Background: Hospitalizations to treat SARS-CoV-2 infected patients have strained health systems worldwide. Monitored outpatient management of select low-risk COVID-19 patients with isolated exertional hypoxia could help preserve hospital resources and reduce costs while aiming to maintain a high standard of care. In this retrospective cohort analysis, we aimed to evaluate the safety and effectiveness of [...]

Background: Throughout the COVID-19 pandemic, clinicians have sought to identify risk factors for severe disease to help guide hospital algorithms, resource allocation and therapeutics. Older age, high Charlson Comorbidity Index (CCI), D-dimer and C-reactive protein (CRP) are associated with severe disease (1-5). CCI and SaO2/FiO2 ratio are associated with mortality, but the changing SaO2 in [...]

Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss [...]

Case Presentation: A 59-year-old gentleman with newly diagnosed cirrhosis presented to the emergency room after 5 episodes of frank hematemesis. He had a recent screening esophagogastroduodenoscopy notable for portal hypertensive gastropathy without varices. On admission, he was hemodynamically stable with hemoglobin near his baseline. He was started on a pantoprazole infusion and IV ceftriaxone. Hours [...]

Case Presentation: INTRODUCTION:Hepatopulmonary syndrome (HPS) is a complication seen in 4-7% of patients with chronic liver disease. The definitive treatment for HPS is liver transplantation (LT). A high index of suspicion is required to diagnose HPS. We present a perplexing case of HPS presenting with just hypoxia and orthodeoxia in the setting of liver disease.CASE [...]

Case Presentation: A 48-year-old man with extreme obesity, heart failure, and a clinical diagnosis of gout presented with abdominal pain. Abdominal examination was limited by body habitus, as his body mass index was 68. Admission laboratory studies revealed acute kidney injury. He had been hospitalized before for similar presentations, but clear etiologies for the abdominal [...]

Case Presentation: A 66-year old woman with a history of obesity and hypertension presented with a right femoral neck fracture after a mechanical fall. She underwent a right total hip arthroplasty and the anesthesiologist reported transient intraoperative hypoxia during cement placement. In the recovery room, the patient was hypotensive, tachycardic and hypoxic requiring up to [...]

Case Presentation: A 48-year-old woman with invasive ductal adenocarcinoma of the breast presented with three weeks of progressive dyspnea on exertion and a non-productive cough. She was tachycardic and tachypneic but otherwise hemodynamically stable. Physical exam was only notable for labored breathing and obesity. Basic lab work was unremarkable. Arterial blood gas showed respiratory alkalosis [...]

Case Presentation: We present a 22 y.o. female with a history significant for nephrolithiasis and a hormonal Intra Uterine contraceptive Device, who was admitted to the medicine Service for 6-7 days of odynophagia and dysphagia. She was being worked up along the lines of foreign body impaction and esophageal abrasion. Gastroenterology was consulted and had [...]

Case Presentation: We present the case of a 64-year-old male with a history of pulmonary embolism status post IVC filter, and recent viral constrictive pericarditis with exudative pericardial effusion requiring pericardiocentesis and bilateral pleural effusions requiring chest tubes, who was admitted for dyspnea, cyanosis, and confusion. Vitals were blood pressure 78/51, heart rate 60, respiratory [...]