Case Presentation: A 67-year-old male with a history of Graves’ disease, paroxysmal atrial fibrillation status post cardiac ablation not on anticoagulation, and chronic ibuprofen use presented to the emergency department with progressive dizziness, fatigue. He noted 10 days of black stools. Additionally, patient’s wife reported he had confusion that started yesterday. Patient presented stable on [...]

Case Presentation: Intracranial subdural hematoma (ISH) is a rare and fatal complication of spinal anesthesia (SA); therefore a high index of suspicion for ISH should be considered when a case of suspected postdural puncture headache (PDPH) does not improve with conservative management. A 36-year-old female presented to the emergency room complaining of worsening headache of [...]

Background: Gastric Point-of-Care Ultrasound (POCUS), has been validated for perioperative pulmonary aspiration risk reduction, but data on medical inpatients is lacking (1). Inpatients often have multiple risk factors for delayed gastric emptying, but may need urgent surgery or procedures. According to the American Society of Anesthesiologists (ASA), a fasting period of 2, 6, and 8 [...]

Case Presentation: A 27-year-old woman with no significant medical history presented with a two-month history of headache, neck stiffness, nausea, vomiting, photophobia, back pain, and fever. Two months prior, she underwent liposuction and a Brazilian Butt Lift. Examination showed nuchal rigidity and lumbar tenderness. Labs revealed elevated ESR (24 mm/hr) and CRP (31.9 mg/dL), with [...]