Case Presentation: A 56-year-old male presented to the emergency department with acute-onset severe hypotension, light headedness, rash, nausea, and vomiting. He progressed to develop widespread urticaria and facial flushing. He was previously in his normal state of health. He reported eating “meat and potatoes for dinner”. Social history was pertinent for frequent tick exposure as [...]

Case Presentation: A 75 year old with a presented with a chief complaint of fever. The patient reported headache, dizziness, myalgia, dyspnea, constipation, and denied nausea. On assessment, the patient was mildly febrile and tachycardic with other vital signs within normal limits. The remainder of the exam demonstrated normal cardiovascular, respiratory, abdominal exam and gross [...]

Case Presentation: A 41-year-old male with a history of amphetamine use and an inguinal hernia presented with epigastric abdominal pain with associated subjective fevers, and non-bloody, non-bilious emesis. On presentation, he was tachycardic, febrile to 39.8 degrees Fahrenheit, and hypotensive with a mean arterial pressure (MAP) of 57. An infectious work-up was performed with his [...]

Case Presentation: A 68-year-old man was presented to the emergency department with headache, confusion, sweats, body aches, and nonproductive cough. He had recently returned from a solo hiking trip in the woods where he not only swam in a lake but also was exposed to poisonous plants and bitten by mosquitoes and other insects. The [...]

Case Presentation: A 46-year old Caucasian male with history of anxiety/depression-on citalopram, tobacco, alcohol use, bilateral chronic knee pain, presented to an outside facility with concerns of nausea, vomiting and epigastric abdominal pain. While undergoing evaluation, he was suddenly unresponsive, underwent CPR x3, found to have ventricular fibrillation rhythm and subsequently cardioverted with successful ROSC. [...]

Case Presentation: A 73-year-old male with hypertension, hyperlipidemia, and mild COPD presented with word-finding difficulties. Initial brain imaging at an outside hospital suggested a left intra-axial peri-Rolandic lesion, raising suspicion for a primary brain tumor like glioma. He was transferred for neurosurgical evaluation, where MRI revealed a ring-enhancing lesion with restricted diffusion, consistent with a [...]

Case Presentation: A 69-year-old male with a history of hypertension, chronic pancreatic insufficiency secondary to alcohol use and intraductal papillary mucinous neoplasm. Patient underwent a Whipple procedure which was complicated by recurrent gastro-jejunal anastomotic bleeds that improved after EGD with clipping of stomach ulcer and revision of GJ with conversion to Roux-en-Y, ex-lap and wash-out. [...]

Case Presentation: A 67-year-old female with a medical history of coronary artery disease, hypertension, and hyperlipidemia presented to the hospital with several days of worsening epigastric pain and chest pain. The pain had a band-like distribution with radiation to her back and no clear aggravating or alleviating factors. She reported chills and one day of [...]

Case Presentation: A 28-year-old, 447 lb man with hypothyroidism and depression was hospitalized for neurosurgical intervention for severe lumbar spinal stenosis. He had one risk factor from the Revised Cardiac Risk Index due to the spinal procedure, and his EKG, echocardiogram, and renal function were normal. He had no history of diabetes, TIA/CVA, or cardiac [...]

Case Presentation: A 56-year-old man was found unresponsive at home during a wellness check. Paraphernalia and the condition of other patients at the scene suggested a drug overdose. In the emergency department, his vital signs were HR 136 bpm, BP 164/90 mmHg, RR 22, and SpO2 94% on room air. Due to severe agitation, physical [...]