Background: Several studies have shown increased mortality and readmission rate in patients admitted to hospitals over the weekend. This “weekend effect” has been well-described for several medical conditions and has been attributed to several factors. However, a comprehensive analysis of clinical outcomes of patients discharged over the weekend has not been performed. The objective of [...]

Case Presentation: Stress cardiomyopathy, also known as takutsubo cardiomyopathy, is a syndrome that causes transient cardiac apical akinesis or hypokinesis with concurrent basal hyperkinesis. This phenomenon occurs in the absence of angiographic evidence of obstructive coronary artery disease, often induced by emotional stress, and usually reverses within a few weeks to months. A rare variant [...]

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 70yo female with bipolar disorder and type 2 DM on metformin presented to the hospital with altered mental status, nausea/vomiting and diarrhea for 3 days. Per report the patient had self-administered laxatives and had consumed expired deli meat. On presentation, the patient was obtunded with at blood glucose of <10 and the [...]

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 (