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 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 […]