Background: Data about seroprevalence of COVID-19 infections in US Health Care Workers (HCW) is limited. CDC reported that about 55% of SARS-CoV-2 PCR positive HCWs reported exposure at work, with most of them being minimally symptomatic or asymptomatic(1). This study characterizes the symptomatic/asymptomatic SARS-CoV-2 seropositive frontline HCW in our hospital and correlate clinical features with [...]

Background: The number of individuals with Alzheimer’s disease and related dementias (ADRD) in the U.S is projected to reach 16 million by 2050. Currently, they account for 3.2 million hospital admissions per year and over 75% of hospitalized persons with ADRD display Behavioral and Psychological Symptoms of Dementia (BPSD). The study aimed to evaluate management [...]

Background: Chronic pain is a healthcare problem that significantly affects the physical and mental health of patients and impact their quality of life. It can complicate many disorders and represents a common symptom of rheumatologic diseases. Patients with Scleroderma report pulmonary and gastrointestinal symptoms as the limiting factor on their daily functioning, however pain remains [...]

Background: Adverse events (AEs) occur in 19-28% of hospitalized patients in the 30 days after discharge [1,2]. Though new or worsening symptoms (NWS) reported by patients are often an early indicator of post-discharge AEs, they are not systematically captured in electronic health record (EHR) documentation or via patient portals. Higher fidelity capture of patient-reported NWS [...]

Case Presentation: A 40-year-old healthy woman, presented with two weeks of cough, nasal congestion, sore throat, intermittent fevers, fatigue, and myalgia but no weakness. She tested positive for the SARS-Cov-2. Physical exam showed no neurologic deficit. Two weeks later, respiratory symptoms were improving but she developed sudden, leg pain, numbness, and weakness. She described it [...]

Case Presentation: A 40-year-old woman with diabetes mellitus type 2 and severe malnutrition presented to our institution with symptoms of altered mental status and dysuria. Initial evaluation was most notable for a capillary blood glucose of 1113 mg/dL and initial sodium of 125 mEq/L (which corrected for glucose level was within the normal range of [...]

Case Presentation: A 57 year old male with HIV/AIDS was transferred to our hospital for acute onset of lethargy and incoherent speech. He intially presented with a few weeks of headaches, slurred speech, and intermittent confusion, and was diagnosed with toxoplasmosis. He was started on atovaquone and sulfadiazine for taxoplasmosis and levetiracetam for seizure prophylaxis, [...]

Case Presentation: 59-year-old Male who presented to the Emergency Department (ED) with generalized rash and fevers. The patient stated that the rash started as a blister in his groin and then spread to the rest of his body. The patient’s past medical history was significant for seizures controlled with phenytoin, cirrhosis secondary to alcohol abuse, [...]

Case Presentation: A 54-year-old Japanese man presented to his primary care physician with a 3-month history of epigastric pain, fever, and unintentional weight loss. Upper endoscopy showed only a gastric polyp. Abdominal computed tomography showed small intestinal dilatation accompanied by adhesion to the sigmoid colon, and perianal abscess. Crohn’s disease was suspected and he was [...]

Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac arrhythmias have been reported.1 38-year-old male without prior cardiovascular history, presented to a rural hospital with pre-syncope and lightheadedness. He [...]