Background: Sepsis and septic shock, critical health concerns in the U.S., demonstrate varied mortality rates across different racial groups. This study examines the impact of race on mortality and complications in septic shock, providing insights into healthcare disparities. Methods: Using data from the National Inpatient Sample database (2016-2020), this retrospective analysis included 2,789,890 patients with [...]

Background: Septic shock is a significant burden: average length of stay (LOS) for sepsis patients in US hospitals is 75% greater than most other conditions. Mean LOS dramatically increases with sepsis severity: 4.5 days for sepsis, 6.5 for severe sepsis, and 16.5 for septic shock. Administration of antibiotics in < 1 hour after presentation at [...]

Case Presentation: Patient was a 26-year-old female with history of methamphetamine abuse, previous C trachomatis infection, and heart failure with reduced ejection fraction who presented via EMS for acute hypoxic respiratory failure and unresponsiveness and was intubated in ED. Initial vitals include systolic blood pressure of 80, undetectable diastolic blood pressure, heart rate of 168 [...]

Case Presentation: A 31-year-old woman, G2P1A0, 32 weeks pregnant, with a history of systemic lupus erythematosus (SLE), presented with a gradual onset of worsening abdominal wall, genitalia, and bilateral lower extremity swelling. Upon admission, the workup revealed nephrotic-range proteinuria, normal renal function, and elevated anti-dsDNA. A lower extremity ultrasound showed no evidence of deep vein [...]

Case Presentation: We describe a 59-year-old male patient with a medical history of coronary artery disease, multiple sclerosis, chronic obstructive pulmonary disease, and ischemic stroke. He presented with symptoms including fever, altered mental status, and a rapid heart rate. Initial assessments revealed an elevated white blood cell count, lactic acidosis, acute kidney injury, and signs [...]

Case Presentation: A 41-year-old male with a past medical history of hypertension and occasional alcohol use presented to our facility for progressively worsening shortness of breath and flu-like symptoms of six days duration. The patient was started on oseltamivir at an urgent care two days prior to presentation. On evaluation, the patient was diaphoretic and [...]

Case Presentation: introduction:Pseudohypotension, a phenomenon where blood pressure readings falsely suggest hypotension, poses a significant diagnostic challenge, especially when associated with subclavian artery stenosis. The condition can lead to misleading interpretations of a patient’s hemodynamic status, impacting clinical decision-making and therapeutic interventions. In this presentation, we explore a case of pseudohypotension due to subclavian artery [...]

Case Presentation: 37 y/o M with a past medical history of SARS-CoV-2 infection one month prior presented after a syncopal episode and complained of inability to move his lower extremities. On exam he was hypotensive and had 0/5 motor strength in his bilateral lower extremities, decreased rectal tone, and absent patellar reflexes. Sensation to light [...]

Case Presentation: The case represents a 74-year-old female who presented to the emergency room with constitution of symptoms including headache, fatigue, Upper extremity/Neck pain and worsening of “skin rash”. For the past 10 years, the patient had suffered from Compulsive Skin picking disorder, necessitating multiple visits to PCP and Dermatologist with recurrent courses of antibiotics [...]