Case Presentation: A 13- year-old male with a history of food aversions receiving outpatient feeding therapy and normal BMI presented to the ED with one month of vomiting, dysphagia, anorexia, and an unintentional ten-pound weight loss. He was afebrile with normal vital signs. On exam, he had dry mucus membranes and mild diffuse abdominal tenderness. [...]

Case Presentation: A 40-year-old male with no medical history presented to the ED for confusion. His partner revealed that the patient had been drinking his own urine with salt, part of a home detoxification regimen. His partner denied any prior episodes of confusion and denied any known family history or genetic disorders. He was afebrile [...]

Case Presentation: 46-year-old female patient with a past medical history of ESRD on hemodialysis, DVT on chronic anticoagulation with apixaban, chronic HFrEF and history of injectable drug use (fentanyl) who presented with a chief complaints of progressive headache followed by rapidly progressive confusion requiring intubation for airway protection. Diagnostic lumbar puncture was considered however deferred [...]

Case Presentation: A 32-year-old man with a past medical history of hypertension and stage IV chronic kidney disease (CKD) was brought to the hospital by emergency medical services after he was found unresponsive. His initial blood pressure was 266/166 mmHg in the ambulance.Upon physical examination, patient remained unresponsive, with occasional gaze deviation to the right [...]

Case Presentation: A 67-year-old male with a history of hypertension, coronary artery disease status post-stent placement in 2017, Parkinson’s disease, and prostate cancer status post-open prostatectomy in 2004, presented after being found unresponsive in a hotel room. A bottle labeled “Super Rush,” a nitrite-containing substance, was found nearby. Emergency Medical Services (EMS) reported initial bradycardia, [...]

Case Presentation: A 68-year-old man was presented to the emergency department with headache, confusion, sweats, body aches, and nonproductive cough. He had recently returned from a solo hiking trip in the woods where he not only swam in a lake but also was exposed to poisonous plants and bitten by mosquitoes and other insects. The [...]

Case Presentation: West Nile Virus (WNV) was first reported in the Western Hemisphere in New York City in 1999. Over the last two decades West Nile Virus has spread to an impressive distribution from central Canada to Southern Argentina. Transmission of the virus is maintained in a cycle between Culex species mosquitos and birds as [...]