Case Presentation: A 75 year old male with a past medical history of myocardial infarction, hypertension and diabetes was brought to the emergency room for altered mental status. During a cross‐country trip, the patient was found unconscious in his car, covered in urine with a blood glucose level over 400 mg/dL. Upon arrival to the [...]

Case Presentation: A 41 year old male with a twenty year history of alcohol abuse presented to the emergency room with a chief complaint of abdominal pain and increasing abdominal girth over one year. His gastroenterologist had been medically managing his symptoms with furosemide and spironolactone for presumed alcohol‐induced cirrhosis. Initial exam in the emergency [...]

Case Presentation: A 48‐year‐old Hispanic man presented with 2 weeks of spiking fevers, night sweats, and unintentional loss of 10 pounds in 30 days. He denied diarrhea, abdominal pain, hematemesis, and melena. He endorsed one year of bilateral hip osteoarthritis. Physical exam was remarkable for bilateral inguinal and left axillary lymphadenopathy. The patient was found [...]

Case Presentation: A 26‐year‐old male with a history of recent diagnosis of hypertension (HTN) was brought to the hospital after he had cardiac arrest while consuming alcohol with his friend. He had ventricular fibrillation (VF); shocked twice during cardiopulmonary resuscitation; and was intubated. He was not taking any prescription medications; however, he was taking “5‐hour [...]

Case Presentation: A 45 year old man presented to our institution after a prolonged unidentified illness. Six months prior to presentation he had been started on atenolol for an “aortic stenosis murmur” and a small ascending aortic aneurysm. A few weeks later he developed anorexia, intermittent fevers and diarrhea. Atenolol was stopped, however diarrhea persisted [...]

Case Presentation: A 77‐year‐old female presented with sudden onset hemoptysis and shortness of breath. She reported a slight cough the night prior that she treated with a cough drop. She went to bed without any problems, but awoke the next day with hemoptysis and breathing difficulties. She has a history of atrial fibrillation, which was [...]

Case Presentation: A 20 year‐old man presented to the emergency room (ER) in a state of agitated delirium. Review of electronic medical records showed a recent hospital discharge for bipolar disorder. His medications were olanazapine and lithium. He had also had a recent admission for delirium thought to be secondary to diphenhydramine and dextromethorphan ingestion. [...]

Case Presentation: A 79 year‐old man presented with a fracture of his left leg after a mechanical fall from an upright position. He was treated for a tibial plateau fracture with a non‐weight bearing splint. Upon further questioning, he reported a history of polyarthralgias since childhood and deformity and pain of his hands. On exam, [...]

Case Presentation: A 74 year‐old Venezuelan man presented to the emergency room with a one‐year history of tender masses on both arms and legs. He had also experienced fever, night sweats, and thirty‐five pound weight loss over the past year. In addition, he endorsed mild dyspnea on exertion. On exam, he had sunken cheeks and [...]

Case Presentation: We report a case of Allopurinol induced drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome. A 54‐year‐old male presented with toe pain due to gout. He was started on allopurinol. Two weeks later, he had severe pruritic rash. Initially, rash was noted on the abdomen and later it spread to his face [...]