Case Presentation: An 80‐year‐old woman with hypertension and hyperthyroidism was found obtunded in the morning by a family member and brought in to the emergency department. Patient had taken polyethylene glycol electrolyte solution and bisacodyl as preparation for colonoscopy the day before. According to family members, she had developed nausea, vomiting, and diarrhea as a [...]

Case Presentation: A 76‐year‐old man with scoliosis and hypertension presented with acute onset of dyspnea associated with cough and chest tightness. Physical exam was remarkable for a temperature of 102.3°F, RR of 25, and oxygen saturation of 95% on a 6‐L nasal cannula. Pulmonary exam demonstrated bilateral expiratory wheezing. Chest x‐ray found no infiltrates or [...]

Case Presentation: A 52‐year‐old woman was sent to the hospital by her vascular surgeon for pain and dry gangrene at the tip of the right second digit. Two weeks prior, her symptoms began with a burning sensation, mild ache, and a slight blue discoloration. This progressed to a dark fingertip with worsening pain mildly relieved [...]

Case Presentation: A 3‐year‐old healthy Hispanic female presented with a 7‐day history of persistent fevers and 3 days of jaundice, abdominal pain, and emesis. She was noted to be irritable and had just developed a pruritic rash on her trunk and extremities. She was taking amoxicillin for pharyngitis and acetaminophen for fever, had been vaccinated [...]

Case Presentation: A 44‐year‐old man with no medical history presented to the emergency department with a purpuric rash for 1 week. The rash originated in the trunk and upper extremities and progressed to involve the lower extremities over the next several days. Review of systems was unremarkable except for abdominal pain and scrotal pain. The [...]

Case Presentation: A 40‐year‐old woman with recently diagnosed Graves’ disease and atrial fibrillation presented with a 3‐week history of abdominal distension, shortness of breath, and palpitations. She had associated diarrhea and a 20‐pound weight loss. Physical examination revealed a heart rate of 120 and blood pressure of 118/68. She had exophthalmos, diffuse nontender goiter, and [...]

Case Presentation: Vancomycin, an antibiotic frequently used in the treatment of Methicillin‐resistant Staphylococcus Aureus, can cause many adverse reactions. Vancomycin has seldom been implicated as a cause of thrombocytopenia, and there is limited evidence that this complication is caused by immune mechanisms. This case is reported to heighten the awareness of acute thrombocytopenia caused by [...]

Case Presentation: A 58‐year‐old woman with a history of Sjogren's syndrome, neuromyelitis optica (NMO; Devic's disease) diagnosed 12 years ago, transverse myelitis, and sleep apnea presented with worsening left leg weakness for 4 months. The patient was diagnosed with NMO by NMO IgG antibodies and typical signal changes on MRI and had been on immunosuppressive [...]

Case Presentation: A 76‐year‐old white man presented with a1‐year history of abdominal fullness, bloating, episodic choking spells, and wheezing. These episodes worsened with food, usually to liquids, but had become more frequent over the last month. His medical history included treated laryngeal cancer with laryngectomy and mediastinal tracheostomy in 1975 and mild chronic obstructive pulmonary [...]

Case Presentation: A 20‐year‐old woman presented with 2 weeks of worsening dyspnea, pleuritic chest pain, and dry cough. She was previously healthy. No weight loss, night sweats, fevers, or chills were reported in the past. New abdominal right upper quadrant pain started 2 days prior to admission. Initial vital signs revealed tachycardia of 125, increased [...]