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Exploring Intrateam Handoffs

Background: Inpatient continuity is difficult to achieve as house‐staff work‐hour limitations result in more frequent handoffs. Although research on handoffs between teams has been done, little information exists on handoffs within the same team. Our [...]

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Hyperammonemic Encephalopathy in Multiple Myeloma

Case Presentation: A 70‐year‐old woman with progressive stage 3A IgA kappa multiple myeloma presented with a 4‐month history of intermittent delirium and multiple falls. Prior to her hospitalization, she received empiric treatment for a urinary [...]

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Infectious Complications from Antithymocyte Globulin Outside the Peritransplant Period

Case Presentation: A 56‐year‐old man with treatment‐refractory aplastic anemia, secondary hemochromatosis, and a renal transplant in 1980 was admitted for fever and a positive blood culture. The patient had completed two weeks prior a course [...]

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Vancomycin and Linear Iga Bullous Dermatosis

Case Presentation: Linear IgA bullous dermatosis is a rare autoimmune blistering disorder. Most cases are idiopathic but medications, infections and malignancies have also been reported. Although a variety of medications have been implicated in drug‐induced [...]

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Left Ventricular Noncompaction Cardiomyopathy: “Spongy Heart”

Case Presentation: A 59‐year‐old man with a history of hypertension, hyperlipidemia, and type II diabetes mellitus presented with chest tightness, palpitations, and dizziness. He has a family history of premature coronary disease and sudden death. [...]

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Helicobacter Pylori As a Possible Precipitant of Immune Thrombocytopenia Purpura

Case Presentation: A 28‐year‐old previously healthy Hispanic man presented for evaluation of bleeding gums and rash. Four days prior he noted mild fatigue, cough, headache, and subjective fever consistent with an upper respiratory tract infection. [...]

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A Rare Cause of Cholestatic Jaundice, Biliary Stenosis, and Calculi by a Tropical Intestinal Nematode

Case Presentation: A 28‐year‐old Hispanic woman from Honduras with a medical history of cholecystectomy and choledochojejunostomy at the age of 18 years for gallstones presented with recurrent right upper quadrant (RUQ) pain and jaundice. On [...]

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Double Hit in a Postoperative Patient!

Case Presentation: A 57‐year‐old woman presented with severe headaches. She had a medical history of morbid obesity status post Roux‐en‐Y gastric bypass surgery 7 days prior to her present illness. A VTE prophylaxis with heparin [...]

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A Costly, Stressful Unilateral Belladona

Case Presentation: A 49‐year‐old woman with a medical history significant for congenital hypofibrinogenemia and platelet dysfunction was admitted to the hospital for observation following percutaneous biliary drain removal. Because of a significant bleeding history, following [...]

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A Rare and Fatal Case of Shortness of Breath

Case Presentation: A 69‐year‐old man presented with 1 week of shortness of breath associated with lower‐extremity and scrotal edema. He had elevated JVP and distended external jugular veins, an enlarged liver, and bilateral leg edema. [...]

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Right Atrial Thrombus: A Hanging Question

Case Presentation: A 34‐year‐old woman with a stage IV infiltrative ductal breast carcinoma being treated with capecitabine and goserelin was admitted for management of a right atrial thrombus incidentally found on restaging contrast‐enhanced computerized tomography [...]

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The Pediatric Obesity Epidemic Strikes Again — Cholelithiasis in a 13‐Year‐Old Boy

Case Presentation: H.B. is a 13‐year‐old obese Hispanic boy with generalized sharp abdominal pain for 2 days, nonradiating, 6–7/10 intensity, improved by flexing the trunk, associated with loss of appetite. He had no nausea/vomiting/diarrhea, no [...]

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A Young Female Presenting with Acute‐Onset Psychosis

Case Presentation: An 18‐year‐old African American female with no medical history was brought in for 5 days of altered mental status. She was unable to perform activities of daily living, exhibited bizarre behavior, and had [...]

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A Rare but Rapidly Reversible Cause of Hyperammonemic Encephalopathy

Case Presentation: A 21‐year‐old man with metastatic fibrolamellar hepatocellular carcinoma (HCC) with recurrent malignant ascites was admitted to the hospital for nausea and vomiting. His disease had continued to progress after 4 cycles of FOLFOX [...]

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