Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional […]

Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional […]

Background: In‐hospital strokes have distinctive risk factors compared with community‐onset strokes. Analysis of in‐hospital stroke quality of care and outcomes has never been performed at the national level. Methods: We conducted a retrospective cohort study of the American Heart Association's Get With The Guidelines (GWTG) Stroke Database from January 2006 to April 2012, using data […]

Case Presentation: A 59-year-old woman presented with acute worsening of chronic abdominal pain and nausea. Her past medical history included a stable type-B aortic dissection. Over the previous year, she had multiple hospitalizations for postprandial abdominal pain associated with nausea and vomiting. The pain had been increasing in severity and had led to a 10-pound […]

Case Presentation: A 71-year-old man with type 2 diabetes mellitus, hypertension, coronary artery disease, and peripheral arterial disease presented with worsening bilateral lower extremity pain which started two days prior to admission. Physical exam revealed cold and pale lower extremities, tenderness, and absence of pulses on both lower limbs but no edema or ulceration. Range […]

Case Presentation: A 15 year-old boy presented to a referring facility with right lower extremity weakness, numbness and urinary retention following a spider bite. The weakness subsequently spread to the contralateral leg with ascending numbness to the umbilicus. Negative inspiratory forces then decreased to -10 cm H2O with associated dyspnea, so he was intubated and […]

Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 […]