Case Presentation: An 80-year-old gentleman with a past medical history of type 2 diabetes mellitus and stage III chronic kidney disease (baseline creatinine 1.2-1.4 mg/dL) presented to the emergency department with generalized weakness, falls, unintentional weight loss, and constipation. Labs were significant for hypercalcemia (13.2 mg/dL), elevated creatinine (1.96 mg/dL), suppressed intact PTH (10 pg/mL), [...]

Case Presentation: A 44-year-old man with multiple myeloma and cardiac amyloidosis on chemotherapy, and atrial fibrillation on apixaban, presented with three days of worsening shortness of breath and edema. He was admitted to the emergency room observation unit for treatment of a mild heart failure exacerbation. He was noted on admission to have rapidly developed [...]

Background: Necrotizing fasciitis, a severe bacterial infection, poses significant health challenges with varied outcomes across different demographic groups. This study examines the gender and racial disparities in the incidence of complications, length of hospital stay, and healthcare costs associated with necrotizing fasciitis, focusing on key outcomes such as mortality, hemodialysis, hospital length of stay, and [...]

Case Presentation: A 56-year-old African American male with hyperlipidemia on a statin presented with two days of generalized abdominal pain, malaise, and weakness. Physical exam was unremarkable. Initial labs were notable for WBCs of 22.7 X103/ml, creatinine phosphokinase (CPK) of 28,992 U/L, BUN/Cr of 82/2.02, and AST of 957 U/L. Urine dipstick was positive for [...]

Case Presentation: : A 60-year-old male with history of emphysema was admitted to the hospital because of   worsening dyspnea, cough with yellow sputum production, fever and night sweats.The patient was hospitalized 9 days before this admission and was treated with levofloxacin and methylprednisone for acute exacerbation of COPD. Of note patient had a CT of [...]

Case Presentation: A 61-year male presents with complaints of a cough and progressive dyspnea for over a week. Pertinent history included a Tuberculosis (TB) infection over thirty years ago with an unclear treatment course. Social history was positive for a 40 pack-year smoking history. On presentation, he was tachycardic, hypoxic and tachypneic. Physical exam was [...]

Case Presentation: A 36-year-old male with a PMH of alcohol use disorder, recurrent pancreatitis, cholecystectomy, diabetes mellitus type 2, and hyperlipidemia presented to the emergency room for severe epigastric abdominal pain, nausea, and vomiting for 2 days in the setting of heavy alcohol use prior to admission. Vital signs on admission were notable for hypertension. [...]

Case Presentation: A 55-year-old male with history of bilateral degenerative hip joint disease presented for worsening serosanguinous drainage from his wounds one week after bilateral hip replacement. He further developed diaphoresis and chills and received cephalexin at an outside hospital from where he was later discharged. He did not have improvement from antibiotics and his [...]

Case Presentation: A 28-year old healthy female was admitted seven days post-operatively following Cesarean section for abdominal wound complications. On admission, she was septic; her scar was tender and erythematous with surrounding purple discoloration. Within a few hours, the edges of her scar turned dusky, extending well outside the originally marked boundaries. Aggressive debridement of [...]

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 [...]