Case Presentation: A 59-year-old male with chronic renal insufficiency due to IgG4-related disease (on chronic steroid therapy) and autoimmune pancreatitis presented to the ER with lightheadedness and numbness of bilateral upper extremities after masturbation. He experienced urinary incontinence, but no loss of consciousness. EMS found him hypotensive and bradycardic (BP 84/50, HR 30s) and administered [...]

Case Presentation: A 48-year-old female with Hashimoto’s thyroiditis (on Synthroid), prediabetes, and active tobacco use (30 pack-years) who exercises daily presented to the ER with chest pain after a high-intensity workout. The pain radiated to her left arm and neck and intensified to 10/10, associated with palpitations.On exam, she had cool extremities and diaphoresis. Vital [...]

Case Presentation: The day before his wedding, a 22-year-old male presented to the emergency department with one week of worsening joint pain, myalgias, headache, and rash. Symptoms began weeks after visiting a park in Michigan and several days after walking in tall grass during his bachelor party in Iowa. He presented to the emergency department [...]

Case Presentation: A 44-year-old paraplegic male with chronic indwelling foley, chronic thoracic back pain, non-occlusive DVT, anemia, insomnia, and depression who presented with a three week history of abdominal pain, bilateral flank pain, chills, and fever was admitted for ESBL UTI. Hospital course was complicated by hypoglycemia and thrombocytosis due to exogenous testosterone use. During [...]

Case Presentation: Euglycemic diabetic ketoacidosis (euDKA) is increasingly recognized in the perioperative setting in patients with diabetes who are treated with sodium-glucose cotransporter-2 inhibitors (SGLT-2i). Here, we describe a rare case of a patient with prediabetes not on pharmacotherapy who developed euglycemic ketoacidosis postoperatively.A 71-year-old man with history of prediabetes (A1c 5.8%), hypertension, and childhood [...]