Background: Data about seroprevalence of COVID-19 infections in US Health Care Workers (HCW) is limited. CDC reported that about 55% of SARS-CoV-2 PCR positive HCWs reported exposure at work, with most of them being minimally symptomatic or asymptomatic(1). This study characterizes the symptomatic/asymptomatic SARS-CoV-2 seropositive frontline HCW in our hospital and correlate clinical features with [...]

Background: Since the start of the COVID-19 pandemic, racial and ethnic minorities have experienced disparities in infection rates, hospitalization, and death. Monoclonal antibodies (Mab) decrease hospitalization when given to ambulatory non-severe high-risk patients within 10 day of symptom onset. Disparities in care related to Mabs are not well understood. We describe experience from Mab infusion [...]

Background: Thrombocytopenia is common in hospitalized patients. Heparin Induced thrombocytopenia (HIT) is a life threatening condition which can lead to extensive thrombosis. Diagnosis of HIT relies on clinical suspicion determined by 4T score, and the immunoassays through testing for anti PF4/Heparin antibodies. Clinical practice guidelines published by the American Society of Hematology (2013) recommended to [...]

Case Presentation: A 60 -year old Caucasian female presented to the emergency department with right-sided hemiparesis and dysarthria. The patient had been admitted to an outside facility one week prior to presentation for left foot osteomyelitis. That admission was complicated by right upper extremity DVT and she had been started on apixaban. When she presented [...]

Case Presentation: A generally healthy 36 year old female began experiencing stiffness in her lower back with persistent aching pain. The discomfort progressively worsened over several weeks prompting multiple emergency room visits. She began to complain of severe leg spasm at the time of her admission to the hospital. Her CPK level was markedly elevated [...]

Case Presentation: 59-year-old female with no significant past medical history presented to the hospital with worsening dizziness, vertigo, and diplopia in the right eye. Vital signs were unrevealing. On physical exam, she appeared nontoxic but uncomfortable with eyes closed resting on the bed. The neurologic exam revealed severe nystagmus in the right eye, intact CN [...]

Case Presentation: A 61-year-old male with past medical history of type 2 diabetes, hypertension, hyperlipidemia, tobacco use disorder, Raynaud phenomenon, and provoked DVT presented from an outside hospital with abrupt onset of a purpuric lower extremity rash with discoloration and ulceration of the distal fingers and toes. At the time of the patient’s DVT several [...]

Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination [...]

Case Presentation: A 62-year-oldwoman with heart failure with preserved ejection fraction (HFpEF) presented with one week of worsening shortness of breath, bilateral lower extremity edema, and poor oral intake. Over the past year, the she had increasing early satiety resulting in a 93-pound weight loss and progressively decreasing exercise tolerance. She noted dry eyes, dry [...]

Case Presentation: This is the case of a 51-year-old male without prior medical or psychiatric history who developed altered sensorium, cognitive dysfunction, mutism and disorganized behavior of 3 weeks of evolution causing severe impairment over his ability to self-care. He was transferred to our institution from a psychiatric hospital since he underwent 2 weeks of [...]