Case Presentation: A 60-year-old Caucasian female with a history of morbid obesity, type 2 diabetes, uncontrolled hypertension, and obstructive sleep apnea presented to the emergency department with chief complaint of a headache. Her blood pressure was elevated, and she was discharged on lisinopril 20 mg daily.Two days later, she returned with severe, diffuse abdominal pain, [...]

Case Presentation: A 77-year-old male with a history of bladder cancer who had not seen a primary care physician in 11 years presented to the emergency department (ED) for progressive decline in his mental status over 4-6 weeks, with significant worsening starting one week before his ED assessment. Associated symptoms included fatigue, constipation, and decreased [...]

Case Presentation: An 81-year-old woman was referred with a 1-month history of subacute progressive bilateral leg edema and a 1-week history of pain and inflammation in both lower legs. She had no history of fever or weight loss. Physical examination revealed pitting bilateral edema with tenderness. No heart murmurs or jugular venous distention were noted. [...]

Case Presentation: A 66-year-old male presents as an urgent new patient evaluation to rheumatology with new complaints of abrupt bilateral hand and foot swelling for six weeks with difficulty flexing fingers and toes. The swelling remained constant throughout the day, not improving with activity or rest. The patient was recently seen by his primary doctor [...]

Case Presentation: A 43-year-old African-American ex-smoker with a history of biopsy-proven multisystem sarcoidosis in remission, morbid obesity, and pulmonary hypertension presented with left lower quadrant pain and was found to have multiple ventral hernias containing bowel loops without any obstruction on CT scan, following which she was discharged with outpatient surgery follow-up. Prior to contrast [...]

Case Presentation: Acute Compartment Syndrome (ACS) develops when the tissue pressure within a closed compartment exceeds its perfusion pressure, leading to myoneural ischemia. If sustained, this ischemia can result in irreversible muscle necrosis and nerve damage.We present a case of hypothyroid myxedema leading to recurrent nontraumatic ACS of the lower extremity. A 42-year-old male with [...]

Case Presentation: A 46-year-old woman experienced difficulty swallowing while drinking coffee in the evening of her visit. Shortly afterward, she developed rapid swelling in the left neck region, accompanied by syncope, and was transported to a local hospital for emergency care. Blood tests and electrocardiography showed no abnormalities. However, a CT scan revealed swelling of [...]

Case Presentation: A 70-year-old man with a history of hypertension presented to the emergency department with a rapid onset of laryngeal edema preceded by abdominal pain. Physical exam revealed extensive lip, tongue, and supraglottic swelling, stridor, and abdominal tenderness, but no urticaria. Initial labs were significant for leukocytosis and respiratory acidosis. The anesthesia team performed [...]

Case Presentation: A 53-year-old Vietnamese monk living in a rural Texas monastery presented with fatigue, muscle aches, and fever that progressed to respiratory distress after a two-week delay in seeking care. He was intubated and sedated at a tertiary care center. He was afebrile, tachycardic (HR 122 bpm), and normotensive. Labs showed a leukocytosis (WBC [...]

Case Presentation: 68-year-old male with a history of recurrent angioedema, complicated by intubation, presented to the emergency room (ER) for progressive tongue swelling and dyspnea prior to arrival. He was on aspirin 81 mg for years with a recent addition of cilostazol for peripheral artery disease. Physical exam was significant for tongue and lip swelling. [...]