Case Presentation: An 80-year-old man presented to the hospital with recurrent falls and generalized weakness over six months. Past medical history was notable for dementia, hypertension, and peripheral polyneuropathy. This was his fifth admission for weakness and falls with elevated CPK concerning for rhabdomyolysis, previously treated with intravenous fluids, physical and occupational therapy, and discharged [...]

Background: Rhabdomyolysis is a condition of rapid muscle breakdown resulting in myalgia, enzyme elevations, electrolyte imbalance. Released heme pigment may lead to tubular obstruction, vasoconstriction, and tubular epithelial cell injury, causing acute kidney injury (AKI) as a severe complication. Especially with predisposing conditions such as volume depletion. Early and aggressive fluid resuscitation is an essential [...]

Case Presentation: A 66 year old man presents with progressive weakness and diffuse myalgias. He has been on antibiotic treatment for an infected iliac artery stent which was removed on recent hospitalization. He was discharged in good condition on IV daptomycin and ceftriaxone. He presented one week after discharge and was found with an acutely [...]

Case Presentation: A 68-year-old Cambodian male with no known past medical history presented to the emergency department after experiencing three days of nausea and vomiting. The patient reported, prior to becoming ill, he went fishing for a couple of hours. Later in the day he consumed undercooked fish. Patient’s vital signs on admission were temperature [...]

Case Presentation: A 65-year-old woman with hepatitis C-induced liver cirrhosis status-post liver transplantation, coronary artery disease and gout, presents with one week of progressive fatigue, weakness, and severe pain in her right leg and left shoulder. She was on atorvastatin for cardiac disease and had recently started Ledipasvir/Sofosbuvir for hepatitis C two months prior. She [...]

Case Presentation: A 71 year old female with past medical history of DM2, HTN, and CKD presented with weakness and body aches, progressing to inability to ambulate. Home medications included insulin, valsartan, and rosuvastatin. She was found to have a creatinine of 7.99 mg/dL from a baseline of 2 mg/dL. She was also found to [...]

Case Presentation: A 58-year-old man with history of heavy tobacco use, presented to the emergency department with intermittent watery nonbloody diarrhea for 4 days, associated with worsening confusion and decreased urine output. He denied recent traveling or sick contacts. On examination he was found to be febrile (102.6F), hypertensive, tachycardic (102bpm) and tachypneic (22rpm) and [...]

Case Presentation: A previously healthy 43-year-old AAM presented with weakness and dyspnea for 6 hours. Patient suddenly developed dull neck pain while resting at home. Hours later the pain progressed to weakness and aching in all extremities, trunk, and abdomen. He woke gasping for air secondary to chest tightness and noted having dark brown urine. [...]

Case Presentation: An 87-year-old female with a history significant for hyperlipidemia on high-intensity atorvastatin for 6 months, multinodular goiter, Raynaud’s disease, spinal stenosis with peripheral neuropathy presents with 3 days of decreased appetite and bilateral lower extremity pain. Her COVID RT-PCR screen was positive, but the patient denied cough, shortness of breath, fever, or diarrhea. [...]

Case Presentation: A 72 y/o African American male with PMHx of HTN, IDDM, CAD, ESLD 2/2 Hepatitis C in remission with portal hypertension and hepatocellular carcinoma s/p radioembolization presented after a fall at home. He had generalized weakness for 3 weeks with worsening over last 3 days. His ROS significant for diarrhea from lactulose and [...]