Case Presentation: A 55 year old Caucasian male presented to the emergency department with two weeks of palpitations and chest pain. He experienced intermittent chest pressure and palpitations that were worse while lying down. He denied recent change in weight, skin changes, or SOB. He had a 45 pack-year smoking history, having quit two years […]

Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 […]