Case Presentation: A 54-year old female was hospitalized for 3-week history of abdominal pain, chills, nausea and diarrhea. Her past medical history was significant for multiple self-reported antibiotic allergies, Roux-en-Y gastric bypass complicated by gastrojejunostomy leak, and prior perisplenic abscess requiring percutaneous drainage. On admission, blood pressure was 137/79, heart rate of 80, respirations 20, [...]

Case Presentation: 76 year old male with non-Hodgkin lymphoma presented with shortness of breath and cough and was admitted with acute hypoxic respiratory failure (AHRF). Last chemotherapy treatment was one month before presentation with rituximab, in addition to other agents. He had completed 2 out of 6 planned chemotherapy cycles. On physical exam, there were [...]

Case Presentation: A 60-year-old female with history of a hip replacement complicated with MRSA s/p multiple revisions and sick sinus syndrome with pacer placed in 2004, presented to the ED with an “itchy rash most tender at the pacemaker site” where a cardiovascular implantable electronic device (CIED) within a TYRx envelope was placed two days [...]

Case Presentation: A-28-year-old male with history of asthma and bipolar disorder presented to our hospital with a 10-day old, painful rash on bilateral lower extremities. History was significant for flea bites that occurred a day before the rash started. The rash started off as 3/10 petichae on both legs, but over 2 days it rapidly [...]

Background: Chest pain is a common chief complaint among adult patients presenting to emergency departments. An assessment of chest pain management at the institution noted significant variability in provider treatment patterns for chest pain. While a NSTE-ACS protocol existed, there was varied use and inconsistent adoption. Review of pre-intervention data demonstrated that some emergency medicine [...]

Case Presentation: A 41-year-old healthy male presented to emergency department with cough and shortness of breath. Shortness of breath and cough was gradually progressive over one week, worsening with exertion. Cough is dry with no known aggravating factor. He denied fever or wheezing. No history of active or passive cigarette smoking, sick contact, recent travel, [...]

Case Presentation: A 59-year-old female with prior pulmonary embolus and breast cancer presented for outpatient retinal detachment repair. In PACU, O2 saturations were 80%, and she was admitted for further workup. She reported 2 weeks of dyspnea on exertion with productive cough, but denied fever, congestion, chest pain, hemoptysis, dyspnea at rest, weight changes, lower [...]

Case Presentation: A 37-year-old Thai male with a history of gout presented with a progressively worsening rash. The rash began 10 days earlier following a work trip to Utah, initially appearing on the back of his hands and gradually spreading to his arms, trunk, and legs, accompanied by pruritus. Four days prior to admission, the [...]

Case Presentation: A 68-year-old Caucasian male with a history of hypertension, prediabetes (A1c 5.9), and chronic gout presented to the hospital with acute transient left-sided weakness and numbness. MRI confirmed a small acute CVA and CTA revealed complete occlusion of right internal carotid artery (ICA) and 75% stenosis of left ICA. Workup included a negative [...]