Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a [...]

Background: Thrombotic disorders, such as venous thromboembolism (VTE) and ischemic stroke are highly prevalent conditions. In many cases, an underlying inciting risk factor is clearly visible that can explain the thrombotic event. When a clear explanation is not found, diagnoses such as “idiopathic VTE” and “cryptogenic stroke” are made. Except when there is a concern [...]

Background: Guidelines on the treatment of Clostridioides (Clostridium) difficile infection (CDI) have historically recommended avoiding antimotility agents (AAs) in patients with active CDI based on theoretical concerns that administration of AAs may precipitate serious adverse events such as toxic megacolon in these patients. These recommendations, however, are based on limited and conflicting data. We previously [...]

Background: Admitted Hematologic and Oncologic patients are often complex and have a unique set of challenges. Balancing outpatient care plans with inpatient medical and psychosocial issues can lead to long lengths of stay, patient dissatisfaction, and provider burnout. Hospitalists offer an expertise in managing complex medical problems along with an adept ability to integrate and [...]

Case Presentation:       A 33 year-old Hispanic male without significant history presented with an unremitting fever for 5 days, associated with myalgais, fatigue, night sweats, and a rash. Upon admission, he was tachycardic, hypotensive and febrile at 103F. Physical exam revealed a diffuse non-blanching, maculo-papular rash, sparing the face, palms and soles. Labs [...]

Case Presentation: An 83-year-old male with a past medical history of light chain MGUS, macrocytic anemia, and cytopenias, arrived at the emergency room presenting with hemorrhagic bullae on his left hand. He reported intermittent fever episodes and chronic, nonspecific joint pain. Admission labs indicated hemoglobin of 7.6, MCV of 114.1, platelet count of 109, and [...]

Case Presentation: A 20-year-old female with history of primary membranous nephropathy, hypertension, iron deficiency anemia, preeclampsia, and intrauterine fetal demise presented to the hospital with weakness, 2-3 days of upper respiratory symptoms, dyspnea, nausea, vomiting, and diarrhea. Labs showed normocytic anemia with hemoglobin of 3.3 g/dL worsening to 1.9 g/dL pending blood transfusion and leukocytosis [...]

Case Presentation: A 30-year-old female with limited past medical history presented to the emergency department (ED) with 5 days of recurring fevers, nausea, and new rash. The rash was noticeable along her face and arms with pronounced swelling, tenderness, and erythema in her fingers. Initial work-up was significant for hyperferritinemia over 15,000, aspartate aminotransferase of [...]

Case Presentation: A 38-year-old male with self-reported history of asthma presented with generalized weakness and syncope. He endorsed 2-week of bilateral leg pain with numbness, loss of taste, and nausea. Vital signs were remarkable for tachycardia in 110s and hypotension at 101/52. Labs showed hemoglobin 3.3, WBC 3.6, platelet 83, MCV 93.9, reticulocyte 1.1%, total [...]

Case Presentation: A 25-year-old female with no known significant medical conditions presented with two weeks of vaginal bleeding, generalized body aches, chills, and fever. Blood counts were significant for WBC count 74 K/uL with 9% blasts, platelet count 25 k/uL, and hemoglobin 5.4g/dL. Peripheral smear showed leukocytosis with numerous blasts and occasional Auer rods concerning [...]