Case Presentation: A 61-year-old African American man with no significant medical history came to medical attention in December 2016 with severe post prandial bloating and vomiting for 2 months. On admission, vital signs and physical examination were unremarkable. The following laboratory tests were normal or negative: blood urea nitrogen, serum creatinine, bilirubin, alanine aminotransferase, aspartate [...]

Case Presentation: A 54-year-old man presented with confusion, vomiting, and weakness. En route to hospital he received dextrose for a glucose of 40. Admitted to the ICU for severe metabolic acidosis. Past medical history included type 2 diabetes, depression and PTSD. Aside from tachycardia, smell of alcohol, and bilateral hand tremor, initial physical exam was [...]

Ehlers-Danlos syndrome (EDS) is a group of relatively rare genetic disorders of connective tissue with EDS hypermobility type 3 being by far the most common. This disease has many complications, some of which may be easily overlooked. I report a case of nausea, vomiting, and diarrhea with gastroparesis in a patient with EDS that was [...]

Case Presentation: A 82 year old Caucasian male with history of long standing well controlled diabetes mellitus type 2 since 2010, gastroparesis, and GERD presented to the ED with 2 episodes of “dark, tarry” stools for 1 day onset with resolution. On review of systems, the patient endorsed 32 pound weight loss over 6 months, [...]

Case Presentation: Patient is a 47-year-old female with a past medical history of uncontrolled type 2 diabetes, hypertension, and stage 3 chronic kidney disease. She was admitted to the hospital on 10/14/22 with intractable nausea/vomiting (N/V) and diarrhea. She had been in and out of the hospital for the past few months with these symptoms. [...]

Case Presentation: A 56-year-old woman with a history of gastric bypass surgery six years prior, vitamin B12 deficiency, latent TB, and recent bilateral granulomatous panuveitis of unclear etiology one year prior (treated empirically with TMP/SMX for possible toxoplasmosis) presented to the hospital with falls at home. On further history, she endorsed four months of gradually [...]

Case Presentation: A 69 year old male patient who at baseline was fully functional, presented with new-onset, progressive left lower extremity (LLE) weakness for 8 days. Patient’s weakness began with difficulty sitting to standing and progressed to inability to climb stairs, requiring a cane and then wheelchair in a span of 5 days. He had [...]

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 [...]