Background: Oropharyngeal dysphagia affects up to 86% of hospitalized patients with dementia. Texture-modified food and thickened fluids are the mainstay of dysphagia management in patients with dementia, yet data on whether these diets improve clinical outcomes is lacking. Using a mixed methods approach, this study aimed to evaluate the following: 1) adherence to dysphagia diets [...]

Background: Anywhere from 20-50% of all hospitalized adult patients are impacted by malnourishment on admission. Although malnutrition has a worldwide impact on patient outcomes, it is frequently under documented. This proves detrimental to patient outcomes as the average length of stay is 1.5 times greater than those not affected by malnutrition. This is further exemplified [...]

Background: Islam is the second-largest religious tradition in the world, with approximately 3.45 million members in the United States. New York State has the third largest Muslim population and recent data estimates 20,000 to 25,000 Muslims reside in the greater Rochester area. During the month of Ramadan, all Muslims who are physically capable are obligated [...]

Case Presentation: A 40-year-old previously healthy female presented nine weeks postpartum with numerous episodes of nonbilious, nonbloody emesis that began 24 hours prior to admission. She took no medications and denied fevers, chills, dysuria, cough, or ingestion of alcohol or other substances. She reported that since her uncomplicated vaginal birth, she had been adhering to [...]

Case Presentation: A twenty-two-year-old male with no significant past medical history who presented with chest pain and found to have ST-segment elevation in leads II, III, aVF and V4-V6 leads. On subsequent EKG’s, patient had new ST-segment elevations in antero-lateral leads with dynamic changes. Cardiac catheterization showed acute dissection with thrombosis of the distal left [...]

Case Presentation: A 69 year old female with history of gallbladder cancer status post cholecystectomy/hepatic wedge resection with roux-en-y choledochojejunostomy and chemoradiation presents with recurrent abdominal pain and fevers of 102oF. She reports 2 prior episodes of bacteremia with no identified source. She was discharged 4 days ago after treatment for cholangitis with cefuroxime and [...]

Case Presentation: A 36-year-old woman with Loeys Dietz Syndrome (LDS) presented with complaints of a “gurgling” sensation in her right chest. Her medical history included an aortic root aneurysm repair, aortic valve replacement and pneumothorax treated with chest tube. Physical exam demonstrated pectus excavatum and a rub throughout all right lung fields. Chest X-ray revealed [...]

Background: Our standard Hypoglycemia Protocol primarily utilizes juice to treat hypoglycemia. The system currently allows both the Hypoglycemia Protocol and a renal diet to be active simultaneously. This algorithm has no restrictions on administering orange juice to treat hypoglycemia for patients despite exclusion of orange juice for patients on a renal diet. Considering anecdotal instances [...]

Case Presentation: A 58-year-old female presented to the emergency department with severe acute abdominal and bilateral flank pain. Medical comorbidities included hypertension and obesity.On arrival, she was hemodynamically stable and labs were notable for an elevated D-dimer. Due to concern for pulmonary embolism (PE), a heparin infusion was started. Soon afterwards, she developed acute hypotension. [...]

Case Presentation: A four-year-old boy with a history of non-verbal autism was admitted with one week of progressive bilateral lower extremity weakness and pain. Past history was significant for a diarrheal illness 1 month prior. Exam findings included poor dental hygiene, gingival hypertrophy with ecchymosis and bleeding, intact reflexes and 3/5 lower extremity strength. Labs [...]