Case Presentation: Mr. O is a 28 year old Navy cadet with no significant past medical history who presented to the Emergency Department with three days of malaise, nausea, polyuria, and polydipsia in the setting of recent steroids for a new rash. On presentation, Mr. O’s glucose returned at 624 mg/dL, pH was 7.28 and [...]

Case Presentation: A 34 year-old female without medical history who had an uncomplicated vaginal delivery 3 months prior presented with acute onset right upper quadrant abdominal pain and several episodes of emesis. The patient took no prescription medications; however, she had been taking fenugreek for the past 6-8 weeks to enhance her milk production in [...]

Case Presentation: This is a 38 year old male with a past medical history of hypertension, hyperlipidemia, bipolar disorder and alcohol abuse who was brought to the emergency room after he collapsed on the subway in May 2018. Several days prior to this episode, he reported cyclical fevers to a maximum of 102F, myalgias and [...]

Case Presentation: A 70-year-old woman was admitted to our medical center with a 2-month history of abdominal discomfort, anorexia and fatigue. Past medical history was notable for hyperlipidemia. Five weeks prior to admission, the patient presented to her primary provider with similar complaints and was found to have significantly elevated liver enzymes, as shown in [...]

Case Presentation: A 24 year old pregnant woman presented at 32w1d with three days of fevers, chills and fatigue. Her pregnancy had been complicated by asthma, obesity, pyelonephritis, and a recent gonorrhea infection. Her vital signs on presentation revealed a temperature of 39.5°C, heart rate of 150, blood pressure of 101/67, respiratory rate of 44, [...]

Case Presentation: A 22-year-old female with a history of biopsy-proven eosinophilic esophagitis, gastroparesis, multiple food allergies, and intermittent amenorrhea presented to the emergency room with weakness and lightheadedness. In the past month she experienced a 15lb weight loss, early satiety, and increasing fatigue. She was being followed outpatient by a gastroenterologist for several months of [...]

Case Presentation: Immune checkpoint inhibitors have evolved into the conventional therapy regimen for many cancer types. The major categories of immune checkpoint inhibitors include monoclonal antibodies against cytotoxic T lymphocyte antigen (CTLA-4), programmed cell death protein-1 (PD-1) and programmed cell death ligand molecules (PD-L1). Pembrolizumab has been implicated in causing hepatitis Discussion: An 89-year-old Caucasian [...]

Case Presentation: Patient is a 96 year-old male with significant medical history of hypertension, hyperlipidemia, hypothyroidism, prior left thalamic and internal capsule stroke, shingles, and bilateral blindness who resides in a skilled facility presenting with unsteady gait and garbled speech. Patient presented to an outside hospital on 10/3/2024 for aphasia, dysphagia and right-sided weakness, in [...]