Background: The use of intraoperative dexamethasone has been on the rise because of its ability to reduce postoperative nausea, vomiting, pain and accelerate post-operative recovery. Use of intraoperative dexamethasone can result in uncontrolled hyperglycemia in the postoperative period especially in patients with a diagnosis of diabetes. The extent and duration of post-operative steroid-induced hyperglycemia is [...]

Case Presentation: 63M with severe primary closed angle glaucoma, DMII, pemphigus vulgaris (PV) presents to ED with skin lesions over most body. Functional status impaired due to lower extremity edema, oral lesions resulting in odynophagia and malnutrition. PV recently diagnosed via skin biopsy on H&E stain without immunofluorescence following new blisters beginning on tongue, hard [...]

Case Presentation: 33 yo Caucasian female with a PMH of Graves’ thyrotoxicosis and recurrent acute pancreatitis was admitted for suspected pancreatitis. She presented with acute onset epigastric pain radiating to back. She denied any associated symptoms. Exam showed yellowish discoloration of skin and epigastric tenderness. Recent ultrasound was negative for cholelithiasis or gallbladder wall thickening [...]