Case Presentation: 48 year old female with medical history significant for hypertension, three episodes of unprovoked deep venous thrombosis in left lower extremity, last episode being 7 months back presented to ED with complaint of swelling and pain in her left lower extremity. Her outpatient medications include amlodipine and Coumadin (target INR between 2 ‐3). […]

Case Presentation: Hypermagnesemia is a rare but serious condition associated with impaired renal function. We report a case of bradycardia with hypothermia secondary to hypermagnesemia from consumption of milk of magnesia (MgOH2) in a patient with end-stage kidney disease (ESKD). A 52-year-old man with ESKD on emergent hemodialysis, diabetes mellitus, hypertension, and hyperlipidemia presented for […]

Case Presentation: A 60 year‐old woman presents with a 3 day history of weakness and shortness of breath. Associated symptoms include pain in her back, occiput, and chest, as well as subjective fevers and presyncope. Her medical history was significant for remote intravenous drug use, current opiate abuse, and a chronic pain syndrome that had […]

Case Presentation: A 79-year-old woman was found minimally responsive in her home and brought to the hospital for evaluation. On arrival, she was bradycardic (32/min) and hypotensive (75/40) without fever, tachypnea (16/min), or oxygen needs (98% room air). Her initial exam was notable for somnolence, conjunctival injection with normal pupils, dry oral mucosa, slightly cool […]

Case Presentation: We present a case of a 89 year old Caucasian male of normal cognition who presented to us with complains of decreased appetite and poor oral intake secondary to increased epigastric abdominal pain, nausea and retching. His past medical problems include hypertension, atrial fibrillation on rivaroxaban, hiatal hernia and enlarged prostate. On arrival […]

Case Presentation: A 58-year-old male patient was brought by EMS after he was found to have an episode of syncope preceded by nausea, vomiting, dizziness while he was on his way to the supermarket. His past history was significant for hypertension, end stage kidney disease on chronic hemodialysis, and a recent diagnosis of stage IV […]

Case Presentation: A 77 year old man with a history of first degree heart block, hypertension, type II diabetes, and alpha thalassemia trait presented with one day of lightheadedness and palpitations. Several days of fatigue, myalgias, sore throat, rhinorrhea, and headache preceded his symptoms. His exam was notable for bradycardia but was otherwise normal. Labs […]

Case Presentation: Our patient is an 88-year-old female who presented with abdominal pain, nausea, and vomiting. Her medical comorbidities included hypertension, diabetes, CAD, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation, hypothyroidism and a history of cerebrovascular accident without any residual deficits. Her prescription regimen included amlodipine, furosemide, isosorbide mononitrate, levothyroxine, metformin, omeprazole and […]