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The Effect of Cost and Turn‐Around Time Display on Inpatient Ordering of Reference Laboratory Tests

Background: Rising health care expenditures in the United States encourage physicians to provide quality patient care while eliminating wasteful spending. Reference laboratory tests represent a small percentage of a hospital’s total test volume, but a [...]

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Improving Inpatient Skills Through a Bootcamp for New Residents

Background: As new residents start their Internal Medicine training in July, many studies have raised concerns about patient safety associated with inexperienced residents, also termed the “July effect.” Based on surveys conducted at our Internal [...]

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Pediatric Behavioral Emergencies — Stay Calm, Stay Safe

Background: Behavioral emergencies occur when patients act in a manner that poses a danger to themselves, family or hospital staff. Pediatric Hospitalists may encounter these events caring for patients with underlying psychiatric or behavioral disorders [...]

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Standardizing the Care of Hospitalist Patients with Sickle Cell Disease

Background: We are a large academic hospitalist group in a tertiary care center with a mixed urban/suburban catchment area. Despite representing only 4% of our total discharges, patients with sickle cell disease (SCD) account for [...]

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From Paper to Web: Implementation of a Database to Manage Team Assignment

Background: The House of Godimmortalized the capricious Medical Admitting Resident who decides on assignment of patients based on favors and grudges. In reality, this has always been a complicated role and it has evolved over [...]

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Wisdom of the Crowd: Bright Ideas and Innovations from the Teaching Value and Choosing Wisely Competition

Background: Hospitalists have recently been charged with teaching about healthcare value. To understand how to teach value in ways that are impactful, sustainable, and scalable, the best ideas need to be shared. Due to the [...]

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The Phaces of Stridor

Case Presentation: A 45 day‐old ex‐term male presented with acute onset of progressively noisy breathing and respiratory distress unassociated with fever, rhinorrhea, or nasal congestion. On initial presentation, he had diffuse “wheezing” on exam with [...]

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Tick‐Borne Illness: Beyond Just a Headache

Case Presentation: A 16‐year‐old previously healthy male was transferred to our hospital with a two day history of fever, headache, rash, lethargy, nausea, and diarrhea, and one week of fatigue and anorexia. He resides in [...]

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Adult Onset Recurrent Respiratory Papillomatosis (Rrp): A Case Report and Literature Review

Case Presentation: A 29‐year‐old African American hypertensive male smoker presented with hoarseness and dyspnea. He was noted to be hypoxic and was intubated. Bronchoscopy and laryngoscopy were performed with excision of extensive tracheal papillomas. Pathology [...]

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Is Ignorance Bliss?: A Case Report of Psychosis and Capacity Determination in Terminal Illness

Case Presentation: A 77‐year‐old male with paranoid schizophrenia was admitted with recurrent ascending cholangitis and gram‐negative bacteremia. Three months earlier, he was diagnosed with pancreatic adenocarcinoma with wide metastases to the liver. Prior to his [...]

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Severe Atopic Dermatitis with Elevated Igg Levels Masquerading Job’s Syndrome. a Case Report

HIES/Job’s syndrome is a rare immune disorder characterized by skin lesions, elevated IgE‐levels, recurrent skin/sinopulmonary infections, and skeletal abnormalities. We report a case of severe atopic dermatitis with elevated IgE levels mimicking HIES/Job’s syndrome. Case [...]

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A Novel Case of Dress Syndrome Induced by Hydrochlorothiazide

Case Presentation: A 71 year‐old man presented with two days of a progressively worsening non‐pruritic, erythematous rash over his trunk and extremities. He also noted subjective fevers, fatigue, and decreased urine output. He had started [...]

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Body Under Seige

Case Presentation: An 88‐year‐old Vietnamese man with a history of hypertension presented with one‐day of rigors, chills, and generalized weakness. Initial physical exam was unremarkable and his admission laboratory studies revealed platelets of 51,000/µL and [...]

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Pancreatic Fistula: A Case of Mistaken Cirrhosis

Case Presentation: A 41 year old male with a twenty year history of alcohol abuse presented to the emergency room with a chief complaint of abdominal pain and increasing abdominal girth over one year. His [...]

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Doctor the Problem Is with My Legs Not My Asthma

Case Presentation: 68 year old man with history of hypothyroidism, hypertension and longstanding history of allergic rhinitis, and asthma who presented with a 4 day history of subjective fevers and lower extremity numbness. The numbness [...]

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