Case Presentation: A 91-year-old Japanese man was referred to our institution for the management of a ruptured thoracic aortic aneurysm. Two days prior, he had been admitted to another hospital with a one-week history of fever. Chest computed tomography (CT) revealed fluid accumulation around the descending aorta and a left pleural effusion, which was bloody, [...]

Case Presentation: An 81-year-old male with type 2 diabetes mellitus and emphysema visiting from Thailand presented to the Emergency Department for cough and shortness of breath over one week. Vitals included: 36.3C, 103/87 mmHg, 88 bpm. He was found to be hypoxic with an oxygen saturation of 69% on room air requiring non-invasive ventilation. Computed [...]

Case Presentation: Acute Compartment Syndrome (ACS) develops when the tissue pressure within a closed compartment exceeds its perfusion pressure, leading to myoneural ischemia. If sustained, this ischemia can result in irreversible muscle necrosis and nerve damage.We present a case of hypothyroid myxedema leading to recurrent nontraumatic ACS of the lower extremity. A 42-year-old male with [...]

Case Presentation: A 22-year-old female with a history of immune thrombocytopenia (ITP) and asthma presented with fever, altered mental status, and bilateral lower extremity petechiae. She was previously taking hydroxychloroquine daily for ITP but discontinued it on her own eight months prior. She denied any new medications, recent animal exposures, insect bites, trauma, or recent [...]

Case Presentation: Cardiopulmonary resuscitation (CPR) is a critical intervention in cardiac arrest management, essential for maintaining circulation and oxygenation to avert irreversible brain damage. This case report highlights the impact of high-quality CPR on neurological outcomes, even after extended resuscitation.A 45-year-old sedentary female with multiple sclerosis (MS) and morbid obesity with a BMI of 53 [...]

Case Presentation: A 77-year-old male with a history of lumbar spondylosis presented to the emergency department with 12 hours of lower extremity weakness, urinary retention, and saddle anesthesia. Two weeks before this visit, the patient presented to the emergency department with intractable hiccups, nausea, and vomiting and was ultimately discharged on baclofen and metoclopramide with [...]

Case Presentation: A 63-year-old female with past medical history of hypertension, hyperlipidemia, and tobacco use presented to the emergency room with one hour of substernal chest pain radiating to the left arm associated with nausea and dizziness. On examination temperature 98.4°F, blood pressure 160/93, heart rate 93, respiratory rate 19, saturating 98% on room air; [...]

Case Presentation: An 86-year-old female presented with generalized weakness, nausea and shortness of breath. She had a one-year history of mantle cell lymphoma in remission for which she finished 6 cycles of Rituximab with Bendamustine followed with 9 months of Ibrutinib. Her labs showed abnormal liver enzymes and abdominal imaging revealed a 4.2cm left renal [...]

Case Presentation: Euglycemic diabetic ketoacidosis (euDKA) is increasingly recognized in the perioperative setting in patients with diabetes who are treated with sodium-glucose cotransporter-2 inhibitors (SGLT-2i). Here, we describe a rare case of a patient with prediabetes not on pharmacotherapy who developed euglycemic ketoacidosis postoperatively.A 71-year-old man with history of prediabetes (A1c 5.8%), hypertension, and childhood [...]

Case Presentation: A 67-year-old male with a history of hypertension, asthma, and ulcerative colitis status post-colectomy presented to the Emergency Department (ED) with a month-long history of malaise, cough, shortness of breath, and subjective fevers. Despite multiple visits to urgent care, where he received antibiotics and steroids, his symptoms persisted. On ED arrival, the patient [...]