Case Presentation: Adverse drug reactions are any injury that is a result of medication use and can be classified into two categories. Type A are reactions that are common and predictable. Type B are reactions that are rare and unpredictable. An 81-year-old woman with history of essential thrombocythemia presented with an intermittent, relapsing and remitting [...]

Case Presentation: An 87 year old male with a history HFrEF 35%, BPH, Afib, seizure disorder. He had a recent fall and presented with A-fib with RVR. His creatinine at that time was found to be 5.6 (no baseline creatinine at that time). Renal and bladder ultrasound showed large intravesical mass consistent with bladder mass [...]

Case Presentation: 27 year old Caucasian female admitted with fever, abdominal pain radiating to back. She was not an IV drug user. Has a recent history of facial abscess following spider bite but no signs of cellulitis over extremities. There was a small red spot on lower right eyelid, no Osler nodes, janeway lesions, no [...]

Case Presentation: A 54-year-old morbidly obese male, with a history of asthma, hypertension, bilateral knee replacement and tobacco abuse was found unresponsive outside his home on Christmas Eve. EMS brought him with severe hypercapnic respiratory failure pC02 99.7, white count 21 X 103/mcL, cocaine screen positive and blood ethanol level of 0.230 g/dl. Initial chest [...]

Case Presentation: The incidence of congenital coronary artery anomalies has been estimated at approximately 1%. Although the majority of anomalies are benign, some are life-threatening. Malignant aberrant vessels passing between the aorta and pulmonary trunk are at risk for sudden death, especially in the left coronary artery distribution. A 34 year old Caucasian female with [...]

Case Presentation: Budd Chiari is a rare disorder caused by hepatic venous outflow obstruction with resulting hepatic dysfunction. It affects 1.4 per million people a year, and presentation depends upon the extent and rapidity of hepatic vein occlusion. This case is noteworthy given it presents the rapid progression of liver dysfunction in the setting of newly [...]

Case Presentation: A 60 year-old man with a past medical history of end-stage renal disease (ESRD) on hemodialysis (HD) was admitted after a becoming hypotensive during dialysis. The patient denied any fevers or chills, but endorsed progressive malaise and increased pain on the tip of his penis. Physical exam was significant for a blood pressure [...]

Case Presentation: A 69 year-old woman with recently diagnosed endometrial cancer presented with two weeks of dysphagia and progressive upper extremity weakness. On exam she was dysarthric with oral mucous retention and poor dentition; she had left supraclavicular lymphadenopathy. Neurologically, cranial nerves were intact except shoulder shrug, and shoulder girdle strength was 3+/5 bilaterally with [...]

Case Presentation: We present the case of a 31 year old primigravida African American woman who presented to her post-partum follow up clinic visit two weeks after Cesarean section delivery of a preterm live infant at 29 weeks. She was found to be in hypertensive emergency (220/120 mmHg), with complaints of acute diffuse abdominal pain, [...]

Case Presentation: 57 years old lady with hypertension presented to ER with chest and neck pain for 1 week. Pain was in upper right side of chest and collar bone. Pain character was sharp, 9/10 in intensity, not relieved by acetaminophen, aggravated with movement and without associating factors. On exam, vital signs were normal. She [...]