Hydralazine‐Induced Anca‐Associated Microscopic Polyangiitis

Case Presentation: A 70‐year‐old man presented to the emergency department with a recent 15‐pound weight loss over 2 months and hearing loss in this right ear. Medical history was significant for hypertension and coronary artery [...]

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Takotsubo Cardiomyopathy After Laparoscopic Hysterectomy

Case Presentation: A 47‐year‐old woman was referred to us from the gynecology department at our institution after she complained of chest pain. She was admitted to the hospital for abnormal uterine bleeding and pelvic pain [...]

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Sweet Urine Is Not Always Diabetes!

Case Presentation: A 29‐year‐old African American man with no significant medical history presented with generalized fatigue, unintentional 25‐pound weight loss, and arthralgias. Physical examination was unremarkable. Blood work revealed creatinine 2.31 mg/dL, bicarbonate 25.2 mmol/L, glucose [...]

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An Orange a Day Keeps the Hospitalist Away

Case Presentation: A 31‐year‐old white man with a history of schizoaffective disorder, nonadherent to therapy, was brought to the emergency department for paranoia. The patient had developed a fear of eating, initially of most protein [...]

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Cardiac Perforation: A Rare Cause of a Bloody Heartache!

Case Presentation: An 81‐year‐old woman comes to the emergency department with acute‐onset shortness of breath and left‐sided, nonradiating chest pain. A month prior, she had a dual‐chamber pacemaker implantation for a diagnosis of sick sinus [...]

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Gallstone Pancreatitis in a Previously Healthy 22‐Year Old Man: What Does Not Fit?

Case Presentation: A 22‐year old previously healthy man developed acute‐onset right upper quadrant pain, vomiting, and jaundice. He consumed 4–6 alcoholic drinks occasionally and denied diarrhea, bloody stools, or fevers. Medical history was notable for [...]

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Cutaneous Nocardiosis in an Immunocompetent Patient

Case Presentation: A 71‐year‐old man was admitted to the hospital for worsening left leg cellulitis. He had noticed a “pimple” on the dorsum of his foot on Sunday. He cleaned the area with hydrogen peroxide, [...]

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Spontaneous Pneumothorax: A Whistleblower for Future Cancers!

Case Presentation: A 68‐year‐old African American man with a medical history of gastric carcinoma status post resection and history of left‐sided spontaneous pneumothorax was admitted to the hospital with gross hematuria for 1 day. He [...]

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Cause or Effect?

Case Presentation: A 48‐year‐old man without significant medical history presented to our hospital with 3 weeks of increasing abdominal girth. Imaging revealed moderate ascites as well as extensive omental and peritoneal implants, diffuse lymphadenopathy, and [...]

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Primary Adrenocortical Carcinoma: A Rare Diagnosis with Common Symptoms

Case Presentation: A 51‐year‐old white man with a medical history of acid reflux and Bell's palsy presented to the clinic with several months’ history of nausea, abdominal fullness, bloating, and left upper quadrant pain with [...]

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Bactrim‐Induced Hepatoxicity

Case Presentation: A 39‐year‐old woman with a benign medical history presented with a 5‐day history of abdominal pain and fever. She had been on Bactrim for a urinary trace infection for a week prior to [...]

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The Gathering Storm: A Case of Fever and Neck Pain

Case Presentation: A 47‐year‐old man with a history of ul‐cerative colitis (UC) was admitted for malaise, fever, and neck pain. On arrival he was ill‐appearing, febrile (39.2°C), hypotensive (80/63 mm Hg), and tachycardic (163 bpm) with [...]

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A Case of Acute Gastric Perforation

Case Presentation: An 85‐year‐old woman with chronic obstructive lung disease, hypertension, and a history of cere‐brovascular accident presented to the hospital with chest pain for 1 day that was worse with deep inspiration. She also [...]

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A Curriculum in the Business of Medicine for Hospitalist Training Track Residents in Internal Medicine

Background: Internal medicine residents lack formal training of concepts that pertain to the business of medicine. Previous studies of graduates of various specialties found young practitioners to have little knowledge about basic financial accounting principles [...]

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