Case Presentation: A 44 yo female with a history of ESRD, hypertension, and diabetes mellitus presented to the ED with nausea. She was admitted to the ICU with concerns for diabetic ketoacidosis and hyperkalemia with a glucose 505, potassium 7.2, and anion gap 27. She was tachypneic, and initial workup revealed leukocytosis 15.2. After 2 [...]

Case Presentation: A 58-year-old man with a history of hypertension, type 2 diabetes with non-adherence to insulin, GERD, and daily alcohol use presented to the emergency department for three days of epigastric abdominal pain and vomiting. He had previously experienced two months of worsening nausea and epigastric fullness with eating accompanied by a 30-pound unintentional [...]

Case Presentation: A 48 year-old male presented Landstuhl Regional Medical Center with epigastric pain and fevers that had progressed to pain in the right lower quadrant. He lived in Cameroon until 30 years old and had recently deployed to West Africa. Computed Tomography (CT) of his abdomen demonstrated thickening of his right colon with extra-luminal [...]

Case Presentation: A 38-year-old female with a past medical history of non-insulin dependent type 2 diabetes, HSV-2, and vitamin D deficiency presented to the emergency department for evaluation of a finger lesion. It was located on her left lateral index finger near the PIP joint with associated growth and scant drainage over the last two [...]

Case Presentation: 38-year-old male with no previous past medical history presented with cough, fatigue and myalgias in the setting of a known COVID infection (had tested positive the day prior). In the ED, he was found to have diffuse ST-segment changes on EKG concerning for pericarditis and an LVEF of 20% on echocardiogram. Due to [...]

Case Presentation: 29-year-old man with no significant medical history presented with 1 day of severe epigastric pain and multiple episodes of emesis and nausea. He denied any alcohol use.​Vitals: ​Remarkable for a heart rate of 110. ​Notable Labs & Imaging:​Bicarbonate 16 mmol/L with an anion gap of 23 ​Glucose 117 mg/dL​Lactate 2.9 mmol/L​Lipase 531 U/L​Normal [...]

Case Presentation: A 30-year-old woman with sickle cell trait and recent history of preeclampsia, pregnancy loss, and deep vein thrombosis presented to the emergency room with right upper quadrant pain. The pain was new, rated ten on a ten-point severity scale, and non-radiating. She also endorsed progressively worsening cough over several months and new, right-sided [...]

Case Presentation: Patient is a 43-year-old female with history of recurrent pancreatitis who presented with diffuse abdominal pain and shortness of breath. She initially presented 6 weeks prior with epigastric pain radiating to the back. The pain was intermittent for a week but had become more severe and constant. This was associated with fever, nausea [...]

Case Presentation: A 71-year-old male with a past medical history of schizophrenia presented with subjective fever, shortness of breath, and altered mental status. Initial vitals were significant for tachypnea at 30 breaths/minutes and hypoxia (spO2 82% on room air) requiring 6L/min of O2. Physical exam was remarkable for drowsiness and confused mental state. Initial labs [...]

Case Presentation: 39-year-old female with a history of ulcerative colitis (UC), but not on therapy, presented with abdominal pain and hematochezia for two weeks, along with weight loss and night sweats. On admission, vital signs were notable for tachycardia and physical examination revealed a diffusely tender abdomen. Laboratory studies were remarkable for leukocytosis of 23,250/mm3. [...]