Case Presentation: A 51‐year‐old female who had previous multiple hospitalization for altered mental status and persistent diarrhea was admitted with complaint of twitching sensation on right side of her face and arm. Her past medical history was significant for Sjögren's syndrome, coronary artery disease, COPD, diabetes mellitus type II, hypothyroidism, and Burgers disease with multiple [...]

Case Presentation: A 45‐year‐old male was transferred from an outside hospital for evaluation of chronic diarrhea of unclear etiology. He had 6 weeks of profuse, painless, watery diarrbea up to 6L/day at its peak, associated with anorexia and a 50‐pound weight loss. Initial evaluation at the outside hospital revealed no explanation for his diarrhea and [...]

Case Presentation: A 27‐year‐old woman, marginally housed, with a history of recreational carisoprodol (Soma) and acetaminophen (APAP)/hydrocodone use presented with abdominal pain and malaise. On physical exam, she was tachycardic and somnolent. Abdomen was soft and mildly tender. Laboratories revealed a profound metabolic acidosis with serum bicarbonate of 7 mg/dL and an anion gap of [...]

Case Presentation: A 40‐year‐old man with autoimmune hemolytic anemia status postsplenectomy was admitted 1 month ago for salmonella bacteremia and acalculous cholecystitis. His course has been complicated by transfusion‐dependent hemolytic anemia requiring plasmapheresis and acute kidney injury which briefly required dialysis. Pertinent inpatient medications included prednisone, ciprofloxacin, and insulin. On day 30, broad‐spectrum antibiotics were [...]

Case Presentation: A 33‐year‐old G1P1 breastfeeding woman was admitted for hypotension and rash 3 days after suslaining a possible infant bite to the right nipple. She developed pain followed by expanding skin breakdown and erythema on the right breast. The erythema spread despite increased breast pumping and hot compresses. A diagnosis of mastitis was made [...]

Case Presentation: A 70‐year‐old woman with a history of emphysema and recurrent deep venous thrombosis was admitted to the hospital with dysuria and acute renal failure. Physical exam was notable for mild fluid overload, and laboratory studies revealed an elevated creatinine and an INR of 2.7 on warfarin. On admission, the bedside nurse initiated standard [...]

Case Presentation: A 26‐year‐old white female with a past medical history of right patellar fracture that was surgically corrected with fixation in 2006 fell on her right knee 1 month prior To presenting to the emergency room with gradually increasing swelling of the right leg. The swelling was insidious in onset, associated with pain that [...]

Case Presentation: A previously healthy 2‐year‐old Asian girl presented on day of admission with left upper‐ and lower‐extremity weakness and facial droop. On arrival to ER her exam was benign except for: HR 260. dysarthria, left facial droop, positive Babinski, and MS 3/5 in LUL and 4/5 in LLL. Her ECG showed NCT with HR [...]

Case Presentation: A 78‐year‐old male presented for a second opinion of 4 months of recurrent nausea, vomiting, and abdominal cramping with an inability to tolerate solid foods. He had early satiety and abdominal distension with a 17‐pound weight loss. Previous admissions with recurrent bouts of gastric and colonic distension had required nasogastric decompressions and decompressive [...]

Case Presentation: A 10‐year‐old African American girl known to have asthma and followed by her pediatrician for The disease presenTed To our emergency department (ED) in January with an acute exacerbation of asthma. After appropriate treatment in the ED, she was discharged home. She returned to the ED 4 months later with another acute exacerbation [...]