Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a [...]

Case Presentation: A 51-year-old African-American female was admitted to the hospital with 3 days of bilateral calf pain, described as a severe cramping pain that started in the left medial calf. The patient first noticed the pain after walking two blocks. The pain did not subside with rest. The next day, the patient noticed similar [...]

Case Presentation: An 83-year-old male with type 2 diabetes (hemoglobin A1C of 10.9) and recurrent herpes zoster presented with 3 days of worsening unilateral facial pain, headache, rash, and nausea. Of note, the patient had been vaccinated with the live varicella zoster virus (VZV) vaccine (Zostavax) 3 years prior. Physical exam revealed a right sided [...]

Case Presentation: A 44-year-old man with history of uncontrolled diabetes mellitus, gastroparesis, chronic malnutrition, and cognitive impairment presented to the emergency room with two weeks of nausea, vomiting, and inability to tolerate oral intake. Given chronic malnutrition and inability to control symptoms with anti-emetics, enteral access was obtained and both tube feeds and motility agents [...]

Case Presentation: A 62-year-old man with history of end-stage renal disease and poorly controlled type 2 diabetes mellitus presents to the hospital after a fall due to unsteady gait and was noted to have facial movements similar to tardive dyskinesia, whole body chorea, and hyperkinesis of torso and bilateral extremities. On admission, he had an [...]

Case Presentation: A 54 year-old female presented to the ED with five days of fatigue, nausea, vomiting, and abdominal pain, increasing confusion, and somnolence after a recent viral illness. On physical exam, she was noted to have large, fixed masses in her breasts with bulky axillary lymphadenopathy. Upon further questioning, the patient revealed that she [...]

Case Presentation: A 60-year-old female with no past medical history presented to the emergency department with subacute worsening right thigh swelling and pain. Her history included mild trauma to her right thigh during a recent cross-country road trip. Her physical exam showed significant swelling and tenderness to the anteromedial right thigh with palpable distal pulses [...]

Case Presentation: A 44-year-old man with a past medical history of poorly controlled diabetes mellitus type 2 presented to the emergency room with 7 months of bilateral leg pain and swelling that acutely worsened in the last 2 weeks and multiple recent mechanical falls. The falls were not associated with loss of consciousness or other [...]

Case Presentation: We present a case of a 50-year-old male with a history of developmental disability and hypothyroidism who presented from a nursing home with fatigue and cough for three days. The patient was found to have a left upper lobe consolidation on chest x-ray consistent with pneumonia. Labs revealed neutrophilic leukocytosis. He was started [...]

Case Presentation: Diabetic myonecrosis is a rare and under-recognized disorder observed in poorly controlled long-standing diabetes mellitus (1). Typical presentation includes acute pain and swelling of the affected muscle group in the absence of local injury due to spontaneous ischemic necrosis of the skeletal muscles. We present a case of a 48-year old female with [...]