Background: Advances in complex congenital cardiac care have promoted the survival of greater than 90% of pediatric patients. As adults with congenital heart disease (ACHD) have lifespans approaching that of the general population, there is a growing call to understand the experience of living with this childhood-onset chronic condition. Hospitalists are often the primary inpatient [...]

Case Presentation: A 3,400 gram male infant was born at full term to a 32 year old G1P0>1 mother with unremarkable prenatal labs. Labor was complicated by prolonged rupture of membranes, foul smelling amniotic fluid, and maternal fever of 100.5°F. The infant was delivered vaginally. After initial resuscitation, the infant was started on antibiotics due [...]

Case Presentation: A 63-year-old female with no PMH or FH of heart disease presented to the ER with dyspnea and pressure-like central chest pain. She reported a 3-week history of cough, sore throat and rhinorrhea. On evaluation, vital signs were T 97.8°F, BP 143/85 mmHg, HR 150/min, RR 20/min and SpO297%. Physical exam was significant [...]

Case Presentation: A 36 year old female with a past medical history of hypothyroidism, type two diabetes, asthma, polycystic ovarian syndrome, and bipolar disorder presents with sharp chest pain that radiates to her left neck and arm. She states that the pain started suddenly when she was sitting 10 hours ago and gets worse with [...]

Case Presentation: A 6-month-old term female with history of mild reflux presented to the pediatric emergency department for seizure-like activity. Her mother described three episodes of eyes jerking and head bobbing, each occurring on waking from a nap and lasting about 30 seconds. She reported the patient’s eyes jerking rapidly to the right and slower [...]

Case Presentation: A 21-month-old male with failure to thrive (FTT) presents to the ED with fever and poor oral intake. On exam, he was irritable but consolable, tachycardic with clear lung fields and no murmurs. CBC was within normal limits; electrolytes showed an anion gap metabolic acidosis attributed to dehydration. He was admitted to the [...]

Case Presentation: This is a case of a 30 year-old female presented in acute heart failure secondary to left ventricular noncompaction cardiomyopathy (LVNC) found to have a novel sodium channel mutation. Patient with no significant medical history presented with shortness of breath and dyspnea, chest radiograph consistent with bilateral large pleural effusions, cardiomegaly, and pulmonary [...]

Case Presentation: 75 year old with non-alcoholic cirrhosis, heart failure preserved ejection fraction (HFpEF) and recurrent abdominal abscesses presented with platypnea orthodeoxia syndrome (POS) following diuresis. His oxygen saturation was 100% when lying flat and 78-80% when upright. Trans-esophageal echocardiogram confirmed a sinus venosus defect (SVD) with partial anomalous pulmonary venous return (PAPVR) of right [...]

Case Presentation: A 45-year-old female with history of VSD presented with fever and fatigue. She had a systolic ejection murmur with palpable thrill best heard at the second intercostal space. Echocardiographic findings included severe RV hypertrophy (1.7 cm thick), infundibular pulmonary obstruction, perimembranous VSD (1.4×0.6 cm), and mobile tricuspid valve echodensities (Figure 1). Blood cultures [...]

Case Presentation: A 71-year-old woman presented to the hospital after her granddaughter noticed two days of worsening jaundice. The patient reported a one-week history of fatigue, early satiety, poor appetite, nausea, and vomiting. She also noted having tea-colored urine and a 30-pound unintentional weight loss during the previous eight months. She denied history of trauma, [...]