Case Presentation: A 72-year-old man with hypertension and tobacco use presented to the emergency room with three days of nausea, vomiting, substernal chest pain, and thoracic back pain, following weeks of worsening vertigo. He also described a year of progressive tinnitus, diplopia, unsteady gait, and restless legs. Vital signs were stable. Physical exam revealed bilateral [...]

Case Presentation: A 55-year-old female with hypertension presented to the Emergency Department with bilateral lower extremity rash. Five days prior, she developed fatigue and small red spots on her distal legs which progressed to pruritic, raised, palpable lesions. Over-the-counter steroid cream reduced the pruritus, but the rash spread proximally, prompting presentation. She was hypertensive with [...]