Case Presentation: JG is a 62 year old male presenting to the Emergency Department (ED) as a medical code by EMS for bradycardia and generalized weakness. Per EMS, JG was working in his yard when he suddenly felt debilitating fatigue and asked his wife to call 911. Patient history was limited due to fluctuating somnolence. [...]

Case Presentation: A 20-year-old male with a history of type 1, insulin-dependent diabetes mellitus presented to urgent care for extreme fatigue and weakness. Upon presentation, the patient’s blood pressure was 54/37mmHg and heart rate 133bpm, so he was directed to the emergency department (ED) for evaluation and management due to significant concern with these vitals. [...]

Case Presentation: A 28-year-old woman with bipolar disorder and polysubstance use was found unresponsive at home and achieved return of spontaneous circulation after 9 minutes of CPR. On arrival she had a GCS of 3, evidence of aspiration, and urine studies positive for fentanyl and benzodiazepines. CT chest confirmed large-volume aspiration, and CT head showed [...]

Case Presentation: A 60-year-old female with history of hypertension and diabetes on valsartan and amlodipine presented with acute onset dizziness, recurrent falls, and oliguria two months after empagliflozin initiation. The physical exam was significant for tachycardia, hypotension, and gait unsteadiness. Imaging studies excluded acute cerebrovascular events. Labs revealed acute kidney injury with creatinine 7 mg/dL [...]

Case Presentation: The patient is a 41-year-old female with history of iron deficiency anemia previously on IV iron transfusions and menorrhagia status post myomectomy presented to the emergency department with complaints of new-onset petechiae, spontaneous bruising, and gingival bleeding. The patient reported that in the duration of 2 days, she developed in bruising throughout her [...]

Case Presentation: The patient is a 53-year-old male with type 2 diabetes and hypertension who presented to the hospital with right sided facial pain, facial droop, and concurrent right arm and leg weakness. One month prior to admission, he had been treated for a right sided facial rash with Valacyclovir for 3 days. He then [...]

Case Presentation: Streptococcus suis is a zoonotic gram-positive bacteria that affects both pigs and humans. It resides asymptomatically in the upper respiratory tract, gut, and genitals of pigs. The predominant mode of transmission is through consumption of undercooked infected pork, occupational exposure through exposed skin lesions, and aerosolization. We present a 62 yo male truck [...]

Case Presentation: A 79-year-old male presented after a fall approximately twelve hours prior. His medical history included 95% stenosis of the distal left anterior descending (LAD) artery, type II diabetes mellitus, and hypertension. Initial labs revealed glucose 682 mg/dL, CPK 2,428 U/L, troponin 4,045 ng/L, BUN 31 mg/dL, creatinine 1.9 mg/dL, and positive urine myoglobin. [...]

Case Presentation: A 35-year-old man with no significant past medical history was admitted for evaluation of newly identified cavitary lung disease. His illness started 3 months prior to the presentation with high grade fever lasting two weeks, followed by progressive nausea, vomiting, dry cough, malaise, night sweats, anorexia, and an unintentional 11% weight loss. His [...]

Case Presentation: A 21-year-old female (assigned male at birth) presented with 5 days of worsening nausea, vomiting, and abdominal pain. She had a known history of type 1 & 2 diabetes mellitus, obesity, psoriasis, and major depression. On estradiol for gender-affirming therapy for the past year. Over the last 6 months, had 4 episodes of [...]