Background: Coordination of inpatient and outpatient care is an important challenge in improving population health but evidence examining the effectiveness of existing care coordination programs is mixed. The Comprehensive Care Physician (CCP) Program at the University of Chicago provides patients at increased risk of hospitalization the opportunity to receive inpatient and outpatient care from the [...]

Background: Complex non-pharmacologic interventions containing multiple, or bundled, components can successfully prevent and treat hospital-acquired delirium in older adults. However consistent implementation, and the measurement of compliance, of these bundled interventions can be challenging to sustain in hospital settings especially in presence of COVID-19. Developing workflows with a smaller sub-set of components that are feasible [...]

Case Presentation: We report the case of a 69-year-old Honduran male with a long history of non-valvular atrial fibrillation with a CHA2DS2-VASc Score= 2 (Age > 65 and Hypertension) anticoagulated with Rivaroxaban 20 mg po daily since 2013.  He presented with sudden onset of excruciating upper and lower back pain while seated at his cardiologist’s [...]

Case Presentation: A 44-year-old female with end-stage renal disease on hemodialysis presented to the hospital with progressive nausea, vomiting and abdominal pain. The etiology of her renal disease was unknown. She had received a renal transplant 17 years ago, which then failed. She was maintained on peritoneal dialysis (PD) for 12 years until she was [...]

Case Presentation: A 37 year old Caucasian man with known peptic ulcer disease and generalized anxiety disorder presented with a three week history of worsening right upper quadrant pain, nausea and generalized malaise.  He denied taking any prescribed medications or acetaminophen.  He denied any alcohol use during the week of admission. The patient was afebrile [...]

Background: Coordination of inpatient and outpatient care is an important challenge in improving population health but evidence examining the effectiveness of existing care coordination programs is mixed. The Comprehensive Care Physician (CCP) Program at the University of Chicago provides patients at increased risk of hospitalization the opportunity to receive inpatient and outpatient care from the [...]

Case Presentation: A 31-year-old African American woman with past medical history of hypertension (HTN), gastro esophageal reflux disease (GERD), bronchial asthma and a diagnosis of Irritable Bowel Syndrome (IBS) for 10 years presented with complaints of exacerbation of chronic abdominal pain and non-bloody diarrhea for 2 weeks prior to presentation. Physical examination was unremarkable except [...]

Case Presentation: A 27 year-old male called 911 after intentional ingestion of 3g of lamotrigine and 3g of hydroxyzine.   Upon arrival to the ER, approximately one hour after ingestion, the patient had slurred speech and was lethargic, but was able to provide his own history.  The patient subsequently began to speak incoherently and became increasingly [...]

Case Presentation: Calciphylaxis is a rare cause of skin necrosis due to calcium deposition within the vasculature, most commonly seen in patients with end stage renal disease.  A 54-year-old male was transferred from a long-term acute care facility for evaluation of a 3 week history of bilateral proximal lower-extremity wounds.  His past medical history was [...]

Case Presentation: A 55 year-old male with no known medical history presented to the emergency department after a fall on both knees. He was found to have bilateral patellar tendon ruptures and multiple femoral lytic bone lesions on radiographic imaging. Subsequent laboratory testing yielded an elevated creatinine (3.42 mg/dL) and hypercalcemia (15.2 mg/dL), concerning for [...]