Background: Ultrasonography is a safe, non-invasive bedside tool used by providers to obtain real-time, dynamic images to support diagnostic guidance, therapeutic decisions, and procedural success. Point-of-care ultrasonography (POCUS) has demonstrated improved outcomes in states of critical illness such as trauma or shock and enhanced the command and accuracy of procedural skills. Despite these important measures, [...]

Background: The Joint Commission’s Surgical Care Improvement Project (SCIP)-9 recommended removing indwelling urinary catheters (IUC) before postoperative day 2 to decrease urinary infection (UTI) risk. Our center implemented a best practice alert (BPA) in the electronic health record to enforce SCIP-9 with near-100% compliance.  We sought to study the effect of the BPA on catheter [...]

Background: Hospitalist have not previously had a primary role in the setting of eating disorders beyond stabilization in an acute care setting. Following stabilization, patients in need of further treatment are transferred to an eating disorder facility. While in inpatient or residential care for their eating disorder, patient are monitored by physicians or mid-level providers. [...]

Background: Our Faculty Development (FD) Program was created to help faculty fulfill professional goals in (and beyond) quality improvement, leadership, education, and clinical skills. Hospital medicine FD may be an effective approach to decrease turnover and improve job retention counter burnout, particularly salient given the unique demands on hospital clinical staff, in a newer specialty [...]

Case Presentation: Urinary retention affects 4.5% and 0.07% of hospitalized men and women, respectively (Verhamme et al, 2008). The causes vary widely; however, it may occur as a result of opioid use. Opioid-induced urinary retention is under-reported in literature. When opioid induced urinary retention occurs, there is the dilemma of achieving resolution, without reversing pain [...]

Case Presentation: A previously healthy 20-year-old male presented with sudden onset urinary retention. He reported mild headaches, fevers, fatigue later followed by acute urinary retention associated with lower abdominal and back pain. Last void was over 24 hours ago. Vitals were stable except for a temperature of 39.9°C. No cervical neck stiffness, meningeal irritation or [...]

Case Presentation: We describe a case of new-onset unknown ascites due to atraumatic bladder rupture. A 56 year-old female with past medical history of functional urinary retention (prolonged urine holding due to phobia of public restrooms) and remote surgical history of TAH/BSO and C-section presented with recurrent ascites of unknown etiology. She initially presented to [...]

Case Presentation: A 56-year-old man with elephantiasis nostras verrucosa (ENV) was admitted to the hospital for fevers due to sepsis from lower extremity cellulitis. On exam, he was febrile to 102.1°F with HR 98 and BP 103/65. Cardiopulmonary exam was unremarkable. Malodorous indurated 2cm-thick brown plaques, embedded with gray and yellow debris, covered his feet [...]

Case Presentation: 19 year old male who presented to Riverside Medical Center with acute onset, progressive bilateral lower extremity weakness and paresthesias, urinary retention and saddle anesthesia. Initial CBC significant for anemia and thrombocytopenia. Peripheral smear showed 67% circulating blasts with occasional Auer rods, which was suggestive of acute myeloid leukemia. Flow cytommetry showed expression [...]

Background: Academic hospital medicine (HM) faculty typically follow clinician educator tracks with academic hospitalists seeing education as their primary motivation for joining academic programs. According to the 2020 State of Hospital Medicine survey, shifts and clinical work hours for academic HM faculty expectations are similar to community practice (ref). Many academic HM faculty are on [...]