Bridging the Gap: How Do You Interpret an Osmolal Gap?
November 1, 2023
Case A 53-year-old man with chronic kidney disease on hemodialysis presented with abdominal pain, nausea, and vomiting. He drinks three to 12 beers daily and denied ingestion of toxic alcohol. Labs...
What are Common Pitfalls in Measuring the QTc in Hospitalized Adult Patients?
August 1, 2023
Case Ms. S. is a 60-year-old woman admitted with gastroenteritis and hypovolemia in the setting of three days of nausea and diarrhea. She was also found to have atrial fibrillation with rapid...
To Anticoagulate or Not? The Ongoing Dilemma Among CAA Patients
April 3, 2023
Case A 93-year-old female with dementia and cerebral amyloid angiopathy (CAA) presented after a mechanical fall. She was on apixaban for a deep vein thrombosis (DVT) from three months prior, which...
How Does Thiamine Deficiency Result in an Elevated Lactate?
February 1, 2023
Case A 50-year-old male with a medical history of severe alcohol use disorder and type 2 diabetes mellitus presented to the emergency department with shortness of breath and dry cough. Initial...
Should You Feed Patients Admitted for IBD Flares?
January 3, 2023
Case: A 26-year-old woman with a history of poorly controlled Crohn’s Disease (CD) presents to the emergency department (ED) with complaints of progressively worsening diarrhea for the past two...
Cephalosporins: How Vital Are They in a Hospitalist’s Toolkit?
December 1, 2022
Case A 57-year-old female with a history of hypertension and diabetes mellitus presented to the emergency department with complaints of chills, fever, and productive cough progressively worsening...
Beyond the Basics: How Should We Manage Acute Pain in Hospitalized Patients with OUD?
November 1, 2022
Case A 23-year-old male with opioid use disorder (OUD) with intravenous use is hospitalized with a fever and several weeks of back pain. He is diagnosed with methicillin-resistant Staphylococcus...
How Do You Address Ongoing In-hospital Substance Use Among Adults with SUD?
October 3, 2022
Case A 28-year-old man with a past medical history notable for severe opioid use disorder and aortic valve endocarditis requiring valve replacement was admitted with recurrent bacteremia, prosthetic...
How to Treat Heart Failure: New Updates
August 1, 2022
Case A 76-year-old man with a medical history of congestive heart failure (CHF) with left ventricular ejection fraction of 30%, hypertension, dyslipidemia, and recent hospitalization for CHF...
Alcohol Withdrawal: Looking Beyond Benzodiazepines
June 1, 2022
Case Mr. Smith is a 48-year-old man with alcohol use disorder (AUD) and compensated cirrhosis who presented to the emergency department with alcohol withdrawal. He had been consuming one pint of...