Case Presentation: A 78-year-old man with medical comorbidities of CAD with PCI to LAD and LCx, persistent A. fib, COPD, HTN, and Type 2 Diabetes Mellitus was admitted to our hospital for worsening epigastric pain, nausea, and vomiting. Prior to the presentation, he was treated for an upper gastrointestinal bleed secondary to duodenal ulcers. Dabigatran [...]

Case Presentation: A 44-year-old African American male with medical history of hypertension presented to the emergency room for two and a half weeks of nausea without vomiting. He endorsed fatigue, weakness, anorexia, weight loss, jaundice, itching and constipation. He denied fever, night sweats, pale stools, hematochezia or abdominal pain. He reported dark urine with dysuria. [...]

Case Presentation: An otherwise healthy 19 year old female was evaluated for acute dyspnea, hemoptysis, and throat pain after e-cigarette use with and without marijuana. She had taken oxycodone for throat pain and had received naloxone in the field for altered mentation. On arrival, she was afebrile, tachycardic, saturating 92% on 4L via nasal cannula. [...]

Case Presentation: A 49-year-old male with past medical history of alcohol use disorder, hypertension, and necrotizing pancreatitis presented with severe epigastric pain for one day. The pain was sharp, non-radiating, worsened by eating, and associated with nausea and diarrhea. He drinks a fifth of hard liquor daily. Pertinent labs showed bicarbonate 8 with an anion [...]

Case Presentation: A 38-year-old male with self-reported history of asthma presented with generalized weakness and syncope. He endorsed 2-week of bilateral leg pain with numbness, loss of taste, and nausea. Vital signs were remarkable for tachycardia in 110s and hypotension at 101/52. Labs showed hemoglobin 3.3, WBC 3.6, platelet 83, MCV 93.9, reticulocyte 1.1%, total [...]

Case Presentation: A 59-year-old gentleman with newly diagnosed cirrhosis presented to the emergency room after 5 episodes of frank hematemesis. He had a recent screening esophagogastroduodenoscopy notable for portal hypertensive gastropathy without varices. On admission, he was hemodynamically stable with hemoglobin near his baseline. He was started on a pantoprazole infusion and IV ceftriaxone. Hours [...]

Case Presentation: A 57-year-old male presents with a morbilliform rash on his extremities, trunk, and back. One week prior, he started sulfamethoxazole/trimethoprim for cellulitis. On his sixth day of treatment, the patient became acutely febrile to 102°F, with rash eruption one day later. Therefore, he presented to the hospital for further evaluation. On arrival, he [...]

Case Presentation: Case Presentation:24year old woman with history Systemic Lupus Erythematosus (SLE) complicated by Lupus nephritis, history of prior Pulmonary embolism presented to emergency department with 2-3 days of fever, chills, chest pain, left ankle pain, left proximal interphalangeal joint pain and sudden onset of painful Maculopapular rash on arms, hands and feet. Her last [...]

Case Presentation: A 58-year-old male with HIV and an absolute CD4 count of 400 cells/microL presented with acute onset of mental status changes. Patient presented with a week of fever, increased lethargy, and confusion. He was oriented only to person but the remainder of neurological exam was unremarkable. CT head was unremarkable and MRI brain [...]

Case Presentation: A thirty-three year old woman with a history of alcohol-induced chronic pancreatitis and sphincter of Oddi dysfunction presented with dyspnea and a non-productive cough. She was admitted to the intensive care unit for acute hypoxic respiratory failure. On arrival, she was febrile and hypoxic, saturating 80% on room air. Labs were notable for [...]