Case Presentation: A 60-year old female with past medical history significant for diabetes, hypertension, and hypothyroidism presented with acute onset confusion progressing over the course of 5 hours. On exam, patient’s vitals were significant for an elevated blood pressure (179/104). She was only oriented to herself and showed no focal motor deficits, but did have [...]

Case Presentation: A 54 year-old previously healthy man presented to the ED with two weeks of cough productive of “grey-green” mucus and slowly worsening dyspnea on exertion. His symptoms were accompanied by low-grade fevers, fatigue, poor appetite, and lightheadedness upon standing. His spouse was recently ill with symptoms of an upper respiratory infection. Review of [...]

Case Presentation: A 70-year-old male who presented to us with worsening dyspnea on exertion and non-productive cough. Review of systems was negative. Vitals were unremarkable; physical examination was significant for bilateral basilar rales which were corroborated by his chest x-ray that revealed bilateral pleural effusions. Laboratory findings were notable for normocytic anemia and elevated liver [...]

Case Presentation: An 18 year old female with a history of cirrhosis due to autoimmune hepatitis on immunosuppressants presented with acute low back strain. On presentation, her vital sign was remarkable for heart rate of 129 bpm. Physical exam revealed splenomegaly with mild pedal edema and low back tenderness. Laboratory evaluation showed a hemoglobin of [...]