Case Presentation: A 69-year-old woman, previously diagnosed with type 2 diabetes and managed with Metformin, along with a history of heart failure with preserved ejection fraction, was admitted to the hospital due to abdominal pain, nausea, vomiting, and diarrhea that had been ongoing for the three days leading up to her presentation. On arrival at [...]

Case Presentation: 44 year old male with insulin dependent type 2 Diabetes mellitus and hypothyroidism presented with fatigue, weakness, dyspnea on exertion and light headedness for several weeks. He denied bloody stools or melena. Medications included metformin for the last 3 months, levothyroxine, simvastatin, enalapril and detemir insulin. The patient was adherent to his medical [...]

Case Presentation: A 71-year-old male presented to the ER with complaints of constipation for one week. He has a past medical history of coronary artery disease status post CABG, congestive heart failure with reduced ejection fraction, Type II diabetes, chronic obstructive pulmonary disease, obstructive sleep apnea, peripheral vascular disease and hyperlipidemia. The patient was recently [...]

Case Presentation: A 71 year old male presents to the ED with diffuse abdominal pain and nausea for the day. He has an extensive medical history including Type II DM, CAD, HFpEF, and COPD. He was recently prescribed Bactrim for a UTI, but notes persistent dysuria and suprapubic discomfort which prompted him to take an [...]

Case Presentation: An 84-year-old male with a past medical history significant for improving chronic kidney disease stage 3 (baseline creatinine of 0.72 mg/dL) and prediabetes presented to the emergency department with altered mental status and poor oral intake from a low resource facility. Patient was recently hospitalized for perforated diverticulitis after sigmoidectomy and ostomy complicated [...]