Case Presentation: A 50-year-old man with a past medical history notable for non-alcoholic fatty liver disease, peptic ulcer disease, gout, and depression presented to the emergency department with a 5-day history of constant, sharp, epigastric abdominal pain. Preceding these symptoms, he experienced an episode of severe nausea, non-bilious non-bloody vomiting, diarrhea, and chills after eating […]

Background: Up to 10% of hospitalized patients report an allergy to penicillin, however studies have shown that the majority of these are not clinically significant reactions.1,2 Unverified penicillin allergies increase overall patient mortality as they lead to use of broad-spectrum antibiotics that are less effective and have more side effects.3 Recent studies have found that […]

Case Presentation: A 36-year-old previously healthy female presented to the emergency department with one-day history of decreased visual acuity and spontaneous contractions of her right fourth and fifth digits. Review of systems was positive for a month history of dyspnea on exertion, hives, mild edema of ankles, wrists, hands, lips and eyes, as well as […]

Case Presentation: A 33-year-old male with a past medical history of obesity, NIDDM2, OSA and HTN presented for an outpatient echocardiogram as part of routine surgical clearance for a bariatric surgery procedure. During the echocardiogram, the patient was injected with a sulfur hexafluoride lipid microsphere contrast agent (Lumason®) for better visualization of his anatomy. Within […]