Case Presentation: A 56 year-old female teacher presents with 1-week history of shortness of breath. She noted progressive shortness of breath on minimal exertion over the past week. She denied associated pedal edema, orthopnea, epistaxis or chest pain. She noted associated cough with white frothy sputum and subjective chills. She denied rashes, exposure to sick [...]

Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing [...]

Case Presentation: AB is a 48-year-old patient with a medical history significant for undifferentiated inflammatory polyarthritis and anaphylaxis to numerous food and medications. Ten minutes after sampling a new cracker flavor, AB noted dysphonia, dysphagia, and difficulty handling her secretions. She self-administered epinephrine 0.3mg intramuscularly (IM). Fifteen minutes later, her symptoms continued to progress, so [...]

Case Presentation: A 43-year-old man presented to the hospital with three days of lethargy, confusion, jaundice, abdominal pain with associated vomiting and poor oral intake. Medical history includes recently diagnosed Adult-onset Still’s Disease (AOSD) 6 weeks prior to presentation, for which he was taking prednisone 60 mg daily. Exam was notable for lethargy, petechiae on [...]

Case Presentation: FM was a 69-year-old female who immigrated from Mexico to the US 30 years ago with a history of primary biliary cholangitis complicated by cirrhosis, hepatic encephalopathy, and esophageal varices presented to the emergency department with worsening abdominal distension. She was a former smoker with no history of alcohol or recreational drug use. [...]

Case Presentation: Gastroesophageal reflux disease (GERD) is a common disorder that is characterized by the backflow of gastric contents into the esophagus, leading to symptoms such as regurgitation and heartburn. While proton pump inhibitors (PPIs) are the mainstay of treatment, some patients experience refractory symptoms. Alternative therapeutic approaches of GERD may be warranted in these [...]