Case Presentation: An 89-year-old year old woman with a history of type II diabetes mellitus, insulin-naïve and well-controlled on a regimen of metformin, sitagliptin, and dapagliflozin, presented with 3 days of nausea, vomiting, and poor intake of food and liquids. She had recently been prescribed cephalexin for a suspected UTI. She reported a subacute history […]

Case Presentation: A 13 y/o female presented with a 1 month history of painless left inguinal swelling and a 2 day history of worsening inguinal pain, diffuse pruritis, myalgias and fever.  On presentation she was febrile to 103.7oF, tachycardic to 136, and mildly hypotensive.  Exam was notable for a 6cm x7cm area of swelling and […]

Case Presentation: A 51-year-old female presenting with increasing epigastric pain radiating to her back, nausea, and vomiting for five days. Her past medical history is relevant for coronary artery disease and CABG, type 2 diabetes, hypertension, prior tobacco use, and mood disorder. She had visited her primary care doctor the day prior to presentation with […]

Case Presentation: A 22-year-old Hispanic male with no significant past medical history, presented to ED with acute onset of bilateral lower extremity weakness. The patient stated that weakness was episodic lasting minutes to hours, usually presenting early in the morning right after waking up. The patient complained having 7 similar episodes with acute bilateral lower […]