Case Presentation: A 58-year-old-woman with no significant past medical history presented to her primary care physician with bilateral lower extremity edema. She was treated with compression stockings but returned after four months without improvement. She was diagnosed with chronic venous insufficiency and referred to a vascular surgeon for a superficial venous ablation, which was ineffective. [...]

Background: The integration of Point of Care Ultrasound (POCUS) in hospital medicine, particularly for inferior vena cava (IVC) assessment, promises significant advancements in patient care. This study investigates the efficacy of POCUS with IVC evaluation in guiding fluid management decisions upon admission, a crucial aspect of hospitalist care. Methods: Conducted from January 1, 2021, to [...]

Background: The integration of Point of Care Ultrasound (POCUS) in clinical settings has been progressively recognized for its potential in improving patient outcomes. Our study introduces the Admission POCUS Examination (Apex) protocol, a comprehensive POCUS-based approach designed to optimize patient care at the point of admission in hospital medicine wards. Methods: This retrospective study involved [...]

Case Presentation: A 46 year old male patient with history of Hodgkin’s lymphoma in remission, and hypercoagulable state, status post IVC-F placement in 2005 and anticoagulation. He presented with hypotension and dizziness. He has been suffering from dizziness for several months but it has been getting progressively worse, to a level that he is unable [...]

Case Presentation: A 62-year-old male with a history of Parkinson’s disease presented with worsening left leg pain and swelling for approximately one month. The patient denied any history of immobility, recent travel, malignancy, or history of blood clots or thrombophilic disorders. Physical exam was remarkable for massive abdominal distention and marked swelling of the entire [...]

Case Presentation: Azygous continuation, an uncommon vascular anomaly that results from aberrant development during embryogenesis. It occurs in less than 0.6% of the population and may be associated with other congenital abnormalities. In adults aged between 20-40 years, the reported incidence is 10 times lower. With the increased use of different imaging studies such as [...]

Case Presentation: A 66-year-old male with a past medical history of left frontal Glioblastoma multiforme (GBM) with recent resection, radiation therapy, and temozolomide presented to the emergency department with chest pain. CT chest revealed bilateral subsegmental pulmonary embolisms for which a heparin drip was initiated. Duplex also shows a right lower extremity DVT. Given recent [...]

Case Presentation: A 54 year-old woman with history of pulmonary embolism and deep vein thrombosis (with prior placement of inferior vena cava (IVC) filter on apixaban) presents with recurrence of hematemesis and dark stool. This was her third hospitalization with GI bleed requiring transfusion in the last few weeks. Her prior work up included multiple [...]