Don’t Miss This Diagnosis: A Case of Acidosis and Calcinosis Lesa-Marie McKinley, MBBS, Joy-Ann Tabanor, MBBS and Hyun Bae, MD Department of Medicine, Englewood Hospital and Medical Center, Englewood NJ  Introduction:Hypokalemia is an electrolyte abnormality commonly attributed to gastrointestinal losses, insufficient oral intake or urinary losses from diuretic therapy.  We report a case of hypokalemia [...]

Case Presentation:  A 72 year old female presented to the ED after an episode of syncope. She denied chest pain or palpitations prior to or after the event. The History was positive for generalized malaise with recent flu like symptoms. Significant examination findings were of a healing lesion behind her left knee from a camping [...]

Case Presentation: A 56 year-old woman with well-controlled peri-rectal Crohn’s disease on infliximab presented to the hospital for management of a 2.5 year history of painful, draining vulvar dermatitis that had been biopsied twice and showed lichen simplex chronicus. Prior therapies included topical steroids and multiple antibiotic courses without significant or sustained improvement. MRI to [...]

Case Presentation: A 74-year-old female with a past medical history of chronic pulmonary emboli, left ventricular heart failure, and hypertension presented with shortness of breath on exertion and bilateral lower extremity edema for one week. On examination, she was found to have jugular venous distention, crackles in bilateral lung bases, and 3+ pitting peripheral edema. [...]

Case Presentation: A 61-year-old healthy male presented with one-hour of chest pain and exertional dyspnea. He had no surgical history, exposure to heparin, or family history of thrombophilic disease.  Upon presentation, BP was 96/68, HR 109, and RR 20. He had JVD and pericardial friction rub but no lower extremity edema or calf tenderness. He [...]

Case Presentation: A 21-year-old female with a past medical history significant for low-grade glioma suspicious for diffuse astrocytoma (WHO grade II) status-post partial resection and hemicraniectomy presented with left flank pain for two days. The day prior, she had been diagnosed with a urinary tract infection and prescribed cefuroxime at an outside hospital. Despite taking [...]

Case Presentation: An 80 year old lady presented with fever and confusion since 4 days. She denied any recent trauma, infection, dehydration, medication change, or nutrient deficiency. Her medical history was only significant for anxiety, for which she took alprazolam at home. On physical exam she appeared agitated and disoriented, with a heart rate of [...]

Case Presentation: A 40 year old female presents with intermittent mid-sternal squeezing chest pain, radiating to the left arm since 2 days. She denied any positional change in symptoms or family history of coronary artery disease. Her medical history was significant for hypertension and smoking, and her only home medication was lisinopril. Physical examination was [...]

Case Presentation: A 19-year-old Caucasian man, with no past medical history presented to ER with acute onset generalized muscle weakness, more pronounced in both legs, which started upon awakening in the morning. He reported 40 lbs weight loss over 2 months in spite of increased appetite. Patient denied palpitations, heat intolerance, dysphagia or change in [...]

Case Presentation: A 29-year-old male patient with no past medical history was admitted initially with bilateral lower extremities (LE) weakness and right side facial paralysis. Before the onset of the symptoms, he reported that he developed round red spots with fever after being in the woods. His neurologic exam was positive for absent reflexes in [...]