Case Presentation: A 80-year-old female with a past medical history of diabetes mellitus, hypertension and coronary artery disease status post stenting 4 years ago presented with coffee ground emesis, epigastric pain, dysphagia and melena. On examination, her vital signs showed a heart rate of 92 beats/minute and blood pressure of 89/55 mm Hg. Her abdomen [...]

Case Presentation: A 61-year-old male with past medical history of hypertension, hyperlipidemia and coronary artery disease presented with sustained tachycardia. His history was remarkable for ST segment elevation myocardial infarction (MI) and had a stent placed in right coronary artery (RCA) 1 month ago. He was non-compliant with antiplatelet therapy and his RCA re-occluded within [...]

Case Presentation: A 48 year-old woman presented to the emergency room with dizziness following five episodes of black stool. She had otherwise been well and denied prior episodes. Her admission labs were notable for hemoglobin of 6.2 g/dL, white blood cell count of 24,000/uL, and platelets of 1.4 million/uL. On chart review, the patient had [...]

Case Presentation: A 25 year-old male with no significant past medical history presented to the emergency department after he woke up with sudden onset weakness in his bilateral thighs and arms. He had history of heat intolerance, palpitations, dysphagia and weight loss of 40 pounds over last 3 months but denied any changes in skin, [...]

Case Presentation: A 36 year-old female with history of bulimia nervosa, bipolar disorder and borderline personality disorder presented to the emergency department after she woke up with painful spasm of bilateral hands. She had been vomiting multiple times daily for the past few days but denied any paresthesia, numbness, weakness, tingling, diarrhea, laxative or diuretic [...]

Case Presentation: A 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient lives mainly in Texas, but goes to Mexico during winter time for a couple of months. He denied tobacco abuse, [...]

Case Presentation: A 29-year-old African American man presented as a transfer from an outside hospital for uncontrolled diabetic ketoacidosis. Two months prior to admission he was diagnosed with ketosis prone type 2 diabetes mellitus. On presentation he had a BMI 22.6, a rash around his nose, acanthosis nigricans under his arms, Raynaud’s phenomenon and intermittent [...]

Case Presentation: Case 1- 83 year old male with past medical history of knee surgeries and lumbar laminectomy presented with acute onset of fever, confusion and left lower extremity weakness for the past three days. Physical examination confirmed the same. He was started on empiric antibiotics for epidural abscess. MRI brain and spine, ECHO and EEG [...]

Case Presentation: A 52-year-old man originally from West Africa presented with two episodes of hematemesis over one day and with intermittent diffuse abdominal pain and fatigue over one week. He is a known HIV/AIDS patient with poor compliance along with a history of chronic Hepatitis B cirrhosis and moderate-sized varices, H. pylori with non-compliance with [...]

Case Presentation: A 72 year old female with history of chronic atrial fibrillation not on anticoagulation was brought to the emergency department (ED) after she was found gasping for breath. She was found to have undetectable blood pressure by Emergency Medical System and the electrocardiogram revealed atrial fibrillation with rapid ventricular response (RVR). Multiple attempts [...]