Case Presentation: A 24-year-old female without significant medical history was admitted with acute substernal, non-pleuritic chest pain accompanied by dyspnea, palpitations, and restlessness. She denied active illicit drug use, but admitted to taking amphetamine/dextroamphetamine (Adderall), provided by a friend, 6 hours prior to admission. On examination, she was tachycardic, hypertensive, and tachypneic, with an oxygen [...]

Case Presentation: A 27-year-old female with a history of PTSD, anxiety, and tobacco use initially presented to the emergency department with the worst headache of her life. Labs were significant for white blood cell count of 18.8 (normal 4.3 – 10.8 x 109 cells/L), troponin of 2.91 (

Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 [...]