Case Presentation: A 63 year old male with 40-pack-year of smoking history presented with complaints of sudden onset left sided flank pain which radiated to left upper quadrant, constant, sharp, 10/10 and was getting worse with movement. He also had nausea and vomiting. This was preceded by weakness for 2 weeks. He denied any lightheadedness, […]

Case Presentation: 77-year-old Caucasian male presents to the ER due to progressive shortness of breath impacting his activities of daily activity. Shortness of breath started 2 weeks ago and was associated with a hacking cough and minimal sputum production for which he visited his physician’s office and received a steroid shot for “bronchitis”. On further […]

Case Presentation: A 73-year-old man with a history of atrial fibrillation on apixaban and panhypopituitarism secondary to resection of a pituitary adenoma in the 1980s presented to our hospital for chest pain. His recent history is notable for recurrent cystitis and Clostridium difficile infections requiring stress-doses of glucocorticoids; his endocrinologist had been attempting to taper […]

Case Presentation: An 89-year-old woman with history of hypothyroidism, hyponatremia, and hypertension presented with unresponsiveness and myoclonic jerking of the lower extremities.  At baseline, she was alert and oriented to person, place and time,  and independent with activities of daily living.  She took diazepam as a home medication for unclear indication.  On the morning of […]

Case Presentation: 77 year old male with history of complete heart block with permanent pacemaker placement and recent diagnosis of nonvalvular atrial fibrillation on apixaban presented to emergency room with chief complaint of abdominal pain and dyspnea on exertion. The complete blood count, electrolyte panel, and serum creatinine were unremarkable. The initial troponin was elevated […]

Case Presentation: 69-year-old man presented to his PCP with complaints of acute onset abdominal pain. After admission he was initially managed conservatively but since the pain did not resolve a CT abdomen was obtained and this revealed incidental finding of multiple lung nodules. This was followed up with a CT Thorax which revealed a dominant […]

Case Presentation: Our patient is 56-year-old gentlemen with a history of non-ischemic cardiomyopathy related to prior alcohol use, hypertension and atrial fibrillation who presented to the emergency department complaining of shortness of breath, pleuritic chest pain and subjective feeling of fever and chills of 3 days’ duration. He was found to be hypotensive (86/60 mmHg) […]