Case Presentation: A 49 year old African American woman with a history of diabetes mellitus presented to the ED with persistent cough, chest pain, fevers, and acute nausea and vomiting. She had visited an urgent care center two weeks prior and was prescribed empiric oseltamivir and levofloxacin without improvement in in symptoms.  On exam she [...]

Case Presentation: A 77 year old Jehovah’s Witness woman presented with one month of petechial rash, epistaxis and oral mucosal bleeding. There was no recent travel or infectious illness. She denied herbal or toxic ingestions. Her exam was remarkable only for diffuse petechiae. Labwork was significant for new severe thrombocytopenia (2 K/UL), a normal peripheral [...]

Case Presentation: A 26 year old male with a prior history of asthma, DVT, and PE presented to the ER with severe, constant, pressure-like, left sided chest pain after smoking K2 the night before. The pain was associated with palpitations and shortness of breath. Initial vital signs demonstrated a heart rate of 104 bpm and a [...]

Case Presentation: A 69 year old female presented with elevated alkaline phosphatase (1509 U/L), total bilirubin (2.4 mg/dl), alanine transaminase (44 U/L), aspartate transaminase (107 U/L). Her liver function tests had been normal prior to this including alkaline phosphatase which was also in normal range but was progressively increasing in the past 10 years. Her [...]

Case Presentation: A 33-year-old woman with no cardiac risk factors, who was 8-weeks post-partum with an unremarkable peripartum course, suddenly collapsed at a park. Bystander CPR was initiated and the initial cardiac rhythm, which was ventricular fibrillation (VF), converted to sinus rhythm after defibrillation. While in the emergency department, she had another episode of VF, [...]

Case Presentation: A 54-year-old woman presented to the emergency department with a 1-week history of exertional dyspnea and chest heaviness. Review of systems was remarkable for bilateral leg swelling and a 7-lbs weight gain over one week without orthopnea or PND. Physical examination revealed an irregularly irregular heart rhythm with pulse deficit, elevated JVP at [...]

Case Presentation: A 19 y/o woman presents with dyspnea and chest pain that began one week ago. Dyspnea is worse on exertion. She also complains of substernal chest pain, worse upon breathing. Associated symptoms are subjective fevers, dizziness, sore throat, productive cough of green sputum and myalgias. Denies nausea, vomiting, abdominal pain, rashes, exposure to [...]

Case Presentation: A 21 year old Caucasian female with an unremarkable medical history presented with sudden onset of throat, lip and tongue angioedema. Due to concern for complications, she was given intravenous (IV) diphenhydramine, solumedrol and epinephrine (0.3mg of 1:1000 concentration). Patient developed acute hypoxic respiratory failure and hypotension. She required mechanically assisted ventilation and [...]

Case Presentation: A 52 year-old male with a history of stage IV rectal cancer, who was recently started on systemic chemotherapy (FOLFOX-Bevacizumab), presented with elevated blood pressure and new onset generalized tonic-clonic seizures.  Benzodiazepines were given, terminating the seizure. On examination, blood pressure was 195/123 mmHg and the patient was in a post ictal state. [...]

Case Presentation: We present the case of a 33 year old male who presented with a one day history of non-radiating right upper quadrant abdominal pain worsened by physical activity and lying on his right side. The patient initially suspected that he may have been constipated, but then presented to our hospital due to increasing [...]