Background: Treating HFpEF (heart failure with preserved ejection fraction) is complex due to its diverse origins, leaving many patients with limited options. While diuretics offer symptom relief, most therapies don’t markedly improve outcomes. SGLT2 inhibitors, particularly Dapagliflozin, show potential in reducing cardiovascular events. Yet, guidelines for HFpEF and HFmrEF are vague regarding SGLT2 use. This [...]

Background: Studies addressing the utility of cardiac telemetry monitoring for patients hospitalized with COVID-19 pneumonia (PNA) is sparse. Patients hospitalized with COVID-19 PNA are at higher risk for cardiac complications (1-3), thus many hospitals instituted mandatory cardiac telemetry monitoring for patients hospitalized with COVID-19 PNA. However, there is scant data assessing the utility of cardiac [...]

Background: Despite having the highest health care spending, the US continues to have rates of maternal mortality over three times greater than similarly high-income countries. Generally, deaths occur in the days immediately following birth, and typically occur in hospital intensive care units (ICUs). As ICU utilization is often employed to identify indication of severe maternal [...]

Background: Rhabdomyosarcoma (RMS) is an exceptionally rare soft tissue sarcoma that exhibits significantly lower survival rates in adults when compared to pediatric patients. This disparity is likely attributed to a combination of histopathological variations, delayed, or missed diagnoses, and treatment-related factors(1). Notably, adult RMS originating from the extremities is classified as “unfavorable” and has been [...]

Background: Many evidences suggesting that hiring more hospitalists could result in cost savings, higher quality of care, and superior treatment outcomes[1-3]. Despite the benefits of introducing hospitalists in the hospitals, solely focusing on their productivity can potentially bring burnout and stress, even psychiatric symptoms, to them[4-8]. Recognizing and addressing the burnout and psychiatric symptoms of [...]

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 [...]

Background: Patients from diverse sociocultural backgrounds and with differing medical conditions may have varying levels of acceptance of advanced care planning which is a process in which patients of any age or health status document future care preferences. It can encompass do-not-resuscitate (DNR) orders, directives to withhold cardiopulmonary resuscitation in the event of cardiac arrest [...]

Background: The global impact of the COVID-19 pandemic has been profound, with significant disparities in infection and mortality rates, particularly in high-risk populations. Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that complicates patient management in the context of COVID-19, given the increased risk of infections and limited guidance on pharmacological management. Methods: This [...]

Background: The Antinuclear Antibody test (ANA) is a test often positive in patients with autoimmune rheumatologic disorders. However, ANA testing can also be positive in non-rheumatic conditions and in healthy individuals1. Prior studies have focused on the clinical utility of positive ANA testing in the outpatient setting by non-rheumatologists, but less is known about its [...]

Background: Alcohol use disorder (AUD) Is present in 10% of adults and its prevalence is increasing. When patients with AUD are admitted to the hospital, half develop alcohol withdrawal syndrome (AWS), which can cause delirium, hallucinations, seizures, and even mortality if not treated appropriately. A fixed-dose phenobarbital strategy may be superior to the standard of [...]