Case Presentation: A 73-year-old man with hypertension, atrial fibrillation, coronary artery disease, heart failure, end stage renal disease on hemodialysis, and hypothyroidism presented with 3 weeks of nausea, vomiting, and inability to tolerate food. He had no fevers, abdominal pain, or diarrhea; symptoms did not improve with dialysis. Vitals were normal, abdominal exam was unremarkable, […]

Case Presentation: A 29-year-old man was brought to our emergency department with a new-onset witnessed seizure. He was recently prescribed oral omeprazole for heartburn. He had no known medical conditions but had a family history of MEN1 in his father and paternal uncle. Initial labs showed hypercalcemia, with elevated PTH. MRI brain showed a sub-centimeter […]

Case Presentation: This is a 72-year-old female patient who presents to the ED for the evaluation of loss of consciousness. The patient’s family also endorsed dark stools for the past few days. She has a medical history significant for Insulin Dependent Diabetes Mellitus, and papillary thyroid cancer. On arrival, the Patient’s BP was 126/55, Heart […]

Case Presentation: A 19-year-old male with a history of trauma, depression, anxiety, foster system placement, and poorly controlled type 1 diabetes mellitus (T1DM) (A1C>14) with frequent admissions for diabetic ketoacidosis (DKA) presented with presyncope and 2 weeks of severe epigastric and RUQ abdominal pain. He endorsed inconsistent insulin use and frequent dietary indiscretion in part […]