Case Presentation: A 61-year-old African American male with past medical history of type I diabetes mellitus, hypertension, benign prostatic hyperplasia, stage IV chronic kidney disease, and peripheral vascular disease presented to the hospital for altered mental status, lethargy, and hypoglycemia. Home medications included amlodipine, atorvastatin, ergocalciferol, insulin detemir, insulin lispro, lisinopril, sertraline and tamsulosin. After […]

Case Presentation: A 67 year-old male with hypertension presented to an outside facility with pneumonia and pancytopenia. Empiric IV vancomycin and piperacillin-tazobactam were started. Bone marrow biopsy revealed acute myeloid leukemia (AML). The patient was anxious to leave the hospital and ripped his IV peripheral access, refusing IV antibiotics. Later he was presumptively diagnosed with cellulitis […]

Case Presentation: A 63 year-old male with a history of seizure disorder recently started on Carbamazepine one month ago now presents with a total body rash for one week. He reports his symptoms started with experiencing fevers as high as 104F as well as abdominal pain associated with poor appetite and multiple episodes of diarrhea […]

Case Presentation: A 51-year-old male with a past medical history of hypertension and schizophrenia maintained on amlodipine, risperidone and benztropine was transported to the ER psychiatric unit by law enforcement. He was detained after he was found wandering the streets demonstrating increased verbal and physical aggressiveness. He was known to the psychiatric unit, with previous […]

Case Presentation: A 54-year-old female with hepatitis C, liver cirrhosis, and history of intravenous heroin use presented with bilateral lower extremity swelling, weakness, multiple aphthous ulcers and a progressive, painful rash for 1 month. Physical examination revealed periorbital violaceous, erythematous rash, and non-blanching, non-palpable purpura extending from the bilateral lower extremities to the trunk and […]

Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics […]

Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma […]