Case Presentation: A previously healthy 19 year-old female presented to the emergency room with complaints of nausea, headaches, polyuria, polydipsia and anorexia for four days. She denied urinary urgency or frequency. Her exam was unremarkable except for a flat affect and slowed speech. She was found to have hyperglycemia to 401mg/dL, elevated beta hydroxybutyrate to [...]

Case Presentation: A 22-year-old African-American man with no medical history presented to the emergency department after an episode of sudden onset palpitations and left sided chest pressure lasting an hour. He endorsed radiation of his discomfort to his jaw and left arm as well as accompanying diaphoresis, shortness of breath and pre-syncope. Physical examination was [...]

Case Presentation: A 59 year-old man presented with one week of progressive pain, swelling, and weakness of the right lower extremity. The pain was most severe in his right thigh, hip, and buttocks. He also developed numbness of the right foot and ankle. He reported no leg trauma, incontinence, or new medications. His past medical [...]