Background: Rhabdomyolysis is a condition of rapid muscle breakdown resulting in myalgia, enzyme elevations, electrolyte imbalance. Released heme pigment may lead to tubular obstruction, vasoconstriction, and tubular epithelial cell injury, causing acute kidney injury (AKI) as a severe complication. Especially with predisposing conditions such as volume depletion. Early and aggressive fluid resuscitation is an essential […]

Background: An estimated 1 in 5 HIV‐positive Americans is unaware of their HIV status. Experts warn that this subgroup notably contributes in propagating the U.S. HIV epidemic. Universal opt‐out screening may mitigate this problem but remains haphazardly implemented. Inpatient‐based programs are a potential pathway toward efficient HIV screening. However, supportive studies are sparse and focus […]

Case Presentation: This 65 year old female presented to the hospital with headache, nausea and vomiting, lethargy and malaise. She has no past medical history. An urgent MRI was performed which showed a 2.2cmX1.6cmX1.6cm pituitary macro adenoma compressing the optic chiasm and a vague 4mm lesion in the right temporal lobe. She was transferred to […]

Case Presentation: A 72 year old woman with osteoarthritis presented to with a 3-day history of fever and chills. A few days prior to presentation, she had received a glucocorticoid injection for left knee pain. Upon assessment of her initial vitals, heart rate was 122 bpm, blood pressure was 147/77 mmHg, respiratory rate was 22, […]

Case Presentation: A 26-year-old male without past medical history presents with complaints of dark brown urine and diffuse muscle pain for the past 24 hours. He was noted to have a creatine phosphokinase was noted to be >100,000 units/L. He denied any preceding symptoms including mononucleosis-like symptoms, no heavy exercise, traumatic injury, or travel. He […]

Case Presentation: An 87‐year‐old woman presented with one year of progressively worsening left‐sided hearing loss and left ear fullness, 6 months of hoarseness, and 1 month of dysphagia. She also reported an abnormal appearance of her tongue, persistent left‐sided tongue deviation, and inability to “lick (her) lips right.” She sought medical attention after a fit […]

Case Presentation: A 66-year-old Hispanic male with hypertension presented with slurred speech, dizziness and blurred vision. One day prior to admission, he was diagnosed with gout, involving his right toe and started on indomethacin 50 mg and took 3 doses.  That evening he complained of excessive sleepiness and went to bed; but appeared normal at midnight.  […]

Case Presentation: A 72-year-old male with a past medical history of osteoarthritis presented to the emergency department with complaints of fever and chills for 3 days. She received glucocorticoid injection for left knee pain a few days prior to presentation. Her initial vitals were a heart rate of 122 bpm, blood pressure was 147/77 mmHg, […]

Case Presentation: A 58-year-old woman presented with 10 hours of left lower extremity pain and decreased urine output. The patient had a history of total thyroidectomy decades prior and had been prescribed levothyroxine. It was stopped two months prior to admission for low TSH.She had 2+ edema bilaterally.Labs returned with a creatinine of 6.8 mg/dL, […]

Case Presentation: A 62-year-old male from a major urban city in Northeast US with history of hypertension and type II diabetes mellitus presented with fevers and thigh pain for three days. He had no recent travel history, sick contacts, or bug bites. Physical examination was notable for injected conjunctiva. Lab work revealed leukocytosis, thrombocytopenia, acute […]