Background: Two-thirds of surgical inpatients have at least 2 medical comorbidities, and 14% have six or more. Since 2001, there has been exponential growth of comanagement services, in which hospitalists embedded on surgical services take ownership over medical management. While advanced practice providers (APPs) increasingly manage surgical inpatients, successful comanagement models between hospitalists and APPs [...]

Background: Olfactory neuroblastoma (ONB), first described in 1924 by Berger et al., is a rare neoplasm that represents nearly 3% of malignant sinonasal neoplasms. It arises from the olfactory epithelium and tends to invaders local structures and metastasizes to various body organs. Given its diverse ad controversial management strategies, this review investigates the clinical and [...]

Background: Patients with cardiac arrest, either with a shockable or non-shockable rhythm, are at high risk of death and neurological impairment. Hypoxic-anoxic brain injury is a major cause of morbidity and mortality in these patients. (1) International Liaison Committee on Resuscitation (ILCOR) recommends moderate therapeutic hypothermia (32°C to 36°C) for patients who achieve return of [...]

Background: The aging population along with increasing multi-morbidity and stricter regulations on house staff duty hours have played an integral role in fueling the drive for medical co-management of surgical patients. Parallel to these trends is an increasing demand for surgical services and risk for postoperative complications. While a positive impact on clinical outcomes has [...]

Background: Falls are associated with significant morbidity and increased healthcare expenses for hospitalized patients. There are hundreds of thousands of inpatient falls every year. There are multiple validated scores to guide the need of imaging for patients presenting to ED after, but no such score exists for hospitalized patients who suffer a fall event. This [...]

Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three standardized interventions to improve neurosurgical patient outcomes and experiences. Methods: Hospitalists partnered with Anesthesia and Neurosurgery leaders from five large [...]

Background: Ischemic stroke (IS) is a cerebrovascular disease with high incidence and mortality. White matter repair plays an important role in the long-term recovery of neurological function after cerebral ischemia. Neuroprotective microglial responses can promote white matter repair and protect ischemic brain tissue. The aim of this study was to investigate whether hypoxic post-conditioning (HPC) [...]

Case Presentation: A 41-year-old male presented to the ER two days after sudden-onset vision loss in his right eye while driving which he described as a “round black spot the size of a large clock.” This prompted him to stop his car and get out, after which he felt off-balance for 10 minutes. The vision [...]

Case Presentation: A 57-year-old woman with history of bipolar I disorder treated with risperidone and lithium for over 10 years was sent to the ED for stroke evaluation by her primary care physician due to significant confusion and slurred speech. The patient’s family reported a 3-day history of tremulousness, a week of ataxia with a [...]

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 [...]