filter and [...]

Case Presentation: A 66-year-old Caucasian man presented to his primary care physician with significant fatigue and night sweats associated with 30-pound weight loss, headaches, and dyspnea on exertion. He reported the onset of symptoms one week after returning from a hunting trip in Georgia where he caught and cleaned wild boar. After this initial outpatient [...]

Background: Healthcare costs in the United States are exorbitant and excessive lab utilization contributes significantly1. Daily labs (DL), typically consisting of basic metabolic panels (BMPs) and complete blood counts (CBC) are often over-ordered for hospital inpatients2. This leads to increased costs, limits phlebotomy resources, iatrogenic anemia, patient discomfort and interruption of sleep3. The Choosing Wisely® [...]

Background: Central line associated bloodstream infection (CLABSI) is the 8th leading cause of death in the United States, causing 100,000 deaths annually. Each CLABSI costs about $56,000 per patient and increases length of hospital stay by an average of 3 weeks. Femoral lines have been shown to have the highest risk of infection compared to [...]