Case Presentation: An 86-year-old male with small bowel carcinoid tumor, complicated by heart disease (CHD), severe tricuspid (TR) and pulmonary regurgitation (PR), right-sided heart failure, atrial fibrillation, and end-stage renal disease on hemodialysis, presented with new-onset dyspnea. His oxygen saturations ranged from 70-88%, improving to 92% with high-flow nasal cannula. Physical exam demonstrated cachexia, pansystolic [...]

Case Presentation: A 43-year-old male with diabetes mellitus type 2 and hypertension, weighing 595 pounds, presented with right leg weakness and 10 falls over the past three months. He recently sustained a left fibular fracture. He sought care at various emergency rooms, however felt dismissed as providers attributed symptoms to his weight and prior injury. [...]

Case Presentation: A 67-year-old male with a history of hypertension, coronary artery disease status post-stent placement in 2017, Parkinson’s disease, and prostate cancer status post-open prostatectomy in 2004, presented after being found unresponsive in a hotel room. A bottle labeled “Super Rush,” a nitrite-containing substance, was found nearby. Emergency Medical Services (EMS) reported initial bradycardia, [...]

Case Presentation: We present the case of a 41-year-old male with a history of latent syphilis and recently diagnosed (about 10 days before admission) human immunodeficiency virus (HIV) and Mpox who presented to the ER with malaise, lethargy, and worsening cutaneous lesions. Clinical exam was notable for widespread skin lesions and purulent drainage from a [...]

Case Presentation: A 79 year-old female with a history of congestive heart failure (CHF) and poorly controlled type two diabetes mellitus (T2DM) presented from sub-acute rehab (SAR) with shortness of breath and bilateral lower extremity edema. In the ED, her vitals were stable except for mild hypoxia requiring 2L of oxygen. Labs revealed elevated B-type [...]

Case Presentation: Patient was a 57-year-old female with medical history of type II diabetes mellitus who presented with intermittent fevers, chills and abdominal pain. Labs were unremarkable except for mild transaminitis. Imaging revealed a right hepatic lobe lesion and moderate right pleural effusion. Blood cultures grew Strep intermedius in ¼ bottles, but repeat cultures were [...]

Case Presentation: A 76-year-old man with a history of epilepsy and prior stroke was admitted to the hospital medicine service for rhabdomyolysis complicated by renal failure requiring hemodialysis. His hospitalization was notable for persistent hypocalcemia requiring aggressive repletion despite hemodialysis, and he was discharged on calcium and vitamin D supplementation with normalization of renal function [...]

Case Presentation: 63-year-old female with medical history significant for idiopathic thrombocytopenia purpura (ITP), requiring splenectomy in 2013, pulmonary embolism requiring IVC filter placement due to ITP and asthma, presented with acute onset of shortness of breath. Patient had diffuse petechial rash on extremities. She was tachypneic, hypoxic and had rales on examination. Initial evaluation with [...]

Case Presentation: A 24-year-old male with a six-year history of systemic lupus erythematosus (SLE) presented to the emergency department with acute, severe left-sided abdominal pain accompanied by nausea and vomiting. His medical history included lupus nephritis, but his disease had been poorly managed due to noncompliance and inadequate follow-up. He denied previous similar episodes.On physical [...]

Case Presentation: A 23-year-old female presented to the ED, 6 days postpartum with weakness, vomiting, and jaundice following a delivery complicated by preeclampsia. On examination, she had scleral icterus, and labs showed hemoglobin of 6 (normal 12.1- 15.1 g/dL), platelets of 8 (normal 150 – 400× 10^9/L), elevated LDH, low haptoglobin, and schistocytes, suggesting hemolysis. Creatinine was [...]