Case Presentation: A 49 year-old woman with type 2 diabetes presented with emesis and inability to tolerate oral intake. Her symptoms had developed three days earlier, following an elective abdominoplasty and incarcerated hernia repair. Her anti-hyperglycemic regimen included sitagliptin, glimepiride, and dapagliflozin. She had stopped those medications on the day of surgery and restarted them [...]

Case Presentation: A 67 year old female with no past medical history presented to our emergency department for new onset shortness of breath, chest pain, and palpitations for 90 minutes. Of note, she reported 8 pound weight gain, generalized fatigue, and abdominal distension for several months prior to presentation. Physical exam revealed a heart rate [...]

Case Presentation: A 65 year old male presented to our emergency department with rectal pain. One month prior to presentation, he had a perirectal abscess which was incised and drained. The patient had persistent rectal pain post surgery. Two weeks prior to admission, the rectal pain increased. He went to see his primary care physician [...]

Case Presentation: An 89 year old male presented with itchy red rash over the body since two weeks. His past medical history was significant for Rheumatoid Arthritis (RA) managed with 2.5 mg weekly oral Methotrexate and 200mg daily Hydroxychloroquine for RA. Examination revealed multiple annular purpuric lesions with central erosion on lower extremities, upper extremities [...]

Case Presentation:             A 64- year- old woman with past medical history of type 1 diabetes mellitus (DM), managed with 22 units of daily subcutaneous long acting insulin, and 50  mg of daily oral canagliflozin, presented to the hospital with new onset nausea and vomiting. Physical examination was notable for Heart [...]

SPICING UP THE DIFFERENTIAL FOR DIFFUSE ALVEOLAR HEMORRHAGE Case Presentation: A 29-year-old man with history of hypertension presented to a referring facility with subjective fever, cough, and hemoptysis. One month earlier, he had been hospitalized for similar symptoms and treated for pneumonia with complete recovery. He then had recrudescence of hemoptysis and fever 72 hours [...]

Case Presentation: A 26-year-old woman with no PMH presented to the emergency department (ED) with persistent fever for six days. Patient had dry cough and low grade fevers with one spike to 40oC. After four days of symptoms, patient began azithromycin without relief. One day prior to presentation, patient was discharged from ED for presumed [...]

Case Presentation: This is a 21 year old male with no significant past medical history presenting with shortness of breath and fever.  Five days prior to presentation, he noted sore throat, fevers, and heart burn so he presented to an acute care clinic. He had a positive rapid strep screen, so he was given azithromycin [...]

Case Presentation: A 44-year-old male presented to the emergency department with a 2 hour history of altered mental status. His wife reports that when he awoke, he was confused and acting inappropriately. After no improvement for 2 hours he was brought to the ED. En route to the ED, he ate a Hershey chocolate bar [...]

Case Presentation: Mr. L, a 37-year-old Native American man with alcohol abuse disorder presented to the emergency room with sub-acute development over two days of ataxia, bilateral lower extremity paralysis and loss of sensation below the nipple line. Five days prior, the patient began to feel lethargic and confused. His symptoms progressed to include significant [...]