Case Presentation: 37-year-old G2P1102 patient 4 months postpartum with history of persistent hypokalemia and pre-eclampsia with severe features superimposed on chronic hypertension presents to the ED with a few weeks history of persistent headache, generalized weakness, and an elevated blood pressure of 180/110. Patient was admitted for symptomatic severe-range hypertension and hypokalemia. Subsequent workup revealed [...]

Case Presentation: We present a 61 year old female with a history of hypertension and rheumatoid arthritis well controlled on Humira who presented to the ED with tachycardia and tachypnea, found to have profound lymphocytic leukocytosis and altered mental status. The patient’s family reported a history of fatigue and confusion for 4 days as well [...]

Case Presentation: A 52-year-old male with hypertension, sleep apnea, and polycythemia presented to an outside hospital for abdominal bloating and pain with emesis for 2 weeks. Labs showed WBC up to 26k/µl, AST of 166, ALT of 155, and total bilirubin of 2.8 mg/dl with normal range lipase and lactate. Initial CT abdomen pelvis (CTAP) [...]

Case Presentation: A 22-year-old male with no past medical history presented with a three-week history of a frontal headache associated with nausea and vomiting. He denied various symptoms, including bloody diarrhea, dysuria, or hematuria. He had no history of renal calculi, recent illness, antibiotic exposure, or drug allergies. He recently traveled to Jamaica and Florida [...]

Case Presentation: A 58-year-old male with a history of alcohol use disorder, recurrent diverticulitis, and portal vein thrombosis presented to the ED due to jaundice and tremors. He reported malaise, poor oral intake, fevers, and night sweats. Denied weight loss. A telehealth visit prescribed Motrin and Tylenol. The patient consumes 1 liter of vodka weekly, [...]

Case Presentation: A 79 y/o obese male with a history of hemochromatosis on scheduled phlebotomies, hypertension, afib, and hyperlipidemia presented to the ED for the third time in a week with chief complaints of nausea, syncope, and diaphoresis. Vitals signs were normal on presentation. Preliminary investigations were unremarkable except for glucose of 48. The patient [...]

Case Presentation: A 54-year-old male with alcoholic cirrhosis and type 2 diabetes presented to the hospital for 2 weeks of recurrent syncopal episodes. One year prior to presentation, he underwent EGD to work-up chronic intermittent nausea, abdominal pain, bloating, and heartburn; this was unremarkable. Colonoscopy showed non-bleeding internal hemorrhoids and few diverticula. One month prior [...]

Case Presentation: A 66-year old woman with a history of obesity and hypertension presented with a right femoral neck fracture after a mechanical fall. She underwent a right total hip arthroplasty and the anesthesiologist reported transient intraoperative hypoxia during cement placement. In the recovery room, the patient was hypotensive, tachycardic and hypoxic requiring up to [...]

Case Presentation: A 65 year old male with hypertension, type II diabetes, heart failure with recovered ejection fraction and emphysema with 30 pack year smoking history started to experience 15 pound weight loss and anemia 18 months ago. Initial presentation to PCP revealed elevated ALP 292U/L and Hemoglobin 12.6g/dL. Cancer screening with CT chest showed [...]

Case Presentation: A 70-year-old male presented to ED with a 10-day history of fever with chills, sweating, abdominal pain and generalized weakness. The abdominal pain was predominant in right lower quadrant (RLQ), accompanied by nausea, vomiting, loss of appetite and significant weight loss more than 10 lbs. in 10 days. He denies jaundice, pruritus, constipation, [...]