Case Presentation: 53 year old male was admitted for treatment of acute alcohol intoxication and multiple facial bone fractures after an assault. He underwent surgical repair and was started on Unasyn for post-op prophylaxis. After the surgery, patient exhibited signs of alcohol withdrawal (delirium, tachycardia and agitation) and was started on benzodiazepines. During the next [...]

Case Presentation: The patient is a 30 year American Born, Middle Eastern male with PMH Acute Generalized Exanthematous Pustulsosis (AGEP) that comes into hospital with high fevers and diffuse pruritic rash. In January of 2019, the patient, while being treated for pharyngitis, developed a pruritic, pustular rash, after treatment with amoxicillin/clavulanic acid. He was diagnosed [...]

Case Presentation: An 84-year-old male with a past medical history of chronic kidney disease stage III and hypertension presented to our hospital with chief complaints of blurred vision and musculoskeletal pain after an unwitnessed fall. The patient also described worsening abdominal discomfort over the past year associated with an increase in pant size, anorexia, asthenia, [...]

Case Presentation: A 49-year-old man presented to the Emergency Department with a two-day history of worsening chills. He was afebrile with HR 115 beats/minute, RR 22 breaths/minute, BP 120/93 mmhg. Pertinent findings on physical exam revealed an ill appearing male with a new facial rash and a new systolic murmur. Labs were significant for WBC [...]

Case Presentation: An 87-year-old man with medical history significant for hypertension, non-ischemic cardiomyopathy, paroxysmal atrial fibrillation (anticoagulated on Rivaroxaban) and ventricular tachycardia (recently started on Amiodarone) presented to the emergency room with chest pain. He reported that the pain started insidiously 2 days prior to presentation, pleuritic, sharp, retrosternal and intermittent, associated with diaphoresis and [...]

Case Presentation: This is a 46-year-old man with poorly controlled diabetes mellitus, hypertension, and hyperlipidemia who presented with acute worsening abdominal pain for two days, along with nausea, vomiting and anorexia. The patient had polyuria and polydipsia but denied dysuria, diarrhea, fevers or chills. He had no personal or family history of pancreatitis, gallstones, or [...]

Case Presentation: This case involves a 53-year-old female with a past medical history of sigmoid colon cancer treated by resection and Capecitabine, type 2 diabetes with macro/microvascular complications, and obesity class II who presented to the emergency department with a rapidly worsening and blistering painful right leg ulceration. Associated symptoms included subjective fevers and chills. [...]

Case Presentation: A 60-year-old man with a history of bilateral adrenalectomy for Cushing’s disease, who received hydrocortisone replacement (hydrocortisone 20 mg/day; 15 mg after breakfast and 5 mg in the afternoon) for 50 years, visited our emergency department with epigastric pain and palpitations. The symptoms manifested without any obvious cause when the patient was at [...]

Case Presentation: A 38 year-old female presented after collapsing in a parking lot. Initial rhythm was unknown but return of spontaneous circulation was achieved after cardiopulmonary resuscitation and 2 rounds of defibrillation. The patient’s EKG found no QT prolongation but there was a concern for inferior wall ischemia. Telemetry found many premature ventricular contractions (PVC’s) [...]

Case Presentation: A 51-year-old male with a past medical history of hypertension and schizophrenia maintained on amlodipine, risperidone and benztropine was transported to the ER psychiatric unit by law enforcement. He was detained after he was found wandering the streets demonstrating increased verbal and physical aggressiveness. He was known to the psychiatric unit, with previous [...]