Case Presentation: This 65 year old female presented to the hospital with headache, nausea and vomiting, lethargy and malaise. She has no past medical history. An urgent MRI was performed which showed a 2.2cmX1.6cmX1.6cm pituitary macro adenoma compressing the optic chiasm and a vague 4mm lesion in the right temporal lobe. She was transferred to […]

Case Presentation: A 72 year old woman with osteoarthritis presented to with a 3-day history of fever and chills. A few days prior to presentation, she had received a glucocorticoid injection for left knee pain. Upon assessment of her initial vitals, heart rate was 122 bpm, blood pressure was 147/77 mmHg, respiratory rate was 22, […]

Case Presentation: A 66-year-old Hispanic male with hypertension presented with slurred speech, dizziness and blurred vision. One day prior to admission, he was diagnosed with gout, involving his right toe and started on indomethacin 50 mg and took 3 doses.  That evening he complained of excessive sleepiness and went to bed; but appeared normal at midnight.  […]

Case Presentation: A 72-year-old male with a past medical history of osteoarthritis presented to the emergency department with complaints of fever and chills for 3 days. She received glucocorticoid injection for left knee pain a few days prior to presentation. Her initial vitals were a heart rate of 122 bpm, blood pressure was 147/77 mmHg, […]