Case Presentation: A 43-year-old female with a history of NASH cirrhosis and insulin dependent diabetes was sent from the Hepatology clinic for elevated Creatinine from 1.8 to 4.8 mg/dL. Her vital signs were stable and she was admitted for the management of suspected hepatorenal syndrome. Her hospital course was complicated by 5 weeks of ICU […]

Case Presentation: A 43-year-old female with a history of NASH cirrhosis and insulin dependent diabetes was sent from the Hepatology clinic for elevated Creatinine from 1.8 to 4.8 mg/dL. Her vital signs were stable and she was admitted for the management of suspected hepatorenal syndrome. Her hospital course was complicated by 5 weeks of ICU […]

Case Presentation: A 54 year-old Hispanic man with a history of deep vein thrombosis (DVT) and glioblastoma multiforme treated with right parietal craniotomy and temozolomide, presented with fever, headache, and odynophagia. He reported a week of odynophagia with solids and liquids, worsening headaches, and fever of 100.4 F. His last cycle of temozolomide and radiation […]

Case Presentation: A 57 year old female presented to our institution for evaluation of progressive dyspnea.  Symptoms were present for three months prior to presentation. She was seen in the emergency department and initial laboratories showed a white blood cell count of 2.3K/cumm, hemoglobin of 3.8g/dL, and platelet count of 277K/cumm.  Electrolytes were within normal […]

Case Presentation: A 61 year old female with Chronic Obstructive Lung Disease (COPD) on inhaled steroids underwent left lower lobectomy for Stage 1 Lung Adenocarcinoma in August 2017. While recovering, her house was flooded by Hurricane Harvey, in Houston, Texas. She was directly exposed to flood waters and subsequently lived with mold in her home. […]

Case Presentation: A 90-year-old female presented with 3 weeks of cough and dyspnea despite a course of antibiotics prescribed by her primary care provider. She was admitted for management of pneumonia. On hospital day 2 she became acutely hypoxic and was started on standing albuterol, after which her whole blood lactate level rose steeply, causing […]

Case Presentation: Case 1: 30 year old woman with uncontrolled T1DM, CKD, recurrent VTE, HTN, recurrent C.Diff, developed leg pain, fever and leukocytosis. Imaging, extensive rheumatology work up and biopsy revealed diabetic myonecrosis, also noted MDRO UTI and C diff colitis treated with ertapenem, ceftriaxone and oral vancomycin. Persistent high grade fever and leukocytosis called […]

Case Presentation: A 71 year old male, with no significant past medical history, presented with generalized weakness, malaise and body aches for the past 3 weeks, followed by right upper and lower facial weakness for the past 2 days. Denied stroke-like symptoms. He had been working in the wooded areas, but denied tick bite or […]