Case Presentation: A man in his 70s with a history of hypertension, CAD, and diabetes presented to the ED with severe bradycardia, nausea, vomiting, and weakness. EMS had administered atropine en route to the ED. His EKGs in the ED showed a junctional rhythm with obliterated p waves and ventricular escape complexes, and labs showed [...]

Case Presentation: A 60-year-old, Guatemalan female without prior medical history presented with a transient, erythematous, burning, rash involving her extremities and torso (Figure 1). Additional symptoms included fatigue, chills, joint pain, early satiety and weight loss. Blood counts, metabolic panel and serum protein electrophoresis were normal. C-reactive protein (13 mg/L, normal (N)

Case Presentation: Two months after chronic use of an abdominal binder made for weight loss and waist shaping, a 38 year-old woman presented with anuria and amenorrhea. The patient also reported nausea, bilious vomiting, extreme sensitivity to smell, and a chronic penny-like taste in the mouth. She was found to have end-stage renal disease. Workup [...]

Case Presentation: A 30 year old woman with a history of alcoholic cirrhosis, episodes of alcoholic hepatitis and pancreatitis, was transferred to a tertiary care hospital from a community hospital for a liver transplant evaluation. On admission, she had a MELD score of 33. The patient was not a candidate for liver transplant due to [...]

Case Presentation: A 46-year-old male with history of hypertension and Covid-19 illness seven months ago presented to the ER complaining of left flank pain for the past six days.Pain was described as sharp, constant, initiating on his left flank and radiating to the upper abdomen. He denied dysuria, hematuria, fevers, sick contacts, or trauma. No [...]

Case Presentation: A 22-year-old female was admitted with a 5-day history of bilateral lower extremity weakness. She received influenza vaccination five weeks prior to the presentation. The patient progressed rapidly over days to quadriplegia and respiratory failure requiring intubation and mechanical ventilation. The cerebrospinal fluid analysis showed albuminocytological dissociation, and nerve conduction studies revealed an [...]

Case Presentation: A 74-year old Hispanic male with comorbid conditions significant for renal cell carcinoma (RCC) status post left nephrectomy, hypertension, hyperlipidemia and hypothyroidism presented with one-month history of intermittent substernal chest pain, shortness of breath, paroxysmal nocturnal dyspnea and orthopnea. He had no prior cardiac history and his home medications included amlodipine, atorvastatin, levothyroxine, [...]

Case Presentation: A 72-year-old man with a history of Crohn’s disease and hypertension presented to the emergency department with one month of worsening fatigue, anorexia with weight loss and headaches. The patient also noted intermittent high-grade fever up to 105 degrees Fahrenheit of one week’s duration.One month before presentation, the patient had returned to NYC [...]

Case Presentation: A 57 year-old male with history of alcoholic cirrhosis, hypertension, and stage IV chronic kidney disease (CKD) presented to the hospital with bilateral lower extremity edema and shortness of breath. He was diagnosed with worsening CKD meeting criteria for hemodialysis, acute decompensated cirrhosis, severe sepsis due to spontaneous bacterial peritonitis complicated by pansensitive [...]

Case Presentation: An 88year old woman presented with abdominal pain, fatigue, and 15 lb weight loss over the past month. On admission, she was afebrile. Physical examination revealed mild tenderness over the left lower abdominal quadrant. Initial labs revealed hemoglobin of 8.5 g/dl, WBC of 26,500/mm3. CT of the abdomen identified multiple intra abdominal masses [...]