Case Presentation: A 79‐year‐old man with no antecedent coronary artery disease underwent resection of recurrent high‐grade lipo‐sarcoma of the right upper extremity with placement of hollow catheters for perioperative brachytherapy. On postoperative day 2, he developed acute chest pain with dyspnea and hypoxia. On examination, the patient was alert and oriented, but diaphoretic and in […]

Case Presentation: A 41‐year‐old man with a history of Hodgkin's lymphoma treated successfully 20 years prior presented to the emergency room with bilateral ankle fractures after a fall. He underwent operative repair of his injuries on hospital days (HDs) 0 and 3; both procedures were performed under general anesthesia with an intraoperative FiO2 of 90%‐100%. […]

Case Presentation: A 43‐year‐old man on chronic intravenous antibiotic therapy presented with new‐onset chest pain that had developed while flushing his peripherally inserted central catheter (PICC) line. The pain was pleuritic in quality and was associated with chest tightness. His physical exam was unremarkable except for mild hypoxia on room air. Initial blood and cardiac […]

Case Presentation: A 51 ‐year‐old man was brought to the hospital after being found unconscious in the hallway of his transitional housing establishment. At the time of presentation, he was alert and interactive but made several odd statements. He reported a 1‐month history of a painless, nonpruritic rash that started on his thigh and spread […]

Case Presentation: A 5‐month‐old girl presented to the emergency room with lethargy and respiratory depression. She had multiple injuries consistent with inflicted trauma, including massive intracranial injury, lacerated liver, ruptured bladder, fractured femur, and facial bruising. Within 24 hours of presentation, she had progressive cerebral edema, and an EEG showed no brain activity. Based on […]

Case Presentation: A 68‐year‐old woman was admitted to a tertiary referral center after presenting to her local emergency department (ED) with a complaint of shortness of breath. She initially presented to the ED with a 6‐week history of dyspnea and cough. The results of her physical exam and chest x‐ray were consistent with heart failure, […]

Case Presentation: A 59‐year‐old woman with a medical history of Crohn's disease and hypertension presented to the emergency room with pain in the left side of her neck that had been progressively worsening for 4 days and high fever. The patient was on immunosuppres‐sant drugs including azathioprine and Remicade. On examination, she had a fever […]

Case Presentation: An 89‐year‐old white man presented to the emergency department with diffuse abdominal pain of several days' duration. He was afebrile, an abdominal exam was benign, and a stool sample was negative for occult blood. A CT of the abdomen and pelvis with oral administration of 100 cc of Visipaque IV radiocontrast showed no […]

Case Presentation: A 24‐year‐old woman with no significant medical history was admitted for stridor. One month before, the patient had an uncomplicated laparoscopic cholecystectomy. She had an EGD 3 days before admission. The EGD was remarkable only for mild gastritis. Immediately after the EGDshewasstridorous. She was given nebulization and discharged home. She continued to have […]

Case Presentation: A 67‐year‐old man with hypertension and hyperlipidemia presented with a 3‐day history of intermittent confusion. His wife had also noticed changes in personality, irritability, ataxia of 3 weeks' duration, and impairment of short‐term memory. His medications included simvastatin 20 mg daily and atenolol 50 mg daily. On examination, his blood pressure was 168/94 […]