Case Presentation: A 62‐year‐old man presented with 1 day of chest pain and shortness of breath. Four months earlier, he had been diagnosed with MRSA endocarditis and had aortic valve replacement surgery. The preoperative evaluation revealed normal coronary arteries and normal systolic function. One month prior to his current presentation he had a non‐ST‐elevation myocardial […]

Case Presentation: A 46‐year‐old man presented with a 2‐month history of fatigue, worsening dyspnea, and lower extremity swelling. He had a prosthetic aortic valve implanted 10 years ago and was noncompliant with anticoagulation. His medical history was also pertinent for intravenous drug abuse. He denied having had sexually transmitted diseases in the past and was […]

Case Presentation: A 17‐year‐old white female presented to the ER with a 5‐day history of right upper extremity swelling. The patient reported that she carried a heavy book bag on her right shoulder all day, followed by 1 hour of using her arms over her head while styling her hair. The next morning, she developed […]

Case Presentation: A 3‐week‐old was admitted to the pediatrics service for evaluation of fever and administration of parenteral antibiotics. Acetaminophen 15 mg/kg/dose every 4 hours was ordered. The infant received 6 daily doses of acetaminophen equivalent to 90 mg/kg/day for 72 hours. On hospital day 5, the patient's AST and ALT peaked at 1099 and […]

Case Presentation: A 51‐year‐old woman with a history of glioblastoma multiforme resection and meningitis presented with mental status changes. Ventriculostomy was performed for hydrocephalus, and CSF revealed recurrent staph meningitis. Antibiotics were started. The RNs then noticed the patient heavily salting all her food. Her urine output was 300‐500 cc/hour. Serum sodium was 135. The […]

Case Presentation: A 62‐year‐old woman with diabetes presented with 4 days of crampy, epigastric pain exacerbated by urination and radiating to the right and left upper quadrants. She endorsed nausea and emesis but denied fever or association with food. A physical exam on presentation revealed that she was afebrile, tachycardic, and had a soft, obese […]

Case Presentation: An 87‐year‐old man with a medical history of dementia, stroke, hypertension, seizure disorder, and ITP began to choke on an orange, when his daughter successfully performed the Heimlich maneuver. Following this, the patient complained of mild abdominal pain. He denied chest pain, dyspnea, fever, chills, nausea or vomiting. On physical examination, vital signs […]

Case Presentation: A 52‐year‐old woman with a medical history of hypothyroidism and shingles presented to the ED with a monthlong history of abdominal distention, nausea, and decreased appetite. Three years ago, she had had an exploratory laparotomy for presumed perforated diverticulitis, and a serosal biopsy showed mesothelial hyperplasia. One year later, she had an episode […]

Case Presentation: The patient was a 14‐year‐old girl with new‐onset seizurelike episodes over 3 months. Her parents identified various triggers for the events: raising her arm, standing from a sitting position, and turning her head to the left. She had loss of consciousness (LOC) but no aura or postictal state. An ambulatory VEEG was read […]

Case Presentation: R.C. is a 42‐year‐old G3P2 Jehovah's Witness who presented to the E.D. in her 17th week of pregnancy with vaginal bleeding. A bedside ultrasound showed fetal demise and the patient was admitted for a dilatation and extraction. Her procedure was complicated by bleeding which required emergent arterial embolization by interventional radiology. A balloon […]