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: A 56 year old man with a history of colon cancer treated with partial colectomy complicated by chronic diarrhea presented with two weeks of progressive worsening watery diarrhea, weakness, lethargy and muscle soreness. His family also added that he had been “unsteady on his feet” and had been “drawing out his words” over […]

Case Presentation: A 60-year-old man with a history of bilateral adrenalectomy for Cushing’s disease, who received hydrocortisone replacement (hydrocortisone 20 mg/day; 15 mg after breakfast and 5 mg in the afternoon) for 50 years, visited our emergency department with epigastric pain and palpitations. The symptoms manifested without any obvious cause when the patient was at […]

Case Presentation: A 72 year old woman with a history of recurrent, metastatic breast cancer complicated by pembrolizumab-related immune-mediated colitis presented to our hospital with sudden onset dizziness and shortness of breath. Four weeks prior to presentation, she suffered a colitis flare and was treated with a rapid 40 mg prednisone taper along with dapsone […]

Case Presentation: A 69-year-old man with prior right adrenalectomy for primary hyperaldosteronism presents with lightheadedness, resistant hypertension, and hypokalemia.He had been diagnosed with primary hyperaldosteronism several years prior following workup for resistant hypertension, chronic hypokalemia, and orthostasis. At that time, he was found to have an elevated aldosterone level associated with suppressed renin and normal […]