Background: Elevated blood pressure (BP) is common among hospitalized patients, with prevalence estimates between 50-70%. Many factors may contribute to this, such as pain, nausea, anxiety, or volume overload. However, true hypertensive emergency requiring rapid reduction in BP is relatively rare. The easy availability of intravenous (IV) antihypertensives may lead to unnecessary treatment of asymptomatic [...]

Case Presentation: Hypotension in the hospital setting is a common finding with a broad differential diagnosis.  The workup includes evaluation for cardiac and infectious etiologies, among others.  We present an infrequent cause of hypotension to demonstrate the importance of manually measuring blood pressure.  A 62 year-old woman with impaired fasting glucose and hyperlipidemia was admitted [...]

Case Presentation: A 61 year old female with history of metastatic breast carcinoma presented to the hospital for an elective vertebral cryoablation and kyphoplasty to treat her painful bony metastasis. She has known vertebral lytic lesions in addition to a suspected right adrenal involvement. On the first day, cryoablation was performed uneventfully under general anesthesia. [...]

Case Presentation: A 7-week-old male was admitted to a children’s hospital by his pediatrician due to “failure to thrive” (FTT). He was born full-term, passed his critical congenital heart disease (CHD) screening, and had normal newborn screens. He was exclusively breastfed and regained birthweight by 9 days of age. Over the subsequent weeks, his parents [...]

Case Presentation: A 63-year-old man with history of recurrent syncope and atrial fibrillation (AF) on warfarin presented to our hospital with headache. Within the last year, he had suffered several falls due to syncope, which resulted in serious injuries, including jaw fracture and subdural hematomas (SDH). He used alcohol and marijuana daily. Previous workup for [...]