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: 53 year‐old Hispanic male with history of recently diagnosed coronary artery disease, hypertension and diabetes mellitus presented with one day of abdominal pain followed by painful hematochezia. The abdominal pain was described as intermittent and colicky followed by tenesmus. The initial bloody stool had mixed bright blood and was followed by smaller bowel […]

Case Presentation: A 21 year old Spanish-speaking male immigrant from Guatemala with no significant past medical history presented to the emergency department (ED) with nausea, vomiting, neck pain, and vertigo. He was noted to have bilateral horizontal nystagmus on exam. A CT scan of the head was normal, and lumbar puncture (LP) with cerebrospinal fluid […]

Case Presentation: A 38-year-old Hispanic female with chronic constipation, anemia and numerous transfusions secondary to uterine bleeding presented to the emergency department with a two-week history of worsening bilateral lower extremity ascending numbness and weakness extending to her abdomen causing her difficulty with walking. She reported blurry vision, headaches, difficulty breathing, and 24 hours of […]

Case Presentation: A 3 month old male was referred to the ED by his PMD for failure to thrive (FTT), reflux and noisy breathing with feeds. He was the term product of a normal pregnancy and delivery, and had no perinatal issues other than developing reflux shortly after birth. His PMD started zantac with minimal […]

Case Presentation: A 52-year-old African American male with a past medical history of gastric ulcer presented to the emergency department with progressively worsening exertional dyspnea and fatigue over the past two months. Physical examination was significant for a heart rate of 105 bpm and icteric sclera. Pinprick and vibratory sensations over bilateral lower extremity were […]

Case Presentation: A 68 year old female patient presented to the emergency department after being found down at her house. On exam she was found to be confused and disoriented. Lab work showed severe pancytopenia, and elevated bilirubin with no associated elevation of LFTs. She was transfused with 2 units of packed red blood cells […]

Case Presentation: A 60 year-old man with a history of coronary artery disease, hypertension, and asthma presented to the emergency department with worsening intermittent fever and cough over six months. The cough was productive and non-bloody, with occasional post-tussive emesis. He had had a dental procedure 8 months prior. In addition, he noted a decreased […]