Case Presentation: A 40-year-old woman with a history of bipolar disorder and cannabis use disorder presented with four days of headache, dizziness, and vomiting. Initial examination revealed no focal neurological deficits except inconsistent orientation to time and cognitive slowing. She was treated symptomatically and planned for discharge. As she attempted to leave the ED, she [...]

Background: Systemic racism contributes to health disparities. Innovative educational strategies are needed to develop competency in addressing manifestations of racism that impact patients. While the MD program at Icahn School of Medicine at Mount Sinai addressed racism in the preclerkship curriculum, a gap was identified in the clerkship year. The authors developed an antiracist clinical [...]

Case Presentation: A 50-year-old man with a pmh of CKD stage 2 was admitted to our hospital for nausea, vomiting and acute kidney injury (AKI).2 months prior to presentation, he had been diagnosed with metastatic synovial sarcoma and had completed his first cycle of doxorubicin, ifosfamide, and mesna that was complicated by a mild AKI [...]

Case Presentation: A 66-year-old male with a history of neuromyelitis optica (NMO) on rituximab, paraplegia, knee arthroplasty with prior prosthetic joint infections, and chronic urinary catheter complicated by frequent UTI’s with prior growth of Pseudomonas, methicillin-resistant S. aureus (MRSA), E. coli, and Proteus, presented with fever and purulent urine. He was insensate below the umbilicus [...]

Case Presentation: A 43-year-old male with diabetes mellitus type 2 and hypertension, weighing 595 pounds, presented with right leg weakness and 10 falls over the past three months. He recently sustained a left fibular fracture. He sought care at various emergency rooms, however felt dismissed as providers attributed symptoms to his weight and prior injury. [...]

Case Presentation: A 92 year old female with a PMH significant for occipital neuralgia, glaucoma, cataracts, HTN, HLD, chronic lower extremity edema, and GERD presented to the ED with complaints of headache, cough, congestion, and RUQ pain. She had no history of tobacco or drug use. Her medications included Gabapentin, Tylenol, Tramadol, Losartan, Simvastatin, Lasix, [...]

Case Presentation: A 58-year-old female with hypertension and end stage renal disease (ESRD) on hemodialysis was admitted with subacute dyspnea accompanied by abdominal pain and swelling. During a previous admission for similar symptoms three months prior, CT of the abdomen and pelvis revealed ascites and an adnexal mass measuring 8.6×5.2 cm. She was treated for [...]

Case Presentation: A 32-year-old male with a history of alcohol use disorder presented with dull epigastric pain, fever, and chills. Physical examination revealed moderate epigastric tenderness. Laboratory findings included WBCs 14.6×10⁹/L, Hb 12.5 g/dL, INR 1.4, with normal liver enzymes. MRI of the abdomen demonstrated a 6.7×6.6 cm lesion in the right hepatic lobe with [...]