Case Presentation: We present a 96-year-old male who presented to the emergency department with syncope and worsening fatigue. He noted yellowing of his eyes and skin, clay colored stools and dark urine. He had a remote cholecystectomy but no prior liver disease and denied alcohol use.Physical exam revealed prominent jaundice and scleral icterus with a [...]

Case Presentation: A 36 year old man with a history of iron deficiency anemia (IDA) of unclear etiology was admitted with a three-week history of progressively worsening fatigue, weakness and lightheadedness. Further questioning revealed a 12 month history of hemoptysis which he described as productive of about a half-dollar amount of blood every morning. He [...]

Case Presentation: We present a case of a 37-year-old female with a past medical history of cerebral palsy and iron deficiency anemia due to heavy menstrual periods who presented with right-sided leg weakness for a few hours. Upon the patient’s arrival to the emergency room a stroke code was called. A CT scan of the [...]

Case Presentation: A 21-month-old girl was brought to the emergency department for acute, severe right arm and leg weakness. She was unable to stand, appearing pale and fatigued. Labs were notable for hemoglobin (Hgb) of 3.5 g/dL, leukocyte of 19.7×103/µL, platelet of 340×103/µL, absolute reticulocyte of 6.4×103/µL, and MCV of 49 fL. Microcytic anemia and [...]

Background: Iron deficiency is the most common cause of anemia and a common comorbidity in hospitalized patients. Iron deficiency is present in up to 50% of patients with heart failure and intravenous (IV) iron can improve symptoms, functional capacity, and quality of life1. Inflammatory bowel disease has a prevalence of iron deficiency in 25% of [...]

Case Presentation: A 14-month-old male with history of hemihypertrophy of left lower extremity and macrodactyly of the left third to fifth toes, as well as syndactyly of third and fourth toes, presented to the ER because of facial swelling and anasarca. The swelling began 10 days prior to admission, diagnosed initially as bilateral preseptal cellulitis [...]

Case Presentation: 42-year-old female with past medical history of type 1 diabetes mellitus complicated by recurrent diabetic ketoacidosis (DKA), coronary artery disease (CAD), peripheral arterial disease (PAD), and blue toe syndrome (BTS) complicated by recent amputations of her right 1-2 toes, presented to an outside hospital (OSH) in DKA. She was also septic with methicillin-susceptible [...]

Background: Burnout among hospital medicine physicians has been reported to be 50-60%, with prevalence likely increasing during the COVID-19 pandemic (1-3). Prior studies suggest burnout may be lower in the Veterans Administration (VA) compared to non-VA healthcare settings (4, 5). However, specific data examining burnout in VA Hospital Medicine (HM) physicians are lacking. To address [...]