Case Presentation: An 86 year old man with hypertension, COPD, and a 100 pack year smoking history presented to the emergency department with 1 week of dyspnea and neck pain. He had a blood pressure of 104/74, heart rate 85, respiratory rate 27, and SpO2 95% on 3 liters nasal cannula. Labs were significant for [...]

Case Presentation: A 54 year old male with a history of intravenous drug use presented for three days of altered mental status, dyspnea, and low urine output. He was previously admitted a month ago for septic shock secondary to aortic valve endocarditis and underwent aortic valve repair, but left against medical advice before completing his [...]

Case Presentation: A 40-year-old woman with diabetes mellitus type 2 and severe malnutrition presented to our institution with symptoms of altered mental status and dysuria. Initial evaluation was most notable for a capillary blood glucose of 1113 mg/dL and initial sodium of 125 mEq/L (which corrected for glucose level was within the normal range of [...]

Case Presentation: A 71-year-old male presented to the ER with complaints of constipation for one week. He has a past medical history of coronary artery disease status post CABG, congestive heart failure with reduced ejection fraction, Type II diabetes, chronic obstructive pulmonary disease, obstructive sleep apnea, peripheral vascular disease and hyperlipidemia. The patient was recently [...]

Case Presentation: A 59 y/o male who presented to the hospital with a 2 week history of subjective fevers, generalized fatigue, and non-bloody diarrhea. Past medical history was notable for indeterminate ulcerative colitis (UC) and was being managed with azathioprine and mesalamine. He was recently prescribed antibiotics and developed diarrhea shortly after. He denied any [...]

Case Presentation: A 31 year old male with no known medical history presented to the hospital with complaints of acute onset chest pain, shortness of breath and 30 lb weight gain. History was notable for a period of starvation with intake of exogenous testosterone, T3 and growth hormone prior to a bodybuilding competition followed by [...]

Case Presentation: We present a case of a 68-year-old female with a history of CKD IV and chronic iron deficiency anemia who was admitted for symptoms of generalized weakness and found to be in hypovolemic shock from a suspected GI bleed. The hospital course was complicated by a left MCA stroke. During the initial workup, [...]

Case Presentation: An 88 year-old woman with a history of atrial fibrillation, hypertension, anemia, and mild thrombocytopenia presented to the emergency department with diarrhea, nausea, pre-syncope, and weakness. She had diarrhea for the last 1-2 years, but had worsened over the previous few weeks, with 10-12 loose stools per day. She also reported early satiety [...]

Case Presentation: A 63-year-old male with past medical history of hyperlipidemia and diabetes mellitus presented to an outside hospital with diplopia and new onset weakness, paresthesia, and numbness in bilateral lower extremities three days following a mild viral infection. The patient was discharged after two days without acute intervention following extensive negative workup including imaging, [...]

Case Presentation: A 54-year-old man presented with fever and malaise for two weeks associated with chills, non-bloody diarrhea, and unintentional weight loss of 8 lbs. He tested positive for influenza-A two weeks prior to presentation and was started on Oseltamivir by his primary care physician, without symptomatic improvement. There was no recent history of sick [...]