Case Presentation: A 91-year-old male with a known history of benign prostatic hyperplasia (BPH), diastolic heart failure, pulmonary embolism, hypertension, and previous extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli (E. coli) urinary tract infection (UTI) presented with encephalopathy. He was not tachypneic nor tachycardic, but his bicarbonate was low at less than 8, and his lactic acid [...]

Case Presentation: A 69-year-old woman, previously diagnosed with type 2 diabetes and managed with Metformin, along with a history of heart failure with preserved ejection fraction, was admitted to the hospital due to abdominal pain, nausea, vomiting, and diarrhea that had been ongoing for the three days leading up to her presentation. On arrival at [...]

Case Presentation: A 71 year old male presents to the ED with diffuse abdominal pain and nausea for the day. He has an extensive medical history including Type II DM, CAD, HFpEF, and COPD. He was recently prescribed Bactrim for a UTI, but notes persistent dysuria and suprapubic discomfort which prompted him to take an [...]

Case Presentation: We present a case of a 63-year-old male with a past medical history of hypertension and alcohol use disorder (multiple beers per day) who presented with a two-week history of black stools. On arrival, he was hypothermic, tachycardic, and hypotensive, likely due to hemorrhagic shock. Physical examination revealed melena and anasarca. Labs were [...]