Case Presentation: A 73-year-old female, bedbound, nursing home resident with a medical history of ESRD on dialysis, diabetes and hypertension, presented complaining of body aches, malaise, chills and cough. She was afebrile with normal range vitals. CBC showed a WBC of 21.8 with neutrophil predominance. CXR without focal pulmonary findings and urinalysis was negative for [...]

Case Presentation: A 56-year-old man with type 2 diabetes and hypertension presented to the ER with uncontrolled blood sugars, intermittent nausea, vomiting, fevers, and a 15-pound unintentional weight loss over one month. He was recently hospitalized with similar symptoms, started on insulin, and evaluated for fevers with negative blood and urine cultures, which were attributed [...]

Case Presentation: Psoriasis is an inflammatory skin condition characterized by erythematous plaques often over extensor surfaces. There are multiple subtypes including the most severe form, erythrodermic psoriasis (EP), which usually presents with systemic pruritis, and pain accompanied by reddened exfoliation of the skin covering 90% or more of the body’s total surface area[1]. Complications can [...]

Case Presentation: The following case describes the excessive use of calcium carbonate (Tums) as a cause of recurrent episodes of pancreatitis. A 39-year-old female presented to the emergency department with severe epigastric pain radiating to her back. The pain was exacerbated by oral intake and was associated with nausea, vomiting, and constipation. Her past medical [...]

Case Presentation: A 46-year-old female with a medical history of type 2 diabetes, asthma, obesity, and anxiety presented to the emergency department with a five-day history of fever, myalgias, and headache. Additionally, she experienced intermittent episodes of epistaxis and gingival bleeding while brushing her teeth for the past week. She had recently returned from a [...]

Case Presentation: A 96-year-old male with a history of type 2 diabetes mellitus, hypertension, coronary artery disease, and recurrent skin malignancies (melanoma and squamous cell carcinoma) presented with acute epigastric abdominal pain radiating to the back accompanied by nausea and anorexia. He had two previous episodes of similar presentation at another healthcare facility. His recent [...]

Case Presentation: A 70-year-old female with a past medical history of hypertension, type 2 diabetes mellitus, dementia, Parkinsons, and iron deficiency anemia presented to the emergency department due to abnormal lab results. Upon arrival, her hemoglobin was 6.4 and she received 2 units of packed red blood cells. The next day, the patient underwent esophagogastroduodenoscopy [...]

Case Presentation: A 67 year-old female presented to the ED with acute left upper extremity paresis and facial droop. She had 2 previous cardioembolic strokes, in 2007 from mitral nonbacterial thrombotic endocarditis for which she started warfarin and in 2010 after stopping warfarin for 8 months due to menorrhagia. Warfarin was switched to apixaban in [...]

Case Presentation: FM was a 69-year-old female who immigrated from Mexico to the US 30 years ago with a history of primary biliary cholangitis complicated by cirrhosis, hepatic encephalopathy, and esophageal varices presented to the emergency department with worsening abdominal distension. She was a former smoker with no history of alcohol or recreational drug use. [...]

Case Presentation: A 30-year-old man with no significant medical history was brought to the ED for a ventricular fibrillation (VF) arrest after he was hit in the chest by a soccer ball during a game. After successful resuscitation, exam was notable for a 3/6 systolic murmur heard in the 5th intercostal space at the left [...]