Case Presentation: A healthy five-year-old girl was admitted from Ophthalmology Clinic for evaluation of bilateral anterior uveitis, fatigue and weight loss. History was notable for a cat scratch to the right eye one month prior which had prompted the referral to Ophthalmology Clinic. Patient also reported fatigue, night sweats, intermittent headache, poor oral intake, and [...]

Background: Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), affects one to two per one thousand persons annually in the US. Treatment of VTE consists of anticoagulation therapy, and evidence supports treating patients with low-risk VTEs as outpatients.  Novel oral agents such as rivaroxaban, an oral factor Xa inhibitor, require less [...]

Case Presentation: Introduction: In a hospital medicine service, how often do we come across the conundrum of a high risk bleeder who has a high risk for clot? This is one of the more common clinical scenarios that plague us as providers. A double edged sword, we talk about the dire consequences on either side [...]

Case Presentation: 70-year-old female with past medical history of vascular dementia, recent COVID infection (three weeks before) was brought from nursing home for altered mental status, one episode of vomiting and hypoxia as per the records. On arrival she was hypotensive to 71/43 mm Hg requiring norepinephrine, heart rate 118 beat/minute, saturating 94% on 2L, [...]

Case Presentation: An 82 year old male with unknown PMH presented with worsening dry cough and dyspnea. 1 week course of antibiotics provided minimal relief. Patient was febrile/tachycardic on arrival with rhonchi appreciated on bilateral lower lung field auscultation. His oxygen saturation was found to be dipping below 90% on room air for which he [...]