Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies including pulmonary edema. The number of sonographic B-lines on LUS has been used as a test to detect pulmonary congestion in patients with chronic heart failure. However, its ability to detect elevated left-sided filling pressures relative to accepted noninvasive measure [...]

Case Presentation: A 62 year-old man presented to the emergency room with recurrent, colicky generalized abdominal pain. He had presented with similar abdominal pain in the preceding 6 weeks, requiring two hospital admissions. Admissions were accompanied by asymmetric lower limb swelling and pain on one admission, and swelling of lips on this admission. Six weeks [...]

Background: Hospitalist have not previously had a primary role in the setting of eating disorders beyond stabilization in an acute care setting. Following stabilization, patients in need of further treatment are transferred to an eating disorder facility. While in inpatient or residential care for their eating disorder, patient are monitored by physicians or mid-level providers. [...]

Case Presentation: A 61 years old male patient not known to have any medical problem presented to the emergency department after he noticed swelling in his mouth which increased in size to involve both lips, he reported loose bowel movements in the last couple weeks and mild arthralgia. His physical examination was completely normal apart [...]

Case Presentation: This is a 76 year-old female with no significant past medical history who presented to her primary care physician for evaluation of changes in visual acuity and color perception. Two months after initial presentation she was referred to see an ophthalmologist who noted bilateral papilledema. An MRA, MRV, and MRI were obtained without [...]

Case Presentation: A 57 year old man with a history of heart failure with preserved ejection fraction (HFpEF), chronic kidney disease (CKD) and hypertension presented with two weeks of exertional dyspnea and lower extremity edema, followed by 4-days of progressive tongue swelling. One-month prior, he was initiated on an ACE inhibitor (ACEi) and experienced tongue [...]

Case Presentation: An otherwise healthy 23-month-old girl presented to her pediatrician with several days of vomiting, abdominal pain, and decreased oral intake. She was found to have a Sodium of 128 mmol/L with mild transaminitis. She was admitted, treated IV fluid, had improvement in her sodium and oral intake and discharged after two days. She [...]

Case Presentation: A 24 year old female with uncontrolled Type 1 Diabetes Mellitus was admitted with bilateral lower extremity swelling and abdominal fullness. Three weeks prior she visited the emergency department, was found to have mild bilateral pedal edema, and was given primary care physician follow-up. She was initiated on a diuretic regimen; B-type natriuretic [...]

Case Presentation: A 65-year-old man presented with anasarca and dyspnea on exertion that progressively worsened over three weeks. He had no known cardiac, renal, or liver disease prior to presentation. Physical exam revealed elevated jugular venous distention, bibasilar crackles, tense ascites, scrotal edema, and pitting edema in bilateral lower extremities extending to the abdomen. Investigation [...]

Case Presentation: A 65-year-old Caucasian male with history of recurrent pulmonary embolism on chronic warfarin and hypertension was transferred from a nursing home to the hospital for shortness of breath and cough for two days. He was initially treated for healthcare associated pneumonia and later developed clostridium difficile colitis. He was noted to have severe bilateral lower extremity edema, which he [...]