An Approach to Refractory Hypoxemia

A 74-year-old female with no significant pulmonary history presented as a transffer from an outside hospital for persistent refractory hypoxemia

Improving Outpatient Pneumococcal Vaccination Rates in Patients age \u3c65

Objectives To increase pneumococcal vaccination rates for patients 19-64 at JHAP to reach 70% over 3 months. To increase resident knowledge of indications for pneumococcal vaccination in patients 19-64 by 25% over 3 month

Response to rapidly changing healthcare information regarding COVID-19 with virtual journal club

Virtual twice weekly COVID-19 journal club (JC) created to optimize residency and faculty education regarding COVID-19 management, critical appraisal of new literature, and improve departmental collaboration and connection

Pulmonary Metastases of Basal Cell Adenocarcinoma Presenting as Hemoptysis

Basal Cell Adenocarcinoma (BCAC) is a rare malignancy, only accounting for approximately 2% of all salivary neoplasms. Considered the malignant counterpart of basal cell adenoma, it most commonly presents at 60 years of age without gender predilection. Sites of involvement frequently includes the parotid gland, but sites in the minor salivary glands, nasopharynx, buccal mucosa, and tongue have also been reported. Often regarded as an indolent malignancy, BCAC can occasionally cause invasive disease and infrequently, metastatic disease. Among all solid tumors, endobronchial metastases is quite a rare occurrence, contributing to approximately 4% of endobronchial biopsies4. Most common sites of metastases in BCAC include cervical lymph nodes with sparse reports of pulmonary, hepatic and cutaneous involvement5. We present a case of endobronchial metastases from BCAC of the base of the tongue