Case Presentation: A 75 year old woman with past medical history of hypothyroidism presented with weakness and the sensation of “large folds of skin” on the bottom of her feet. Pertinent physical exam findings included conjunctival pallor, nonspecific diffuse abdominal tenderness, and hyperpigmented macules of the dorsal finger tips and soles, which were also new [...]

Case Presentation: 60-year-old African American male with history of polyarticular tophaceous gout, chronic back pain related to DDD, HTN, CKD stage III, HIV on HAART, COPD presented with worsening back pain of 1-week duration associated with progressive lower extremity weakness and inability to walk. Low back pain was noted as sharp, stabbing in nature radiating [...]

Case Presentation: A 68- year-old Hispanic male with past medical history of hypertension, hyperlipidemia and gout presented with intermittent paresthesia and weakness in bilateral fingers and toes along with mild headaches and fatigue for the past two months. Additionally, the patient notes to have new short-term memory deficits where he often forgets his thoughts mid-conversation. [...]

Case Presentation: A healthy 42-year-old female presented to the emergency room complaining of bright red blood per rectum for one day, associated with a severe lower abdominal pain and tenesmus. Her medications included oral contraceptives which she took for menopausal symptoms. Upon presentation, the patient was afebrile, tachycardic, and normotensive. On exam, the patient had [...]

Case Presentation: An 80 year-old female presented to the emergency room with shortness of breath and melena. She was afebrile, with blood pressure of 121/70 and heart rate 93. Labs showed hemoglobin of 5.2 g/dL with normal INR and platelet count. She underwent an upper endoscopy revealing a 2 mm clean-based duodenal ulcer. As this [...]

Case Presentation: This is a 68 year old female with a past medical history of atrial fibrillation, hypothyroidism, osteoarthritis and right hip replacement who came into Mountainside Medical Center initially for sepsis secondary to a urinary tract infection. Once in the hospital the patient incidentally mentioned having a six month history of bilateral lower extremity [...]

Case Presentation: Hypermagnesemia is a rare but serious condition associated with impaired renal function. We report a case of bradycardia with hypothermia secondary to hypermagnesemia from consumption of milk of magnesia (MgOH2) in a patient with end-stage kidney disease (ESKD). A 52-year-old man with ESKD on emergent hemodialysis, diabetes mellitus, hypertension, and hyperlipidemia presented for [...]

Case Presentation: A 21-year-old man with no previous medical history presented to the emergency department with nausea, vomiting and diarrhea for one week. Labs were significant for white blood cell (WBC) count 3.4 k/ul with decreased lymphocytes along with mild elevation of transaminases and lipase. He was thought to have viral gastroenteritis and was discharged. [...]

Case Presentation: A 92-year-old women with a medical history of hypertension, type 2 diabetes, and surgical resection of colon and renal cancer presented to the emergency department with high-grade fever and purulent sputum. She visited her primary care physician with the complaint of fever 5 days prior to visiting our hospital and was prescribed antibiotics [...]

Case Presentation: An 85-year-old Caucasian female with history of hypertension and coronary artery disease presented with syncope, leukocytosis and orthostatic hypotension. She denied chest pain, fever, abdominal pain, dysuria, diarrhea, seizure or previous similar episodes. Physical examination was unremarkable. Laboratory work-up showed leukocytosis of 23,000, eGFR of 27, creatinine of 1.69 and BUN of 15, [...]