Case Presentation: An 82-year-old woman with a history of cirrhosis (unknown underlying etiology) and intermittent travel to Mexico presented to the emergency room with two weeks of abdominal pain, which included two episodes of hematemesis. She appeared thin, with low muscle mass, and her abdominal examination revealed distension, tenderness, ascites, and a fluid wave. Vitals [...]

Case Presentation: A 33 year old female with reported history of recurrent ‘ear infections’ presented with acute ischemia of bilateral digits of her hands and feet after one month of bilateral hand and foot paraesthesia. Labs on admission showed white blood cell count 11.08 K/uL, hemoglobin 12.5 g/dL, platelet count 622 K/uL, ESR 107 mm/hr, [...]

Case Presentation: A 26-year-old female with a past medical history of idiopathic thrombocytopenic purpura (ITP) presented to the hospital with a two-month history of progressive abdominal distension and nausea. On physical examination, she had decreased breath sounds at the bilateral lung bases and massive ascites. Laboratory tests revealed normocytic anemia, mild hyponatremia, slightly elevated creatinine [...]

Case Presentation: A 35-year-old male with a history of HIV (on Biktarvy), Kaposi sarcoma s/p chemotherapy, hypertension, and tobacco use presented to the ER with a syncopal episode. The patient reported sharp chest and abdominal pain, shortness of breath, fever, chills, tremors, and bloody stools over the past week. On admission, his vital signs revealed [...]

Case Presentation: We present the case of a 59-year-old African American female with no past medical history who presented with 6 weeks of progressively worsening fatigue, weakness, poor oral intake, and noticeable unintentional weight loss. Physical exam revealed 3 out of 5 muscle strength of all extremities and hyperpigmentation of the hands and feet bilaterally. [...]

Case Presentation: A 77-year-old man with a history of coronary artery disease and prior coronary artery bypass surgery presented with a five-day history of fever and shortness of breath. On examination, he had a temperature of 101.8°F, heart rate of 131 bpm, respiratory rate of 44, and oxygen saturation of 96% on room air. Laboratory [...]

Case Presentation: IntroductionSudden cardiac arrest (SCA) remains a major cause of morbidity and mortality, particularly in elderly patients with multiple comorbidities. We present a case of an elderly patient who developed pulseless electrical activity (PEA) shortly after receiving haloperidol, without preceding changes in telemetry readings.Case PresentationA 78-year-old man presented to the emergency department after a [...]

Case Presentation: A 42-year-old male with HIV (CD4 79, Viral Load >1.35 Million) presented to the hospital with altered mental status, fever, tachycardia, axillary lymphadenopathy and cachexia. Initial work-up revealed profound anemia with a hemoglobin of 3.0 and no identifiable source of bleeding. Infectious screen was positive for norovirus and Enteropathogenic E. coli gastroenteritis, and [...]

Case Presentation: A 51-year-old male presented to the Emergency Department (ED) after referral by ophthalmology for blurry vision. Three months prior to presentation, he was admitted after seeing ophthalmology for bilateral blurry vision and right eye scotoma. During that hospitalization, with a past medical history of atrial fibrillation without anticoagulation, his symptoms were attributed to [...]

Case Presentation: 71M with PMHx of pAfib on Eliquis, HTN, and CKD3a admitted to MICU as transfer for AHRF with severe pulmonary HTN s/p intubation, pressor support, NGT placement during planned TEE cardioversion for persistent Afib. On arrival active upper GIB was present through his NGT and emergent EGD revealed large distal esophageal mass; cytology [...]