Case Presentation: A 36‐year‐old male with a known history of hereditary angioedema presented to an outside hospital ER with acute respiratory failure requiring endotracheal intubation. The patient received 2 units of fresh frozen plasma after intubalion and was subsequently transferred to our hospital. In his previous angioedema episodes, his hands, feel, and genilalia had been […]

Case Presentation: A 76‐year‐old woman presented with a 1‐day history of bloody bowel movements and syncope. She also noted weakness and lower abdominal pain but denied nausea or vomiting. She had been constipated for the past 10 days, until her recent maroon and bright red bowel movements. She has type 2 diabetes, hypertension, congestive heart […]

Case Presentation: A 60‐year‐old man presented with 6 weeks of dizziness, nausea, and progressive headache Initial MRI was notable for a 2.6 × 1.6 × 2.3 cm cerebellar mass that was successfully resected. Its pathology was adenocarcinoma. Given his extensive smoking history and a RUL lung mass on CT, he was presumed to have metastatic NSCLC. Six weeks later, […]

Case Presentation: A 59‐year‐old man with psoriatic arthritis, type 2 diabetes, and HIV presented with uncontrolled diabetes. His blood glucose level was 567 mg/dL. His diabetes had been previously well controlled with glimepiride 2 mg a day. His last hemoglobin A1c was 6.0. He had been previously maintained on stable doses of prednisone, adalimumab, and […]

Case Presentation: A 72‐year‐old man was admitted with a 2‐day history ot lever, chills, headache, myalgias, diarrhea, and confusion. On admission, he developed respiratoryfailure and rapid atrial fibrillalion requiring intubation, and he was admitted to the intensive care unit (ICU). Laboratory data were consistent with acute kidney injury (creatinine 5.9), abnormal liver function tests, anemia […]

Case Presentation: A 55‐year‐old female with history of hypertension, hypothyroidism, and osteopenia presented with altered mental status for 4 days. She was found to have confusion, anorexia, abdominal pain, and generalized weakness. Family members reported abuse of prescription medicines. Home medications: esomeprazole 40 mg/day, temazepam 15 mg at bedtime, prochlorperazine 10 mg tid, diazepam 5 […]

Case Presentation: A 26‐year‐old previously healthy woman presented to the emergency department with a 1‐month history of fatigue, nausea, vomiting, and a 25‐pound weight loss. At the emergency department, she was hypotensive and tachycardic. The patient was diagnosed with adrenal insufficiency confirmed by an undetectable serum Cortisol level and an elevated ACTH level of 1208 […]

Case Presentation: Three previously healthy premenopausal women with negative past medical history presented with chest pain. The patients had positive biochemical cardiac markers and ECG changes showing acute cardiac injury. An emergent cardiac catheterization was done, and the angiographic appearance was that of a diffusely diseased left anterior descending artery (LAD) artery with the proximal […]

Case Presentation: A 64‐year‐old woman presented with 1 day of worsening dizziness, nausea, and vomiting. She denied abdominal pain, chest pain, or shortness of breath. Past medical history was notable for cerebrovascular disease with TIA, diabetes mellitus, and chronic renal insufficiency Physical examination was unremarkable with the exception of neurologic abnormalities There was dysmetria noted […]

Background: It is a common practice to measure troponin in hospitalized patients with AF/RVR. Tachyarrhythmia has been associated with leakage of troponins. Minor troponin leak with AF/RVR with chronic kidney disease (CKD) and congestive heart failure (CHF) has been reported in literature. Significance of minor troponin leaks with AF/RVR in these patients is not well […]