Case Presentation: A 67-year-old male with a past medical history of peripheral arterial disease, a chronic left lower extremity wound, and type 2 diabetes mellitus was admitted from vascular surgery clinic for osteomyelitis of the left lower extremity. He underwent multiple procedures by the podiatry service including a trans-metatarsal amputation. Intraoperative bone cultures returned positive [...]

Case Presentation: A 49 year-old man with a recent diagnosis of myasthenia gravis presented with 3 days of fever up to 103, rhinorrhea, frontal headache, mild lower extremity weakness, a mildly productive cough, and a leukocytosis to 16. As he had been started on prednisone and azathioprine 10 days prior to his presentation, he underwent [...]

Case Presentation: A 52-year-old male with a history of type 2 diabetes mellitus, peripheral neuropathy, hypertension, hyperlipidemia, sleep apnea, and osteomyelitis of the right great toe presented to the hospital with a 3-day history of fever and chills. Of note, patient had been admitted 3 weeks prior with a complaint of a right foot ulcer, [...]

Case Presentation: A 68-year-old man presented with dyspnea, wheezing and productive cough. He was hypoxemic and a chest radiograph revealed a left lower lobe infiltrate and he was admitted with a Chronic Obstructive Pulmonary Disease exacerbation and pneumonia. His troponin was mildly elevated and he was started on a heparin infusion. The intravenous line infusing [...]

Case Presentation: Adverse drug reactions are any injury that is a result of medication use and can be classified into two categories. Type A are reactions that are common and predictable. Type B are reactions that are rare and unpredictable. An 81-year-old woman with history of essential thrombocythemia presented with an intermittent, relapsing and remitting [...]

Case Presentation: Patient is a 73-year-old female with history of hypertension, chronic back pain on gabapentin, prior intravenous drug use, peripheral artery disease status post bilateral femoral endarterectomies with stenting on dual anti-platelet therapy who presented to the emergency department with right lower extremity pain. Patient was hemodynamically stable, alert and oriented. Shortly after undergoing [...]

Case Presentation: A 73-year-old male with a past medical history of hypertension and benign prostatic hyperplasia presented to the emergency department (ED) with acute onset generalized weakness, nausea, emesis, diarrhea, fever, and dyspnea approximately 2.5 hours after taking a combination pill of losartan-hydrochlorothiazide (HCTZ). The patient reported that he had been prescribed losartan-HCTZ 50-12.5 mg [...]

Case Presentation: Teriflunomide is a pyrimidine synthesis inhibitor used in management of Relapsing Remitting Multiple Sclerosis (RRMS). Leflunomide is the active agent which has been used in rheumatoid arthritis. Chronic diarrhea has been associated with both of these. However, there is no evidence in literature to suggest clostridium difficile (C.Diff) diarrhea associated with these agents. [...]

Case Presentation: A 45 yo woman with alcohol use, liver cirrhosis, hepatic encephalopathy and recurrent abdominal ascites, presented to hospital with decreased urine output and abdominal swelling. She was found to have severe acute renal failure and was treated for suspected hepatorenal syndrome with intravenous albumin infusion. She did not recover renal function and required [...]

Case Presentation: A 57-year-old male presents with a morbilliform rash on his extremities, trunk, and back. One week prior, he started sulfamethoxazole/trimethoprim for cellulitis. On his sixth day of treatment, the patient became acutely febrile to 102°F, with rash eruption one day later. Therefore, he presented to the hospital for further evaluation. On arrival, he [...]