Background: Medication errors harm 1.5 million patients yearly, designating medication reconciliation a National Patient Safety Goal. The average hospitalized patient is subject to at least 1 medication error per day (IOM,2007), with 70% of patients experiencing a medication discrepancy at either admission or discharge(Leapfrog,2018). Medication Reconciliation, creating the most accurate list of medications patients take [...]

Background: Correct home medication histories are critical to prevent harm during a patient’s hospitalization [1]. The wrong dose of a home medication or omission of a medication can result in serious drug toxicity or withdrawal. However, hospital medicine providers and pharmacists may have limited time and resources to perform thorough medication histories for all patients [...]

Case Presentation: 52-year-old Caucasian male with no past medical history significant for history of hypertension and hyperlipidemia who presented to the hospital secondary to fever of 103 degrees and chills for 3 days. Patient reports that fever was sudden in onset and has been intermittent which breaks with sweating. His review of systems were positive [...]

Case Presentation: A 28-year-old HIV positive male presented with one week of rectal pain and bloody diarrhea. He was found to have bright red blood in vault on rectal examination. Laboratory studies were concerning for a leukocytosis with left shift, an elevated CRP (>80 mg/dl), and a positive fecal calprotectin. His CT scan demonstrated circumferential [...]

Case Presentation: A 58-year old male with no self-reported history presented to the hospital with hematochezia. Digital rectal exam revealed external hemorrhoids, shallow anal ulcers, a palpable internal rectal mass and frank blood. During his hospital course he required multiple blood transfusions for hemoglobin levels of 5-6 g/dL with ongoing rectal bleeding. CT and MRI [...]

Case Presentation: Patient A is a 59-year-old man with medical history of hypertension, asthma, benign prostate hyperplasia, daily marijuana use and occasional alcohol use who presented with acute onset of progressive weakness of his right upper extremity and right lower extremity. He had been assaulted to the face but denied any neck or back injury [...]

Case Presentation: An 84-year-old male veteran with prostate cancer s/p prostatectomy in 2002 with positive margins, uncontrolled type 2 diabetes, untreated hepatitis C, 50-pack-year history, presented for admission after routine labs at his primary care physician’s office revealed prominent eosinophilia of 6,900 and hyponatremia. The patient’s main complaint was generalized pruritus and a one-month pruritic [...]

Case Presentation: A 37-year-old man, diagnosed with HIV two years ago and currently not on antiretroviral therapy, presented with flu-like symptoms and weight loss over the last two months and confusion for two days. The patient denied any international travel outside the United States. On presentation, he was found to have severe hyperkalemia and acute [...]

Case Presentation: A 41-year-old female with attention-deficit hyperactivity disorder and chronic back pain presented to the hospital with two weeks of progressive jaundice, scleral icterus, clay-colored stools, and dark urine. She had traveled to New Orleans two weeks prior to her presentation, where she reported engaging in two days of heavy alcohol consumption followed by [...]

Case Presentation: A 46-year-old woman experienced difficulty swallowing while drinking coffee in the evening of her visit. Shortly afterward, she developed rapid swelling in the left neck region, accompanied by syncope, and was transported to a local hospital for emergency care. Blood tests and electrocardiography showed no abnormalities. However, a CT scan revealed swelling of [...]