Case Presentation: A 55 year old Moroccan male with no PMH presented with 3 months of a productive cough. Patient had no fevers, chills, weight loss, night sweats or changes in bowel habits. He worked with wood, Corian® and paint, but there were no toxic habits or animal exposures.  One week prior to admission, his […]

Case Presentation: A 53 year-old woman with history of depression and chronic kidney disease stage 2 – with baseline serum creatinine (Cr) of 1 mg/dl – presented with a Cr of 2.9 mg/dl obtained as part of preoperative work up for spinal stenosis. She had unintentionally lost 7 pounds over 3 months. She had no […]

Case Presentation: A 74 year old gentleman with known end-stage alcoholic liver disease (MELD 22) presented to the emergency room with lethargy. He had been deemed unsuitable for liver transplantation due to his age and co-morbidities – which included well controlled diabetes mellitus type 2, hypertension, diastolic heart failure, chronic obstructive lung disease and chronic […]

Case Presentation: A 64 year-old male with known schizophrenia was transferred from an outside facility for further management of pneumonia.  On admission he was found to be polyuric; serum sodium was 148 mg/dl, serum osmolality 340 mOsm, and urine osmolality 184 mOsm. Initially his polyuria was deemed secondary to post-obstructive diuresis, however he continued to […]

Case Presentation: A 64 year-old woman, with history of essential hypertension and hypothyroidism, presented to her primary care physician’s office with cold like symptoms and dry cough for 2 weeks associated with mild numbness in her fingers. She was clinically diagnosed with acute sinusitis and was prescribed levofloxacin. Few hours after she received the first dose of levofloxacin, she […]

Case Presentation: A 56-year old male patient presented with severe persistent left occipital headache for 3 weeks associated with left eye pain. During this period, the patient was evaluated once in the emergency room (ER) and a computerized tomography scan of the maxillofacial region was done that showed paranasal sinus disease. His headache improved with […]

Case Presentation: A 47 year-old female with hypertension, dyslipidemia, and diabetes presented with two weeks of dyspnea. An ECG a year prior showed normal sinus rhythm. The rhythm strip from a transthoracic echocardiogram incidentally showed complete heart block. An ECG confirmed new persistent third degree AV block. A left heart catheterization ruled out coronary artery […]

Case Presentation: A 23 year old female with a history of ovarian torsion, s/p ovarian cystectomy, presented to the emergency department in status epilepticus. Over the past week, the patient experienced a rapid deterioration in behavior associated with visual/auditory hallucinations, and panic attacks.  The patient was afebrile, blood pressure of 135/70, heart rate of 120, and […]

Case Presentation:   We report a 56-year-old male from New Mexico with a 6-month history of weight loss, night sweats, intermittent confusion, and personality changes.  He also reports new onset headache and progressive right-sided weakness. His medical history includes alcoholic liver cirrhosis and hypertension. Physical exam demonstrates a well-nourished male in no acute distress, right […]

Case Presentation: 62 y.o. Male with a family history of leukemia and a personal history of diabetes, and  hypertension presented with 3 months of SOB, fatigue, and weakness.  He noted his symptoms worsened with physical activity, but denied any leg swelling, orthopnea, PND, or chest pain.  Denied any history of rectal bleeding, drinking, or recent viral […]