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 […]

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: 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 […]

Case Presentation: A 19-year-old male with no significant medical or psychiatric history presented for evaluation of altered mental status and agitation in the setting of cannabis ingestion. The patient reported consuming a cannabis edible followed by 24 bottles of water due to excessive thirst. He presented to the emergency department by ambulance and required chemical […]