Background: Hospitalized COIVD-19 patients are complex and heterogenous with regards to socio-demographics and comorbidities and many patients are at heightened risk for adverse clinical outcome. Early risk stratification enables clinical decision making for appropriateness and timeliness of interventions. Since the pandemic began, more than 100 models to forecast prognosis for hospitalized patients with COVID 19 [...]

Background: Asthma is one of the most common chronic medical conditions affecting around 300 million people worldwide. It is a disorder of the airways characterized by recurrent symptoms of airway obstruction and inflammation. Invasive mechanical ventilation for patients admitted to the hospital with asthma is challenging with higher complications and higher rates of patient-ventilator asynchrony, [...]

Background: Noninvasive ventilation (NIV) is frequently used to treat patients admitted with acute respiratory failure in both the intensive care and progressive care settings. While often perceived to be safer than invasive mechanical ventilation, many pitfalls and technical difficulties can arise when this modality is used in a setting that is less monitored than the [...]

Case Presentation: An 80- year old immunocompetent Vietnamese man with hypertension, atrial fibrillation, and prostate cancer in remission was admitted for progressive vision loss and headaches. 6 weeks before presentation he began to have persistent, disabling left fronto-temporal headaches. 2 weeks prior he developed sudden left sided vision loss. Outpatient left temporal artery biopsy was [...]

Case Presentation: This is the case of a 39-year old, G3P1001 woman with fetal aneuploidy identified on prenatal screening. Her pregnancy was conceived via anonymous sperm donor, whom had been used for two previous healthy and uncomplicated pregnancies. The mother underwent non-invasive prenatal testing (NIPT) at 10 weeks gestation, which was reported as positive for [...]

Case Presentation: A 56-year-old female with invasive lobular carcinoma of the breast, diagnosed 8 years prior and currently on neratinib and capecitabine, presented to her oncologist endorsing abdominal pain, vomiting, nausea, and loss of appetite for several days. Despite anti-emetic therapy, symptoms persisted, and she lost weight over the next 6 weeks. Computed Tomography (CT) [...]

Case Presentation: A 36-year-old male with a history of B-cell acute lymphoblastic leukemia (ALL) treated with Hyper-CVAD with intrathecal chemotherapy and allogenic hematopoietic stem cell transplant (HSCT) from a haploidentical donor (CMV D-/R+). His ALL relapsed 8 months after transplant and he subsequently underwent pre-phase chemotherapy for future CAR T-cell therapy, developing pancytopenia. He was [...]

Case Presentation: A 50 year-old African American male with type 2 diabetes requiring insulin, end stage renal disease on peritoneal dialysis, coronary artery disease, infertility, chronic pancreatitis, alcohol use disorder, and recent influenza presented with fever and cough. He was afebrile, hypotensive, tachycardic, and tachypneic with a leukocytosis and bibasilar consolidations on chest x-ray. He [...]

Case Presentation: A 71-year-old male with a history of chronic lymphocytic leukemia (CLL) presented with shortness of breath and weakness. He had been diagnosed with CLL eight years ago and was placed on acalabrutinib 3 months previously. He was hospitalized twice in the prior 2 months for pneumonia.The patient was found to be tachycardic (102/min), [...]

Case Presentation: A male in his 70s with a history of paroxysmal atrial fibrillation presented to the hospital for evaluation of shortness of breath, dysgeusia, and subjective fever. His home medications were aspirin, atorvastatin, pantoprazole, apixaban, and tramadol. Physical exam on admission revealed bilaterally diminished breath sounds in addition to being tachypneic and hypoxic. His [...]