Case Presentation: A 32-year-old healthy female presented with right lower quadrant abdominal pain, hematuria, and easy bruising for four days. She denied prior episodes and family history. On physical exam, she had stable vital signs, gingival bleeding, and hemorrhagic papules on her hands [image 1] and lip. Her labs were significant for: hemoglobin 11 g/dL, [...]

Case Presentation: A 47-year-old male with history of hypertension presented to urgent care with one day of vomiting and bloody diarrhea. Onset of symptoms occurred 30 minutes after consuming raw juice he made at home from a lauki bottle gourd. At urgent care he was pale, ill-appearing, and hypotensive with a blood pressure of 80/36 [...]

Case Presentation: A 49-year-old male with primary sclerosing cholangitis and newly diagnosed locally advanced cholangiocarcinoma was initiated on 5-Fluorouracil (FU) based chemotherapy (FOLFOX) as an outpatient (Figure 1). Within one day of receiving FOLFOX, the patient presented to the ED with acute, intermittent chest pain radiating to his left arm and shortness of breath. Vital [...]

Background: Suicide is the second leading cause of death for adolescents age 15-19 in the United States and ingestion/poisoning hospitalizations continue to rise. In order to better understand this population, we investigated characteristics of adolescent poisoning hospitalizations including patient factors as well as ingestion history. Methods: Retrospective study of adolescent patients (aged 12-18) hospitalized to [...]

Case Presentation: A 57-year-old woman with history of bipolar I disorder treated with risperidone and lithium for over 10 years was sent to the ED for stroke evaluation by her primary care physician due to significant confusion and slurred speech. The patient’s family reported a 3-day history of tremulousness, a week of ataxia with a [...]

Case Presentation: A 66-year-old man with a history of stage IIId melanoma, who received 6 cycles of Nivolumab, presented with anorexia and persistent large-volume diarrhea. Initial workup included a non-elevated white blood cell count of 6.9 k/mm3 and a creatinine of 1.6 mg/dL from baseline creatinine of 0.8 mg/dL. CT imaging of the abdomen showed [...]

Case Presentation: A 53-year-old female with significant history of depression, epilepsy, and osteoporosis is brought to the ED by her husband for suicidal ideation.  She reports that over the last 3 months she has had increasing symptoms of depression, anxiety, and mood swings and for the last 2 weeks has had intermittent thoughts of suicide [...]

Case Presentation: We report a 22 year-old male with no past medical history presented to the emergency department with acute onset of weakness, most pronounced in the lower extremities. The patient was last reported to be in his normal state of health the night prior to presentation in which he consumed approximately six beers. Upon [...]

Case Presentation: A 30 year-old Hispanic male with no past medical history was brought to ER status post fall after sudden onset of muscle weakness in extremities. He experienced mild intermittent muscles cramps and soreness while he was driving a car prior to the onset of the weakness. He had history of similar but lower [...]

Case Presentation: An 89 year old male presented with itchy red rash over the body since two weeks. His past medical history was significant for Rheumatoid Arthritis (RA) managed with 2.5 mg weekly oral Methotrexate and 200mg daily Hydroxychloroquine for RA. Examination revealed multiple annular purpuric lesions with central erosion on lower extremities, upper extremities [...]