Case Presentation: An 8-week pregnant G5P1041 24-year-old African American female with no past medical history presented with acute onset left-sided weakness, slurred speech, and paresthesia. Her symptoms started a day after taking one dose of misoprostol as morning-after pill. She used misoprostol multiple times previously with neither neurological nor cardiovascular symptoms. On physical examination, her [...]

Case Presentation: A 68-year-old male presented with cough, SOB, decreased appetite, 30lb weight loss over two months, and generalized weakness. He reported a remote history of alcohol abuse and tobacco use. He was admitted two months prior for cough and SOB to another hospital with findings of a right upper lobe cavitary lung lesion. He [...]

Case Presentation: An 82-year-old woman with a history of OA and asthma presented with 3-week dry cough, SOB, poor appetite, and generalized weakness. She saw her PCP prior to admission and was prescribed prednisone for suspected asthma exacerbation which she took for 2 days without improvement. On presentation, she had a low-grade fever of 100.2⁰F [...]

Case Presentation: Case PresentationA 49 years old Moroccan female with past medical history of chronic sinusitis and rheumatoid arthritis on Humira presented with the chief complaints of cough and low-grade fever for 1 week. She also had progressive worsening of cough which was productive with dark yellowish/greenish colored phlegm. It was associated with low-grade fever. [...]

Case Presentation: We present a 55-year-old male with a history of chronic constipation refractory to extensive bowel regimens, disimpactions and colonoscopies. Patient presented to the Emergency Department with 5 months of constipation and a history of long periods of constipation since birth, sometimes lasting a year. On exam, patient’s abdomen was distended with decreased bowel [...]

Case Presentation: A 44-year female with history of hypertension and chronic lower back pain was diagnosed with streptococcal pharyngitis- which was treated with azithromycin. Following that, over the next few weeks, she developed tender, erythematous nodularities (erythema nodosum), unlike the painless subcutaneous nodules that are observed in acute rheumatic fever. This was followed by oligoarticular [...]

Case Presentation: Introduction: Hypokalemic periodic paralysis (HOKPP) is characterized by transient episodes of muscle weakness and inability of muscle movement associated with hypokalemia. The paralysis typically affects the arms and legs, though the diaphragm and the tongue may also be affected.Case Description: A 50-year-old female with tobacco use and significant alcohol consumption presented with progressive [...]

Case Presentation: A 55-year-old man with Roux-en-Y gastric bypass surgery 15 years prior presented with acute pancreatitis. He quickly decompensated, developing distributive shock, bacteremia, acute respiratory distress syndrome, anuric acute renal failure, and was also noted to have a distended abdomen with increasing ascitic fluid on imaging. An elevated bladder pressure, lactic acidosis, and anuria [...]

Case Presentation: A 55-year-old man with poorly-controlled type II diabetes and coronary artery bypass graft one month previously presented with a three-day history of dyspnea, nausea, vomiting, and constipation. He had been started on empagliflozin/metformin HCl after his bypass. On presentation, his vital signs were remarkable for tachycardia. His exam was notable for mild left [...]

Case Presentation: A 33-year-old female with a history of limited Scleroderma diagnosed in 2015 and prescribed Methotrexate but non-adherent to same, presented to the Emergency Room with one day of acute onset dizziness associated with nausea and vomiting. An urgent CT head was performed, which was negative for acute intracranial pathologies. The patient was discharged [...]