Background: Patients with diabetic foot ulcers (DFUs) experience large burdens of morbidity, mortality, and hospital costs. Over a third of patients with diabetes will develop DFUs in their lifetime; and almost half of these patients subsequently develop diabetic foot infections (DFIs). Although it has been reported that obese patients with diabetes do not have higher [...]

Background: Foot amputation rates in Black patients with diabetic foot complications have been historically higher than White patients. To determine if improvements in this disparity occurred, we carried out trend analysis of lower extremity amputation rates for patients hospitalized with diabetic foot ulcers and infections (DFU/Is). Methods: Using the National Inpatient Sample database, we conducted [...]

Case Presentation: A 63 year old male with no past medical history was admitted with five months of bilateral upper and lower extremity weakness as well as a pruritic, erythematous rash on his face, arms, and back. This was followed by progressive dysphagia. Initial workup, including a pectoralis muscle biopsy showing necrotizing myopathy, and MRI [...]

Case Presentation: A 41 years-old Scottish male patient with a past medical history significant for erectile dysfunction, prior EBV infection, hyperlipidemia, umbilical hernia, and urethral meatal stenosis was referred by his PCP to rheumatology for oral thrush and recurrent oral ulcers for 3 years. The patient was initially seen by an Infectious disease doctor who [...]

Case Presentation: A 22-year-old male with no medical history presented to the emergency department with a 4-day history of fevers and odynophagia which progressively prevented intake of solids and liquids. He reported associated shortness of breath with pleuritic chest pain. He appeared nontoxic with sputum collecting in a bedside cup. He had a fever of [...]

Case Presentation: A 62-year-old man presented with 5 weeks of progressive right lower extremity ulceration associated with pain, swelling, erythema, fevers, and diaphoresis. Initially, outpatient providers diagnosed patient with cellulitis following minor trauma and complicated by chronic venous stasis. Medical history included poorly-controlled insulin-dependent type 2 diabetes, atrial fibrillation on warfarin, recurrent venous stasis ulcers, [...]

Case Presentation: A 63-year-old man was admitted to the hospital medicine service at a quaternary center for painful oral lesions that appeared 6 months prior. The lesions had started as multifocal soreness in the mouth floor 2 weeks after having undergone dental work. He was then evaluated by local oral surgery team who performed biopsies [...]

Case Presentation: A 56-year-old male with type II diabetes presented to the hospital with 3 weeks of oral ulcers involving the left buccal region with spread to the palate and tongue. He also reported odynophagia, poor oral intake, and 40-lb weight loss. He had not responded to outpatient amoxicillin, fluconazole, and nystatin swish and swallow. [...]

Background: Helicobacter pylori (H. pylori) infection is a common cause of gastroduodenal ulcers (GDU), and current guidelines recommend evaluation and eradication of H. pylori to promote healing of GDU and prevention of H. pylori-associated diseases. This quality improvement projects aimed to quantify and improve the rate of H. pylori testing and eradication after endoscopic diagnosis [...]

Case Presentation: A 57-year-old female with a history of heart failure with reduced ejection faction, COPD, and a right renal mass presented to the emergency department with a 3-month history of lower leg ulcers. The patient noticed purple discoloration of the lower extremities 2 weeks after receiving the second dose of the Moderna COVID-19 vaccine [...]