Background: Bone biopsy is considered the gold standard for diagnosis and treatment of osteomyelitis (OM), but few studies have investigated the extent to which it influences antimicrobial therapy in non-vertebral bones. The purpose of this study was to evaluate clinician-initiated changes to empiric antimicrobial therapy after obtaining bone biopsy results. A secondary aim was to [...]

Background: Tissue pathology plays an integral role in the diagnosis of various conditions, especially malignancy. Traditionally biopsy procedures, including core needle biopsy (CNB), have been performed by specialists under imaging guidance. They are traditionally done in special procedure rooms/suites–which come with an added cost of nursing staff, transportation and equipment. Meanwhile hospitalists are increasingly becoming [...]

Case Presentation: A 75-year-old male with a history of type 2 diabetes mellitus, atrial fibrillation and hypertension presents to the hospital for evaluation of generalized weakness. He was found to have significant anemia with hemoglobin of 6.5 g/dL. He has had multiple admissions for anemia, and in the last year has required over twenty blood [...]

Case Presentation: Ms. S is a 64 year old woman recently diagnosed with multiple myeloma following a hip fracture and repair, who was transferred from an outside hospital for hematochezia. She was admitted to the outside hospital from a skilled nursing facility for presumed post-operative ileus complicated by nausea and vomiting. During that stay, she [...]

Case Presentation: A 28-year-old Middle Eastern male, previously diagnosed with Systemic Lupus Erythematosus (SLE) and biopsy-proven Lupus Nephritis at the age of 18 in Egypt, had been managing his condition with a daily dose of mycophenolate mofetil at 250 mg. During a routine clinic follow-up, laboratory tests were conducted, revealing concerning results. His 24-hour urine [...]

Case Presentation: A 38 yo male with PMH of alcohol abuse, motor vehicle collision a year prior to presentation, presented to the ED with back pain. Pt states that had back pain about a year ago right after the motor vehicle collision, which improved after a month. Then in the last 4 weeks, he has [...]

Case Presentation: A 79-year-old African American male patient with a past medical history of prostate cancer presented with progressive weakness, headache, and confusion. Free and total PSA levels were within normal limits. Brain MRI showed a 4.1×3.3×4.1 cm left frontal lesion at the surface of the left lateral ventricle with vasogenic edema and midline shift. [...]

Case Presentation: A previously healthy 50-year-old man presented with 4 days of abdominal distension and subjective fevers at home. He was from rural Guatemala originally, now moved to Irvine, California. He denied any noxious habits including alcohol consumption, other travel history, or occupational exposures. On presentation, vital signs were stable except for slight tachycardia to [...]

Case Presentation: A 43-year-old woman with a history of SLE underwent a renal biopsy for proteinuria without immediate complications. Four days post-procedure, she reported fever and myalgia. She was also found to have a drop in hemoglobin from 11.1 to 9.8 g/dL. A CT abdomen showed a left renal subscapular and retroperitoneal hematoma without active [...]

Case Presentation: A 21-year-old male with end-stage renal disease for 3 years (cause unknown) presented to the hospital with a 19lb weight loss (10% of body weight) over 2 months. Exam was notable for jaundice, diffuse abdominal tenderness, and innumerable purple, papular lesions covering his body, which he had noticed for 8 months. Labs revealed [...]