Case Presentation: A 51 year-old African American male with a history of chronic kidney disease (baseline creatinine of about 1.5), hypertension, diabetes type II and hyperlipidemia, presented to the ER with severe fatigue, swelling, and difficulty urinating. Two weeks prior to admission, his primary care physician had started the patient on Canagliflozin. About a week [...]

Case Presentation: A 53-year-old woman, with 30 pack-year smoking history, presented to the hospital with subacute posterior cephalgia associated with nausea, vomiting and photophobia. Review of systems was positive for an unintentional 15 pound weight loss and non-productive cough. She denied fever, recent travel or pet exposure.  She was not on any medications. Vital signs [...]

Case Presentation: A 64-year-old woman with a past medical history of type 2 Diabetes Mellitus and depression presented to the hospital with subacute progressive left leg weakness over the past six months. She has had difficulty ambulating and has sustained multiple mechanical falls.  She denied any bowel/bladder incontinence. She had a prior history of severe [...]

Case Presentation: A 67-year-old woman with 50 pack-year smoking history presented with a 2-week history of bilateral leg weakness. She had difficulty with ambulation and sustained several falls. Of note, the patient denied cough, phlegm or shortness of breath. She did not report other neurological symptoms. Her past medical history was remarkable for chronic obstructive [...]

Case Presentation: A 25-year-old man was found unresponsive at his home and brought to the hospital for further evaluation. In the emergency department, his Glasgow coma scale was 6, for which he was intubated and started on mechanical ventilation. His past medical history was remarkable for diabetes mellitus type 2, for which he was on [...]

Case Presentation: A 23 year-old Guatemalan man presented to the hospital with right sided facial swelling, vesicular lesions on the eyelids and ulcers on the tongue. He was admitted with seven similar episodes during the past three months and was treated with steroids, antibiotics, antihistamines and also antiviral therapy for possible cellulitis and Herpes associated [...]

Case Presentation: A 57-year-old man presented with two months of persistent dry cough and progressive dyspnea on exertion. His past medical history was significant for renal transplant, well-managed on rapamycin, mycophenolate and prednisone for the past 10 years. He denied associated symptoms including fevers as well as occupational, travel, hobby-related, or animal exposures. He was [...]

Case Presentation: A 69 year old female with history of gallbladder cancer status post cholecystectomy/hepatic wedge resection with roux-en-y choledochojejunostomy and chemoradiation presents with recurrent abdominal pain and fevers of 102oF. She reports 2 prior episodes of bacteremia with no identified source. She was discharged 4 days ago after treatment for cholangitis with cefuroxime and [...]

Case Presentation: A 79-year-old Caucasian non-diabetic male with history of renal cell carcinoma, s/p left nephrectomy in 2005 and coronary artery stent placement 2 months prior and on Clopidogrel, presented with acute onset sweating and palpitations. Monitoring revealed fasting serum glucose as low as 29mg/dL with concurrent insulin level of 9,600 uIU/mL. Further investigations for [...]

Case Presentation: We present a case of a 36 year old non-smoking female with history of hypothyroidism, two spontaneous abortions (with negative hypercoagulability workup), no recent travel, or OCP use, who came to the ED with three days of left arm pain, swelling, and bluish discoloration. Patient noticed dull pain of left forearm and arm, [...]