Case Presentation: A 44 year old Caucasian male with past history of Type 1 diabetes, hypothyroidism presented to emergency hospital with increased lethargy, lightheadedness, nausea and multiple episodes of vomiting. He also reported a 20 pound weight loss in 4 weeks with decreased appetite and noticed darkened skin pigmentation for 2-3 months. He denied any […]

Case Presentation: 62-year-old female with a past medical history of diabetes mellitus and breast cancer in remission presented to the emergency department (ED) with complaints of intermittent frontal headache for 2-3 weeks progressing to 1 day of fever, altered mentation, aphasia, and vomiting. In the ED, patient was afebrile with stable vital signs. Initial labs […]

Case Presentation: 51 year old female with past medical history notable only for recent knee pain with intermittent NSAID use presented with melenic stools and one episode of coffee ground emesis.On presentation she was tachycardic and hypotensive with initial hemoglobin of 4.9 (units) with improvement in vital signs post blood transfusion. Initial CT abdomen/pelvis without […]