Case Presentation: A 34-year old male with no past medical history presented to the emergency room with 1 day of low back pain associated with fever and chills.  He reported the pain as constant and 10/10 in severity, partially relieved by ibuprofen. He denied any trauma. There was no loss of bowel or bladder function [...]

Case Presentation: This is a 77 year old woman with a history of severe aortic stenosis, severe mitral regurgitation, and chronic atrial fibrillation (afib) on coumadin. In 2017, she underwent bioprosthetic aortic valve replacement, mitral valve repair, biatrial ablation (Maze procedure), and left atrial appendage ligation (WATCHMAN procedure), after which she was to continue coumadin [...]

Case Presentation: A 41-year-old male with past medical history of ulcerative colitis (UC) currently on vedolizumab infusions every 8 weeks presented to the hospital with right lower quadrant abdominal pain. The patient endorsed nausea, vomiting, and 15-20 loose, bloody bowel movements per day. Upon admission, the patient was afebrile, normotensive, and non-tachycardic. Physical exam revealed [...]

Case Presentation: A 22-year-old Hispanic male presented with a 4 day history of rectal and abdominal pain. He denied any previous medical history. He also noted three months of productive cough, pyrexia, chills, night sweats, fatigue, and weight loss. Physical examination revealed right lower quadrant tenderness accompanied by abdominal rigidity and involuntary guarding. The patient declined digital rectal examination. [...]

Case Presentation: A 50-year-old white female presented with the acute onset of right lower quadrant abdominal pain.   The patient’s temperature was 37.7° Celsius.  Physical examination was remarkable for voluntary guarding and rebound tenderness, which was most pronounced in the right lower quadrant.  White blood count was 7.0 k/uL.  CAT of the abdomen revealed an [...]

Case Presentation: An otherwise healthy 36 year-old presented to the emergency room with increasing pain and swelling of her left upper extremity, progressively worsening over the last week. Physical examination showed significantly enlarged left upper extremity with tenderness and erythema. Further evaluation showed presence of left subclavian, internal jugular vein DVT. A CT-angiogram performed for [...]

Background: Rapid response teams (RRT) are critical to the timely and appropriate management of acutely decompensating patients within many hospital systems. In the academic setting, the vital role of RRT leader is often filled by a resident physician who may lack the necessary medical knowledge and experience to initiate timely management for these patients. 100% [...]

Case Presentation: Here, we present a rare case of large bilateral pleural effusions arising from a pancreaticopleural fistula (PPF) with a complicated course of trapped lung. Our patient is a 41 year old woman with a history of chronic pancreatitis who presented to the emergency department with a 3-day history of dyspnea on exertion and [...]

Background: Many modern electronic medical record (EMR) systems permit application of templates to hospital After Visit Summaries (AVS). A need remains for enhancement of the document’s completeness and readability to enable successful patient self-management. Such advancements must balance with provider usability of EMR tools. This study evaluates the impact of a novel EMR tool, disappearing [...]

Background: Nurse Practitioners (NP) & Physician Assistants (PA), also referred to as Advanced Practice Providers (APPs), have become an integral part of Hospital Medicine Groups (HMG). As per the State of Hospital Medicine report (1) from the Society of Hospital Medicine, 83% of HMGs had APPs in 2020. Over the next few years, the average [...]