Case Presentation: A 50­ year ­old man with poorly controlled type 2 diabetes mellitus (DM) presented with flank pain, nausea, vomiting, and fever. On exam, he was febrile, tachycardic, hypotensive, and had right sided CVA tenderness. The ER performed a CT stone protocol, however, imaging demonstrated right sided emphysematous pyelonephritis (EPN). Our patient was admitted […]

Case Presentation: This is a 58-year-old woman who presented with substernal chest pressure for a few days prior to admission. The chest pain worsened with exertion and was associated with dyspnea. She denied any risk factors for coronary artery disease. Her blood pressure was 186/112, HR 61, RR 18. Exam revealed a regular heart rate […]