The incidence of vitamin D deficiency in critically ill patients has been reported to range from as low 17% high 79%. Data regarding the relationship between 25-hydroxyvitamin levels and outcomes medical intensive care unit are sparse. goal study was evaluate prevalence its with outcomes.This a retrospective (MICU) at an inner city community hospital. period October 2009 February 2010.Of 932 admitted during period, (25(OH)D) were available 523 (53%); 86 them excluded due readmission unit....

Pregnancy is a diabetogenic state characterized by relative insulin resistance, enhanced lipolysis, elevated free fatty acids and increased ketogenesis. In this setting, short period of starvation can precipitate ketoacidosis. This sequence events recognized as "accelerated starvation." Metabolic acidosis during pregnancy may have adverse impact on fetal neural development including impaired intelligence demise. Short periods present severe anion gap metabolic (AGMA). We 41-year-old female...

Male, 42 FINAL DIAGNOSIS: Gluteal compartment syndrome • acute peripheral nauropathy-- Clinical Procedure: - Specialty: Critical Care Medicine.Management of emergency care.Heroin addiction is common, with an estimated 3.7 million Americans reporting to have used it at some point in their lives. Complications opiate overdose include infection, rhabdomyolysis, respiratory depression and central or nervous system neurological complications.We present a 42-year-old male admitted after heroin use...

Objective. Asthma education programs have been shown to decrease healthcare utilization and improve disease control management. The purpose of our study was evaluate the impact an outpatient adult asthma program in inner city hospital caring for patients with low socioeconomic educational status. Methods. An implemented September 2014. Patients who received from 2014 July 2015 were evaluated. Outcomes compared same group before after education. Primary outcomes emergency room (ER) visits...

We report the case of a 34-year-old female who presented with acute respiratory failure and hemoptysis, requiring intubation mechanical ventilation. Fiberoptic bronchoscopy revealed progressively bloodier returns during lavage, consistent diffuse alveolar hemorrhage (DAH). This highlights DAH as rare but severe complication associated cannabis use. involves bleeding into spaces, impairing gas exchange causing distress. While use is not well-established cause, this underscores its potential...

The use of steroids and protein-based dietary supplements for muscle enhancement is prevalent in contemporary society. While these products promise increased mass strength, they carry significant risks, including severe medical complications. consumption has been linked to adverse symptoms, dehydration, gastrointestinal distress, dizziness, alterations heart rate blood pressure, primarily due ingredients like creatine, arginine, caffeine. Following the proper dosage, ensuring adequate...

Severe mycoplasma pneumonia is a rare entity with only 0.5–2% of cases having fulminant course. We present 74-year-old woman hypertension, diabetes mellitus and remote history marginal zone B-cell lymphoma admitted abdominal pain diarrhea 1–2 days associated body-aches, dyspnea, dry cough weight loss for 2–3 weeks. On physical exam, she was febrile, tachypneic, tachycardic hypoxic on room air. Chest examination revealed diffuse crackles end-expiratory wheezes. Laboratory tests showed anemia,...

Cocaine is used by approximately 1.5 million Americans each month and up to 69% of the cocaine seized contains levamisole. The real incidence cocaine-levamisole induced neutropenia unclear but probably underestimated. Associated complications include fever, thrombocytopenia, skin-vasculitis disorders, rarely kidney injury. We present a young male, with chronic active use presenting recurrent episodes febrile thrombocytopenia. He underwent extensive work-up was treated many antibiotics we...

BACKGROUND Lymphoma complicated with hemophagocytic syndrome and tuberculosis has been rarely reported. The clinical radiological presentation of these potentially fatal conditions can be easily confused there is a potential for misdiagnosis. CASE REPORT We present 58-year-old Hispanic female who was admitted to the hospital dizziness fever. Her initial admission diagnosis severe sepsis secondary community acquired pneumonia. She started on intravenous antibiotics. Due mediastinal...

Rationale: Every year, ∼40,000 people suffer burn-related injuries in the United States. Despite recent advances, odds of dying from exposure to fire, flames, or smoke are one ∼1500. Smoke inhalation causes injury airways via a complex physiological process, and treatment is mainly supportive. Many interventions aim decrease formation fibrin casts, main cause airway damage these patients. Among these, with combination nebulized heparin N-acetylcysteine (NAC) has shown benefit. Patient...

Spontaneous regression (SR) of cancer refers to partial or complete disappearance a malignant tumor in the absence treatment presence therapy, which is considered inadequate exert significant influence on growth neoplastic disease. SR very rare phenomenon primary lung cancers. Follow-up these patients generally either by imaging bronchoscopy. We present patient with an endobronchial carcinoid, followed serial bronchoscopies and biopsy over 24-month period.

Hospitalization due to influenza has been stable in recent years. In March 2020, New York was an epicenter for coronavirus disease 2019 (COVID-19). Because and COVID-19 present similarly, there were serious concerns that coinfection of these viruses would burden the healthcare system. We compared incidence outcomes patients hospitalized with before during (seasons 2017-2021).We conducted a retrospective study evaluating influenza. Four seasons evaluated, 2017-2021, pre- pandemic. clinical...

Mycoplasma pneumoniae pneumonia (MPP), or "walking pneumonia," is an atypical mild disease with varied clinical findings. Specifically, diagnosis often controversial and understanding of presentation limited. The goal the study was to evaluate presentation, associations outcomes MPP patients admitted inner-city hospital.This a retrospective analysis adult diagnosed from January 2010 2017. Primary were need for intensive care unit (ICU) care, ICU hospital length stay (LOS), presence shock...

Etiologies for diffuse alveolar hemorrhage are wide and range from infectious to vasculitis malignant processes. Idiopathic thrombocytopenic purpura is an autoimmune disorder characterized by persistent thrombocytopenia, with a relatively indolent course in young patients, but more complicated progression high associated mortality the older patients. Diffuse hemorrhage, complicating idiopathic purpura, very uncommon association, only 2 reported cases literature. We present 69-year-old...

The coexistence of primary lung cancer and lymphoma is a rare finding. We present case 66-year-old woman with marginal B-cell mucosa-associated lymphoid tissue type lung, mediastinal lymph node, bone marrow involvement. Surveillance imaging after treatment for revealed persistent uptake by positron emission tomography scan. A transbronchial biopsy the well-differentiated invasive squamous cell carcinoma. Management was changed to address new pathologic findings.

To expand our limited knowledge of COVID-19-related outcomes in patients admitted to inner-city intensive care unit (ICU across multiple infection waves. This retrospective study compared the ICU Bronx, NY, during 3 COVID-19 waves (March 2020 February 2022). Outcomes included hospital mortality, length stay (LOS), use mechanical ventilation, and discharge disposition. The 716 (343, 276, 97 first, second, third waves, respectively). number days on ventilation LOS were lower first wave. Of 345...

Broncholithiasis is a rare condition defined as the presence of calcified fragment tissue within lumen tracheobronchial tree. We present case broncholithiasis in an asymptomatic patient with chronic lingular atelectasis.

Background: The morbidity and long term pulmonary consequences of COVID-19 infection continue to unfold as we learn follow survivors this disease. We report radiological evolution function findings in those patients. Methods: This was a retrospective cohort study adult patients referred the post-acute clinic after diagnosis pneumonia. period initial peak pandemic New York City, from June December 2020. Results: 111 were included. average interval time between pneumonia evaluation 12 weeks....

Practice guidelines from the American Academy of Neurology for determination brain death in adults define as “the irreversible loss function brain, including brainstem.” Neurological is primarily based on clinical examination; if criteria are met, a definitive confirmatory test indicated. The apnea remains gold standard confirmation. In patients with factors that confound or when tests cannot safely be performed, an ancillary required to confirm death. Confirmatory include (a) electrical...

Ectopic adrenocorticotropic hormone secretion is responsible for 12% to 17% of all cases the Cushing syndrome. One most commonly described causes ectopic small cell carcinoma lung. A rare cause includes a functioning neuroendocrine tumor traditionally known as carcinoids that account 5% mediastinal tumors. To our knowledge, reported are thymic in origin and only minority those functional. We present male patient with hypertension, obstructive sleep apnea, acid-base disorder, whom further...