Case Presentation: Patient is a 62 year-old morbidly obese male (BMI 56), chronic obstructive pulmonary disease (COPD) on 4L of Nasal Cannula (NC) O2 at home, heart failure with preserved ejection fraction, who presented complaining of acute migratory left shoulder pain that radiates to his L ribs and now to the anterior chest. Pain is […]

Case Presentation: Drug induced hypersensitivity syndrome (DIHS/DRESS) is a severe reaction to an identifiable drug, manifesting as a rash, eosinophilia, lymphadenopathy, fever and frequently internal organ involvement. Though recovery is often achieved with early identification and withdrawal of the offending agent, mortality can reach 5-10% due to resulting fulminant hepatic failure, multiorgan failure, myocarditis or […]