Case Presentation: A 65-year-old obese woman with type II diabetes mellitus presented with a 7-day history of cough and hemoptysis described as streaks of blood during the first two days, and as half a cup to a cup of bright red blood with clots thereafter. On arrival to the emergency room she was hemodynamically stable, [...]

Case Presentation: We present 2 amalgamated, anonymized patient cases, based on 5 ethics consults requested at a single tertiary care hospital over the past 4 years. In the first case, Ms. M, an 89 year old woman with a past history of severe COPD, debilitating chronic back pain, and recent imaging findings suggestive of a [...]

Case Presentation: A 63-year-old female with a history of heart failure with reduced ejection fraction and pre-diabetes presented to the hospital with lower extremity weakness. On presentation, her physical exam was significant for bilateral lower extremity pitting edema and hepatomegaly. Lab work showed an elevated total bilirubin (7.3mg/dL) and direct bilirubin (3.8mg/dL), liver function tests [...]

Case Presentation: A 68-year-old male with a history of heavy cigarette smoking and COPD presented with a six-month-long hacking cough with sputum production, night sweats, weight loss, and malaise. He was treated with multiple courses of azithromycin for community-acquired pneumonia without improvement. He had a history of asbestos exposure as a shipyard worker. He did [...]

Case Presentation: A 45-year-old woman initially presented with sudden dizziness upon sitting up, followed by persistent holocranial pressure headaches, blurry vision, and visual distortions resembling a kaleidoscope effect. The patient has primarily received outpatient care for persistent headaches and has undergone frequent monitoring due to worsening cognitive decline for which she was referred to a [...]

Case Presentation: A 64-year-old female with decompensated alcoholic liver cirrhosis was admitted to the hospital for lower abdominal pain. The initial paracentesis polymorphonuclear (PMN) leukocyte count was 149 cells/mm3, but the patient was found to have E. coli urinary tract infection. During the course of her treatment, the patient developed pancreatitis and her hepatic encephalopathy [...]

Case Presentation: Patient is a 23-year-old male with attention deficit hyperactivity disorder and depression who presented with a chief complaint of shortness of breath and bluish discoloration of his skin. Patient was at a friend’s house for dinner where he ate pork leg and returned home thereafter. One hour after dinner, he began to experience [...]

Case Presentation: 70 year old male was admitted for total hip arthroplasty. Post surgery, he experienced an episode of hematemesis leading to drop hb from 14 to 8 mg/dl. EGD showed no evidence of active bleeding. he then started developing hematoma and ecchymosis over his IV and PICC line. A CT scan showed soft tissue [...]

Case Presentation: A 22-year-old woman, gravida 1, para 1, with an unremarkable medical history, presented with sharp left-sided chest pain radiating to the left arm, two weeks postpartum. Initial evaluation revealed stable vital signs, T wave inversions on lateral leads in the EKG, and elevated troponin levels (23.271 and 23.173). Coronary catheterization exposed near 100% [...]

Case Presentation: An 88-year-old female with autoimmune iritis on chronic methotrexate presented after a ground level mechanical fall. Vitals were unremarkable except for O2 saturation of 80% on room air, which improved with 3 lpm of O2. Initial pulmonary exam was unremarkable; her right wrist was swollen and tender. Initial work up showed an elevated [...]