Case Presentation: An 18‐year‐old African American male brought in by his guardian with chief complaints of bizarre behavior for 10 days. The patient had (not unusually) “disappeared” for several days with friends. However, he had returned exhibiting strange behavior — talking to people that were not in the room, picking at things in the air, [...]

Case Presentation: A 60‐year‐old female presented with 5 days of abdominal pain and vomiting. She has diabetes treated with insulin and metformin. She noted malaise, poor oral intake, and decreased urination. Examination revealed an ill‐appearing woman with dry mucous membranes. Her abdomen was soft but diffusely lender to palpation. Laboratory analysis snowed elevated BUN to [...]

Case Presentation: A 70‐year‐old male with hypothyroidism, BPH, and alcohol dependence in the past presented to the hospital with a 3‐month history of weight loss (35 pounds), anorexia, and abdominal distention for 2 weeks. He had no abdominal pain, nausea/vomiting, or dysphagia. His physical examination was within normal limits except for mild ascites and muscle [...]

Case Presentation: A 53‐year‐old male with fibrosing mediastinilis presents with a 1‐day history of cough and hemoptysis. His past medical history was significant for hypertension and fibrosing mediastinitis diagnosed in 2005. On exam, the patient was tachypneic and hypoxic, with an oxygen saturation of 88% on room air. Other vital signs were normal. Lung exam [...]

Case Presentation: A 30‐year‐old man African American with sickle cell trait presented to the ED with a complaint of lower back muscle spasms that began near the end of a basketball game earlier that day. Exam revealed an afebrile well‐developed man with bilateral paraspinal muscle tenderness. Labs showed an elevated CPK at 1871 units/Liter, a [...]

Case Presentation: A 90‐year‐old female with a history of Alzheimer's presented with a 1‐day history of fever and confusion. Initial blood pressure was 91/56, and temperature was 102.8°F. The patient was oriented but had difficulty answering other questions. Exam revealed right neck induration without fluctuance or crepitus. After blood cultures were drawn, broad‐spectrum IV antibiotics [...]

Case Presentation: This is a 28‐year‐old female whose past medical history includes juvenile rbeumatoid arthritis, obstructive sleep apnea, hypertension, and congenital blindness. She has been hospitalized twice for evaluation of dyspnea on exertion despite using CPAP. Pulmonary function testing suggested only mild restrictive disease. Stress echocardiogram was normal except for a trivial pericardial effusion. A [...]

Case Presentation: A 66‐year‐old smoker, hypertensive, diabetic male was admitted to the ICU with MSSA pneumonia resulting in severe septic shock with ventilator‐dependent respiratory failure and multiple organ failure. Subsequently, he developed acute, painless, bilateral visual loss. Blur ring of vision noted on the 7th ICU day initially improved as he was taken off pressors, [...]

Case Presentation: A 26‐year‐old woman was found unresponsive and surrounded by peritoneal dialysate. She was last known to be conscious 12 hours prior. Past medical history includes uncontrolled type I diabetes mellitus, hypertension, depression, schizoaffective disorder, and end stage renal disease on peritoneal dialysis. Medications include nitrofurantoin, escitalopram, furosemide, gabapentin, hydrocodone‐acetaminophen, insulin, buspirone, clonidine, lorazepam, [...]

Case Presentation: A 52‐year‐old female was admitted for the evaluation of recurrent atypical chest pain. Outpatient nuclear stress testing had suggested modest but reversible ischemia. Past medical history includes PTSD, depression, anxiety, GERD, hypertension, and hyperlipidemia. Her medications on admission included aripiprazole, furosemide, Zolpidem, venlafaxine, ibuprofen, amitriptyline, hydrocodone‐acetaminophen, hydrochlorothiazide, metoprolol, and potassium chloride. Review of [...]