Case Presentation: The patient was a 54yo male with history of alcoholic cirrhosis, CKD, and depression who originally presented to the hospital for a fall, L orbital fracture, and also developed rhabdomyolysis. His hospitalization was complicated by an NSTEMI and he underwent cardiac catheterization with PCI of an anomalous circumflex artery and placement of an [...]

Case Presentation: A 47 year old female with a history of depression and remote Roux-en-Y gastric bypass surgery, presented for an elective laparoscopic gastrectomy due to hypertrophic pyloric stenosis causing complete gastric remnant outlet obstruction. Her home medications included duloxetine, pantoprazole and alprazolam. Vital signs on admission revealed blood pressure 147/83 mm Hg, pulse 80 [...]

Case Presentation: A 38-year-old female presented to the emergency department with profuse vomiting, fever, chills, lightheadedness, dizziness, and the inability to tolerate oral intake. She had been in her usual state of health until two hours after returning from a doctor’s appointment where she received methylene blue intravenously. Past history included hypothyroidism, postural orthostatic tachycardia [...]

Case Presentation: A 66-year-old man with history of atrial fibrillation, heart failure, hepatocellular carcinoma (HCC), bipolar disorder, and gout presented with lightheadedness and a syncopal episode with tremulousness and confusion. His reported medications included apixaban, carvedilol, risperidone, and allopurinol. Vitals were notable for tachycardia but otherwise normal. Physical exam was notable for irregularly irregular heart [...]

Case Presentation: The clinical signs of acute drug reaction are almost always none specific and rarely pathognomonic. We present a case of 15 years old male who after starting amitriptyline developed serotonin syndrome with marked neuroexcitatory, autonomic hyperactivity and acute encephalopathy. A 15-year-old male with recent below knee amputation (BKA) from a trauma requiring blood [...]

Case Presentation: Serotonin syndrome is a potentially life-threatening condition associated with increased serotonergic activity in the central nervous system. Clinical manifestations of serotonin syndrome range from barely perceptible to lethal, and the symptoms can overlap with other clinical entities. Here we presented a case with a challenging diagnosis.Our patient is a 44yo woman with a [...]

Case Presentation: A 74-year-old male with a known history of hypertension, chronic kidney disease, and depression presented with 5 days of upper abdominal pain that radiated to the left chest and frequent muscle spasms. He was evaluated in the emergency department for right upper quadrant abdominal pain. Due to concerns for cholecystitis, point-of-care ultrasound was [...]

Case Presentation: The patient is a 66-year-old female with a past medical history of asthma-COPD overlap (ACO) with recent exacerbation who presented with sudden-onset severe dyspnea. Patient was intubated for ACO exacerbation three weeks prior to admission and was started on heparin for deep vein thrombosis prophylaxis with platelet at 293, 000/microliter. At the rehabilitation [...]

Case Presentation: A 45 year-old male with a history of nephrolithiasis and hypertension presented with acute onset of right-sided flank pain and hematuria. He presented to an outside hospital and underwent workup for suspected nephrolithiasis. Urinalysis was negative for pyuria or leukocyte esterase. Non-contrast CT scan of his abdomen and pelvis was performed and was [...]