Background: Coffee is a widely consumed beverage. Evidence suggests that coffee consumption is associated with a substantially lower risk of type 2 diabetes (1). However, there is paucity of literature on whether coffee consumption has any protective effect on people who already have diabetes. We sought to examine the association between caffeine consumption and hemoglobin [...]

Case Presentation: A 23 month old female with minimal primary care visits presented to the ED after a syncopal episode. She was found to be tachycardic, tachypneic, and hypoxic. Physical exam revealed an irritable, pale child with a 3/6 systolic murmur and hepatomegaly. CBC was significant for a Hgb of 1.5. CXR revealed cardiomegaly. Due [...]

Case Presentation: A twenty-two-year-old male with no significant past medical history who presented with chest pain and found to have ST-segment elevation in leads II, III, aVF and V4-V6 leads. On subsequent EKG’s, patient had new ST-segment elevations in antero-lateral leads with dynamic changes. Cardiac catheterization showed acute dissection with thrombosis of the distal left [...]

Case Presentation: A 39-year old female with a history of alcohol abuse presented with an eight-day history of numbness involving her bilateral lower extremities and hands which had progressed proximally to involve her chest wall. She reported perioral and perianal numbness, lethargy and difficulty ambulating. Examination was significant for decreased sensation in a glove-stocking distribution, [...]

Case Presentation: A 71-year-old woman presented with one month of progressive dyspnea, fatigue, weight loss, bilateral lower extremity edema, and new “purple and red spots” on her extremities. Her medical history included breast cancer more than two decades ago for which she underwent surgery and radiation therapy. She had since been out of care. On [...]