Case Presentation: We present a 79-year-old female treated with hydralazine for essential hypertension who initially presented to her primary care office with non-specific complaints of malaise, chills and unintentional weight loss. Routine laboratory evaluation was performed indicating a substantial rise from the patient’s baseline creatinine of 0.86mg/dL to 2.15mg/dL. Follow-up labs indicated continued worsening of [...]

Case Presentation: We present a 96-year-old male who presented to the emergency department with syncope and worsening fatigue. He noted yellowing of his eyes and skin, clay colored stools and dark urine. He had a remote cholecystectomy but no prior liver disease and denied alcohol use.Physical exam revealed prominent jaundice and scleral icterus with a [...]

Case Presentation: A 48-year-old man with extreme obesity, heart failure, and a clinical diagnosis of gout presented with abdominal pain. Abdominal examination was limited by body habitus, as his body mass index was 68. Admission laboratory studies revealed acute kidney injury. He had been hospitalized before for similar presentations, but clear etiologies for the abdominal [...]

Case Presentation: A 43 year old man, with a past medical history of HIV diagnosed earlier this year, was referred to the hospital by his primary care doctor for a hemoglobin drop of 10 to 7 and epigastric pain, suspicious for GI bleed. Pt also reported subjective fever/chills for the past week. Physical exam was [...]

Case Presentation: The patient is a 20-year-old male who is an immigrant from Egypt with no significant medical history. He presented with recurrent fevers, chills, and dysuria for one week. He was prescribed cephalexin for a urinary tract infection at an urgent care clinic. The patient continued to have fevers and developed a dry cough [...]

Case Presentation: 66 y.o. male with a past medical history of decompensated liver cirrhosis secondary to hepatitis C virus, IDDM, and a left BKA was admitted for recurrent falls, confusion, and drooling symptoms. He had been taking rifaximin and lactulose. Additionally, he had been started on metronidazole 500 mg 3 times daily 3 months ago [...]

Case Presentation: A 31-year-old male with a past medical history of dilated cardiomyopathy (ejection fraction 20%) presented with shortness of breath. Initial blood pressure was 83/53 mmHg. His breathing became agonal and therefore he was intubated. Physical examination demonstrated jugular venous distention and cold extremities. Chest radiography (Figure 1) revealed diffuse and complete opacification of [...]

Case Presentation: A 54-year-old female with no significant past medical history presented with lip swelling and shortness of breath following shellfish ingestion. She denied chest pain. Due to concern for angioedema, she received intramuscular epinephrine, intravenous methylprednisolone, diphenhydramine and famotidine. A 12-lead electrocardiogram revealed 2 mm ST segment elevation in leads II, III and aVF [...]

Case Presentation: A 60 year-old male presented with 2 weeks of abdominal pain, anorexia, and constipation. His abdominal pain was crampy, generalized, and progressively worsening in severity. His medical history was significant for alcohol abuse and gallstone pancreatitis. He was abstinent from alcohol for the 2 days preceding presentation secondary to “not feeling well.” He [...]

Case Presentation: A 76-year-old Caucasian male with a past medical history of essential hypertension and type II diabetes mellitus presented with groin pain, nausea, vomiting, and right lower quadrant (RLQ) abdominal pain. The patient’s labs showed a high neutrophil count (82.3) and leukocytopenia (7). CT scan of the abdomen showed an abnormality of the mid [...]