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: A 63‐year‐old man with a history of alcoholism and withdrawal seizures presented to the ED after a suicide attempt. The patient had persistent suicidal ideation and was placed on a psychiatric hold. In the ED, he reported irritability and “shakiness.” He was hemodynamically stable, with tremor and tongue wag noted on exam. The […]

Case Presentation: A 44‐year‐old woman with a history of hereditary hemorrhagic telangiectasia presented to the ED with complaints of epistaxis, coffee‐ground emesis, dyspnea, and burning chest pain. In the ED, she was mildly hypotensive but otherwise stable. Her hemoglobin was 6.0, and she was admitted to the head and neck surgery service for transfusion and […]

Case Presentation: A 45‐year‐old man suffered a left knee gunshot wound 3 months prior to presentation. His physical examination and radiograph revealed an unfragmented bullet in the left knee synovium. Pertinent laboratory data revealed a hemoglobin of 12. Neurovascular compromise was not present, and the patient was subsequently discharged without operative intervention. Two months prior […]

Case Presentation: A 45‐year‐old woman presented with dyspnea on exertion, and tachycardia. On presentation, vitals were normal except for a resting heart rate of 100. Exam revealed tachycardia, trace pedal edema, and jugular venous pressure at 8 cm H2O. Lungs were clear. Chemistries and CBC were normal. Fasting lipid panel revealed cholesterol 289, triglycerides 537, […]

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 […]