Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the purchase of skin care products such as prophylactic dressings, little is known about the association between these products and reductions [...]

Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the purchase of skin care products such as prophylactic dressings, little is known about the association between these products and reductions [...]

Background: Postmyocardial Infarction Syndrome (PMIS), also called Dressler syndrome or Post-pericardiotomy Syndrome, refers to a heterogeneous group of autoimmune-mediated conditions of pericardial, epicardial and myocardial inflammation following myocardial infarction. Generally considered to be rare in the reperfusion era, the features and risk factors of PMIS are less well characterized in the contemporary era. This study [...]

Background: National data document that hospital medicine groups frequently lack representative diversity in terms of race, ethnic background and gender. This diversity gap further expands with career development and promotion. Traditional physician hiring strategies are susceptible to elements of bias that may contribute to these disparities. Purpose: To design and implement a structured process for [...]

Case Presentation: A 9 year old male with history of astrocytoma presented to the ED with a diffuse erythematous rash for 4 days and fever for 2 days. The rash was reportedly pruritic, began on his trunk, and then progressed to his extremities. It was associated with facial edema with periorbital prominence. Of note, temozolamide [...]

Case Presentation: A 64 year old male presented with a three day history of fever, hand soreness and rash.  On the day of presentation, he had just returned from the Caribbean, however denied any history of ill contacts, recent hiking or contact with large bodies of water.  There were no known allergies, recent changes in [...]

Case Presentation: A 32 yo male presented after 1 week of high spiking fevers and a pruritic rash. Sulfamethoxazole-trimethoprim had been started 5 weeks prior. Treatment was started with antihistamines, topical steroids, and prednisone 60mg daily without improvement. Exam revealed facial edema, conjunctival injection, and diffuse erythematous papules. No vesicles or bulla and Nikolsky sign [...]

Case Presentation: 84 yo M with a history of CAD with HFrEF presented for a routine BiV AICD upgrade whose course was complicated by VT storm requiring amiodarone and lidocaine before conversion back to his outpatient medication mexiletine. Postoperatively, the patient developed a morbilliform rash, which was attributed to an antibiotic allergy as the patient [...]

Case Presentation: A 60 year old man with a prior history of cutaneous sarcoidosis was admitted to the hospital with fatigue, myalgias, fever, and hypotension. His physical exam revealed a maculopapular erythematous rash on his trunk and bilateral lower extremities. Of note, three weeks prior to his presentation, he was treated with a ten day [...]

Case Presentation: A 24 year-old male presented with rash and fever for one month. He was recently diagnosed with bipolar disorder and started on fluphenazine, lithium, and benztropine. Four weeks after starting these medications he developed a diffuse pruritic rash, intermittent fevers, confusion and lethargy. On evaluation the patient was febrile and tachycardic, with a [...]