Background: Vitamin B9, also known as folate, is a water soluble vitamin found in vegetables, fruits and animal products that plays a key role in purine and pyrimidine synthesis, nucleoprotein synthesis and erythropoiesis. Deficiency can result from malabsorption, anti-epileptic and methotrexate use, pregnancy, hemolytic anemic, and alcoholism and is implicated in neural tube defects. Signs [...]

Case Presentation: We present a case of a 63-year-old male with a past medical history of hypertension and alcohol use disorder (multiple beers per day) who presented with a two-week history of black stools. On arrival, he was hypothermic, tachycardic, and hypotensive, likely due to hemorrhagic shock. Physical examination revealed melena and anasarca. Labs were [...]

Background: Hip fracture surgery is associated with a significant incidence of postoperative myocardial infarction (postop-MI) up to 14% in the first 7 days after repair. Patients who sustain postop-MI have 1-year mortality rates up to 36%. However, the impact of risk factor modification and routine troponin monitoring on the incidence and prognosis of postop-MI remains [...]