Case Presentation: A 61-year-old woman with a history of type 2 diabetes mellitus on Metformin and chronic pain on acetaminophen-oxycodone presented to the ED on account of poor oral intake, altered mental status and shortness of breath of a few days duration. Physical examination was significant for hypotension, tachypnea, dry oral mucosa, disorientation and kussmaul breathing. Additional neurologic […]

Case Presentation: A 68-year-old gentleman status- post craniotomy for meningioma resection 3 weeks ago was brought to the ER with complaints of 1 episode of fever (101 F) associated with weakness, decreased appetite and a decline in functional capacity. Blood cultures were obtained, a CT brain was ordered which ruled out acute pathology and the […]

Case Presentation: A 68-year-old male with a pituitary adenoma resected 6 months ago complicated by panhypopituitarism on oral hydrocortisone, presented to the ED with acute progressive altered mental status, headache, and fatigue. On the day of presentation, he became confused to the point where he could not dress himself. Vitals were significant for HR 98. […]

Case Presentation:    A 72y/o female with PMH of sigmoid diverticulitis, myasthenia gravis on chronic prednisone, presented with 3-4days of progressively worsening pain and swelling of the left buttock and leg. Physical exam was significant for 3+ left lower extremity edema extending from the thigh to the foot and 1+ right leg edema. She was […]