Case Presentation: A 79-year-old woman with well-controlled hypertension and diabetes mellitus presented to her primary care physician’s office with two weeks of constant, right-sided clear nasal discharge that began one week after discharge from recent hospitalization for septic shock secondary to E. coli urinary tract infection with associated bacteremia. Her physician recommended therapies for allergic [...]

Case Presentation: A 62-year-old male with a history of type 2 diabetes mellitus, incidental left adrenal adenoma (3 cm), and resistant hypertension presented to the hospital with diffuse weakness, refractory hypokalemia, and hyperglycemia. Evaluation of his adrenal adenoma about a year prior had shown low serum aldosterone levels (in the setting of lisinopril use) and [...]

Case Presentation: 31-year-old man presented with two-weeks of shortness of breath to a New York City hospital in late-April 2020. Patient reported subjective fevers/chills and myalgias two weeks prior to presentation, eventually progressing to shortness of breath and a dry, non-productive cough. In the emergency department, he was noted to be in respiratory distress, saturating [...]

Case Presentation: A 66 yo man with a past medical history of CAD, b/l knee osteoarthritis, CKD, CVA, T2DM, HTN, and HLD presented to the ED complaining of back pain and left knee pain. In the ED, patient was responsive and fully alert. Labs were significant for hyperkalemia of 6.0, anemia of 9.1. He was [...]

Case Presentation: An 85-year-old female with a history of insulin-dependent diabetes, chronic kidney disease, and pemphigus vulgaris presented with four days of dyspnea and non-productive cough. History was significant for recent rituximab infusions and chronic prednisone therapy for pemphigus. On presentation to the ED, the patient was noted to be hypoxic to SpO2 84% on [...]

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: This is a 72-year-old female patient who presents to the ED for the evaluation of loss of consciousness. The patient’s family also endorsed dark stools for the past few days. She has a medical history significant for Insulin Dependent Diabetes Mellitus, and papillary thyroid cancer. On arrival, the Patient’s BP was 126/55, Heart [...]

Case Presentation: We report the case of a 43-year-old man who presents to our institution with recurrent episodes of dizziness, headaches and syncope. He had a history of uncontrolled hypertension that was diagnosed as a teenager. His admitting blood pressure was 174/103 mmHg and he had a heart rate of 108. On physical exam, he [...]

Case Presentation: 42 year old male presented to the hospital with non-exertional left-sided chest pain that was radiating to his left jaw. His past medical history was significant for gastro-esophageal reflux disease and generalized anxiety disorder. He had a one year history of palpitations, headache, and sweating associated with minimal blood pressure fluctuations. These episodes [...]

Case Presentation: The patient is a 51 year old male with diabetes, peripheral arterial disease with extensive vascular surgeries including left below the knee amputation, ESRD on hemodialysis, multivessel coronary artery disease, history of seizures, who presented with altered mental status likely from missed dialysis. Patient was found to be afebrile, hypertensive to the 200s [...]