Case Presentation: An 80- year old immunocompetent Vietnamese man with hypertension, atrial fibrillation, and prostate cancer in remission was admitted for progressive vision loss and headaches. 6 weeks before presentation he began to have persistent, disabling left fronto-temporal headaches. 2 weeks prior he developed sudden left sided vision loss. Outpatient left temporal artery biopsy was [...]

Background: Communication, availability and timeliness of evaluation (all skills of Hospitalists) are key drivers for a successful co-management service. Our Hospital Medicine Group created a Urology Hospitalist co-management program in July of 2016. We designated a core group of highly specialized urologic hospitalists (UHOS) to work closely with the urologic surgeons to coordinate and improve [...]

Case Presentation: A 75 year-old man with history of type II diabetes and hypertension presented with progressive dyspnea. Two weeks prior, he had presented with similar symptoms that were attributed to COPD due to a remote history of smoking. He was hypoxic upon presentation requiring bi-level positive pressure ventilation with a FiO2 of 40%. He [...]

Case Presentation: A 73 year-old man presented with 2 weeks of difficulty completing multi-step tasks, e.g., getting into a car. At baseline, he was independent in instrumental activities of daily living. He had no other symptoms; he denied headache, weakness, numbness, vision changes, confusion, fevers, chills or weight loss. His history included non-alcoholic steatohepatitis with [...]

Case Presentation: An 85-year-old female presented to the ED with a chief concern of altered mental status from her previous baseline cognitive status a few hours prior. The patient’s medical history was significant for dementia, type 2 diabetes mellitus, and hypothyroidism. Initial exam revealed a confused but cooperative patient, A&Ox2 (self and time), discoloration of [...]

Case Presentation: A 48-year-old female with past medical history including obesity, T2DM, and tobacco use presented with right eye swelling, pain, and vision loss. She began noticing a dark spot in her right eye about three months prior, which progressed to a pressure-like sensation. A CTA of head and neck showed cavernous sinus hyperdensity. MRI [...]

Case Presentation: A 54-year-old male with history of cocaine and marijuana abuse presented to the emergency room (ER) with a few-hour history of dizziness and abdominal pain. He also reported a two-month history of intermittent right upper jaw pain that he was treated for presumed gingivitis with analgesics and antibiotics. In the emergency department, vital signs [...]

Case Presentation: A 73 year old female presented with acute onset of recurrent falls lasting for 1 week. On day 2 of her hospitalization, hematuria with dysuria was present, which was treated as an UTI. Physical examination revealed progressive ascending weakness from lower to upper extremities with decreased reflexes bilaterally. She also developed urinary retention [...]

Case Presentation: A 23-year-old woman presented with left lower abdominal pain with mildly elevated creatinine that was identified on routine blood draw at her urology appointment. She had no urinary symptoms; UA and pregnancy test were negative. CT abdomen showed hydronephrosis in the left kidney as well as bilateral ureteral thickening. One month prior, she [...]

Case Presentation: A 68-year-old female with infrequent medical follow-up and a past medical history of chronic back pain presented to the ED with right-sided weakness and slurred speech. On the day of presentation she woke up at 11AM with right hand numbness, followed by the onset of right-sided weakness at 1PM, and slurred speech that [...]