Case Presentation: A 50-year-old African American female with a history of mixed connective tissue disorder with positive ANA titer, speckled pattern 1:1280, and spindle apparatus pattern 1:640, presented with worsening dyspnea, numbness, and weakness of both lower extremities. Two days prior she received the first dose of COVID-19 mRNA vaccine and later developed nausea, vomiting, diarrhea, and anorexia.   In the emergency department, patient was found to have an elevated blood pressure of [...]

Case Presentation: A 56-year-old male with history of alcohol abuse presented to the Emergency Room complaining of worsening abdominal pain for 2 weeks. Patient stated that he drinks half a pint of whiskey every day, and that the last drink was the day before presenting to the Emergency Room. He also reported that he had [...]

Case Presentation: A 44-year-old male presented to the Emergency Department after having a witnessed seizure. There were no precipitating events and previous blood tests were normal. His blood pressure (BP) on arrival was 255/154 mmHg. Labs showed a creatinine (Cr) of 2.2 mg/dL, hemoglobin 9 g/dl, platelet 553 k/uL, low-normal haptoglobin of 31 mg/dL, and [...]

Case Presentation: Addison’s disease, or primary adrenal insufficiency, is a rare disorder of glucocorticoid or mineralocorticoid deficiency caused by adrenal cortex dysfunction or destruction. Since the disease gradually progresses with nonspecific symptoms, patients are often misdiagnosed or diagnosed late. Consequently, patients receive delayed treatment and are at increased risk for Addisonian crisis, which continues to [...]

Case Presentation: The patient is a 52 year old female with a history of Scleroderma, Raynaud’s, and APLS who presented to the emergency department for new onset chest pressure for 1 day. On physical exam, vital signs were 99 F, 152/99, 109, and 96% on RA and no cardiac murmurs, crackles on lungs, or pitting [...]

Case Presentation: A 37-year-old female with Systemic Sclerosis (SSc) presented with new-onset elevated blood pressure. She was on medium to high dose Corticosteroids (CS) a month prior to admission. Her significant vitals on admission included a heart rate of 103 and blood pressure of 193/97. Labs showed hemoglobin 9.6, sodium 130, BUN 63, creatinine (Cr) [...]

Case Presentation: A 75-year-old female with a history of Crohn’s disease with known sigmoid colon stricture presented to the Emergency Department with severe abdominal pain; CT abdomen pelvis without contrast revealed pneumoperitoneum, ascites, and a likely perforated colon. She was emergently taken to the OR and subsequently underwent exploratory laparotomy with rectosigmoid colon resection, end [...]