Case Presentation: A 37-year old male with a history of hypertension presented for acute left sided flank pain while watching television. Additional symptoms included nausea, vomiting, and diaphoresis. He noticed dark-colored urine about 3 weeks ago followed by passing of blood clots in the urine for 2 weeks. He had no dysuria. He reported an […]

Case Presentation: A 27-year-old female with a history of PTSD, anxiety, and tobacco use initially presented to the emergency department with the worst headache of her life. Labs were significant for white blood cell count of 18.8 (normal 4.3 – 10.8 x 109 cells/L), troponin of 2.91 (

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 […]