Case Presentation: A 43-year-old woman with uncontrolled type II diabetes mellitus, hypertension, CKD stage 3, and prior history of pyelonephritis complicated by E. coli bacteremia, presented with vomiting, anorexia, fever, chills, and mild abdominal discomfort. Exam was notable for normal vital signs, mild diffuse abdominal tenderness, and no costovertebral angle tenderness. Laboratory studies showed a [...]

Case Presentation: A 93-year-old female with a history of stroke, hypertension, moderate aortic stenosis (AS) and peripheral vascular disease presented with four days of right lower extremity pain. She had recently been seen in vascular clinic for difficulty walking and associated pain, which was attributed to chronic venous insufficiency. In the emergency department, examination revealed [...]

Case Presentation: A 74 year old lady with past medical history of urothelial cancer on pembrolizumab, atrial fibrillation on warfarin, systemic hypertension, diabetes mellitus and stroke presented from an outside hospital to the urology service with complaints of abdominal pain, fever and altered mental status. Her vitals on presentation were within normal limits with physical [...]