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 57 year‐old man presented with a one‐week history of non‐productive cough associated with fever, night sweats, pleuritic chest pain and dyspnea on exertion. His oxygen saturation was 70 percent on a non‐rebreather mask. He was tachycardic and was unable to speak in complete sentences. On exam he had diffuse pulmonary wheezes and […]

Case Presentation: Case of 53 years old female with a past medical history of rheumatoid arthritis, coronary artery disease and peripheral vascular disease who presented with worsening postprandial right upper quadrant abdominal pain. Pain was described as intermittent, sharp, and stabbing. The patient also reported a 20-30 pounds’ unintentional weight loss over 6 months and […]

Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to […]

Case Presentation: A 65-year-old African-American man with a history of gout, bipolar disorder, coronary artery disease, and a transient ischemic attack was admitted with fever and altered mental status. The patient was seen two weeks prior to presentation for follow-up of a presumed allopurinol-induced rash in his antecubital fossae, which had resolved on prednisone. Since […]

Case Presentation: A 44-year-old African-American male with past medical history of hypertension, asthma and obesity, presented to the emergency room with acute onset, constant, severe lower abdominal pain of two days duration which was throbbing and aching in quality without any radiation. He also endorsed nausea & loose stools. Of note, his hypertension was newly […]

Case Presentation: This is a case of a 69 year old female diagnosed with stage IV colon adenocarcinoma; initially treated with chemotherapy and right hemicolectomy with diverting ileostomy. Her chemotherapy regimen was changed to irinotecan and capecitabine, given twenty days prior to admission. Ten days after, the patient developed an inability to tolerate oral intake, […]