Background: Outcomes among hospitalized patients with severe vision impairment or blindness have not been extensively explored. The purpose of this study was to determine clinical and resource utilization outcomes in patients with severe vision impairment/blindness. Methods: This was a retrospective cohort study. Using the Nationwide Inpatient Sample for year 2017, hospitalized adults with and without [...]

Case Presentation: A 60-year-old man with no history of diabetes presented with right sided facial swelling and was found to have HbA1c of 14%. He was treated for sinusitis with augmentin and discharged with close follow-up for new-onset diabetes mellitus type 2. A few days later, he developed new left eye blindness necessitating readmission. On [...]

Case Presentation: A 20 year-old IVDU female presented with 3 days of left eye pain and redness to an urgent ophthalmologist visit. She was found to have left eye retinal whitening superior to the macula to which vitreous tap was performed. Patient started on empiric treatment with injection of vancomycin, ceftriaxone, and voriconazole. Vitreous fluid [...]

Case Presentation: A 71-year-old man with a history of coronary artery disease (CAD) and percutaneous coronary intervention (PCI) presented to our hospital with unstable angina. He was urgently taken for coronary angiography (CAG) using a trans-radial approach, which revealed three-vessel CAD and severe in-stent restenosis of the left anterior descending artery. Balloon angioplasty was performed [...]

Case Presentation: A 73 year old female with a 50 pack year smoking history was admitted with 2 months of dysphonia, oral pain, odynophagia, and a 30 pound weight loss. Exam revealed a large ulcerative lesion of the tongue and white plaques on the tongue and oral mucosa. CRP was 5.74 mg/dL and ESR was [...]

Case Presentation: A 67 year old female patient with diffuse large B-cell Lymphoma with extensive nodal disease involving the lower thorax, abdomen, pelvis and central nervous system (CNS) presented with generalized weakness, acute confusion and fevers. Her recent treatment history included systemic chemotherapy with dose adjusted etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, rituximab (DA-EPOCH-R) and intrathecal [...]

Case Presentation: A 42 year-old woman with no significant past medical history presented with a one-week history of sudden bilateral vision loss. Two weeks prior, she reported new bifrontal, pounding headaches with subsequent blurring of vision in her right eye. After two weeks, her headaches suddenly disappeared with sudden bilateral, painless blindness. Evaluation by a [...]

Case Presentation: A 62-year-old male with hypertension, CAD s/p CABG, atrial fibrillation on oral anticoagulation, type 1 diabetes s/p pancreatic and renal transplant in 1999 on maintenance Tacrolimus and Mycophenolate presented to the ED complaining of severe headache and confusion. He was very agitated and unable to follow commands. At one point, he was sitting [...]