Case Presentation: A 26 year old man with past medical history of obstructive sleep apnea and oxycodone abuse presented to the emergency department after cardiac arrest. According to family members, the patient was seen ingesting an unknown quantity of ibogaine at home with the main purpose of treating his opioid addiction. Shortly after ingestion, the [...]

Case Presentation:  A 57 year old African woman presented with a 2-week history of fever, cough, and dyspnea. She had no sick contacts, chest pain, hemoptysis or weight loss and was HIV negative. Past medical history was unremarkable. On physical examination, temperature was 100.3 F and RR was 19. Auscultatory chest findings were positive for [...]

Case Presentation: An 84-year-old Caucasian female presented with 3 days of profuse, watery diarrhea and right knee pain. She had been hospitalized for bronchitis a few weeks ago, treated with amoxicillin-clavulanic acid and discharged. There was no history of trauma or travel. Her past medical history included CKD stage IIIa and diverticulosis. She was afebrile [...]

Case Presentation:   An 87-year-old female presented to the emergency department (ED) complaining of chest PAIN (CP).  Her PMH includes hypothyroidism and rosacea. While shopping, patient developed sudden onset crushing central CP that prevented her from ambulating. Initially, she attributed the pain to her hiatal hernia. However, the pain persisted with radiation to the jaw [...]

Case Presentation: A 51 year old woman with lichen planus presented with dysphagia to solids and liquids, excess oral secretions, and globus sensation for three days. Her history included hypothyroidism, GERD, and episodic dysphagia for two years. Surgical history included a prior endoscopy revealing nonspecific esophagitis. The patient had no toxic habits and family history [...]

Case Presentation: A 22 year-old male presented to the emergency department with a three week history of abdominal pain which occurred typically within an hour after meals. This had worsened over the past four days and was associated with poor appetite, nausea, vomiting, and loose bowel movements. The pain had been non-responsive to acid suppression [...]

Case Presentation: A 47-year-old immunocompetent male with a medical history significant for active intravenous heroin abuse presented to the hospital with fever and respiratory distress. On admission, he was diaphoretic, febrile, and hypoxemic with an oxygen saturation of 70% on ambient air, necessitating intubation and mechanical ventilation. Chest radiography revealed a right lower lobe infiltrate [...]

Case Presentation: A 38 year old lady with past medical history of recurrent kidney stones presented to the emergency department with a 1 day history of lethargy, confusion, and severe right sided abdominal pain. She was febrile with temperature of 38.9oC and tachycardic with heart rate of 168 bpm. She had leukocytosis of 13,000/ml and [...]

Case Presentation: A 59 year-old female with past medical history of Hashimoto’s thyrotoxicosis was admitted because of fatigue, myalgia, acute renal injury with hematuria and proteinuria, positive p-ANCA, positive stool guaiac test, and elevated inflammatory markers. She also had a head CT and MRI done for a new onset of left foot numbness and both [...]

Case Presentation: 62 year-old female with a history of intracranial hemangiopericytoma admitted to the ICU with altered mental status due to profound hypoglycemia. She was previously diagnosed six years prior with intracranial hemangiopericytoma and treated with resection and stereotactic radiosurgery. The tumor recurred locally three years later and she underwent additional resection. She denied a [...]