Background: Human trafficking is a serious problem and healthcare workers are in a position to intervene. This study sought to determine the knowledge levels of healthcare providers who are most likely to be in direct contact with a victim of human trafficking. Methods: An anonymous survey assessing knowledge of specific topics of human trafficking was [...]

Background: It is estimated that 20% of patients who encounter the ED suffer from Alcohol Use Disorder (AUD) . Hospitalists encounter many Alcohol Withdrawal admissions and are often tasked with providing short counseling sessions on AUD due to time restraints. Furthermore, up to 50% of of patents admitted for Alcohol withdrawal will be readmitted for [...]

Background: Approximately one-fourth of the estimated 676,000 children in the US who were victims of abuse and neglect in 2016 were less than 3 years of age. Fractures are a common manifestation of child abuse. To our knowledge, no research study to date has examined the factors associated with medical staff filing Department of Child [...]

Background: Pediatricians are mandated by law to report cases of suspected child abuse. The National Association of Children’s Hospitals and Related Institutions 2006 guidelines on the hospital’s role in child maltreatment note that children’s hospitals “are the undisputed leaders in providing medical care to abused and neglected children” and outline that hospitals should ensure that [...]

Case Presentation: We present a case of a 20-year old male with past medical history of polysubstance abuse and major depressive disorder who was found unresponsive by his roommate in the morning after black tar heroin use. Roommate injected Narcan without effect and called EMS. Roommate reported both the patient and himself were chronic heroin [...]

Case Presentation: A 15 year-old female with developmental delay presents with intermittent abdominal pain, decreased appetite, and vaginal discharge. Parents disclose a 30 lbs weight loss over 2 years, along with vaginal discharge that was evaluated by self-swab testing and deemed a “normal variant” from menses. When she presented to her PCP’s office, she was [...]

Case Presentation: A 65 year old male with no significant medical history presented to an outside facility complaining of fatigue, weakness, nausea and vomiting. He had moderate alcohol history and significant weight loss over the past 6 months. Initial lab workup was notable for elevated liver transaminases with a hepatocellular pattern, Maddrey score of 53.6 [...]

Case Presentation: A 50-year-old woman presented with two weeks of progressively worsening abdominal pain and distention. The abdominal pain was accompanied by yellowing of her eyes and periods of confusion. She reported consuming 4 shots of vodka daily for greater than 10 years. Vital signs were normal. The patient was grossly jaundiced and exhibited scleral [...]

Case Presentation: A 54 year old woman with history of substance abuse(cocaine and recent synthetic marijuana use) presented to the emergency room with complaints of sudden onset, severe left upper and lower quadrant abdominal pain. Pain started at night waking her up from her sleep. Complete blood count showed microcytic anemia with hemoglobin of 8.4. [...]

Case Presentation: A 30-year-old female with medical history of constipation with chronic laxative use presented with complaints of peripheral edema and weight gain. Patient had been using stimulant laxatives for 4 years but stopped 1-week prior to presentation due to painless bright-red blood per rectum. She initially presented to the emergency department 7 days after [...]