Case Presentation: Euglycemic diabetic ketoacidosis (euDKA) is increasingly recognized in the perioperative setting in patients with diabetes who are treated with sodium-glucose cotransporter-2 inhibitors (SGLT-2i). Here, we describe a rare case of a patient with prediabetes not on pharmacotherapy who developed euglycemic ketoacidosis postoperatively.A 71-year-old man with history of prediabetes (A1c 5.8%), hypertension, and childhood [...]

Case Presentation: A 67-year-old male with a history of hypertension, asthma, and ulcerative colitis status post-colectomy presented to the Emergency Department (ED) with a month-long history of malaise, cough, shortness of breath, and subjective fevers. Despite multiple visits to urgent care, where he received antibiotics and steroids, his symptoms persisted. On ED arrival, the patient [...]

Case Presentation: A 46-year-old woman experienced difficulty swallowing while drinking coffee in the evening of her visit. Shortly afterward, she developed rapid swelling in the left neck region, accompanied by syncope, and was transported to a local hospital for emergency care. Blood tests and electrocardiography showed no abnormalities. However, a CT scan revealed swelling of [...]

Case Presentation: A 59-year-old man with well-controlled HIV and treated hepatitis C presented with polyarthralgia and rash. He noticed that his right arm, left wrist, first toe and knee were painful and erythematous. He reported one day of nausea and vomiting but had no respiratory, urinary, or visual symptoms. He denied recent infections, travel, or [...]

Case Presentation: A 65-year-old male with idiopathic pulmonary fibrosis (IPF) on immunosuppressive therapy, type 2 diabetes, and hypertension presented with fevers, abdominal pain, and generalized weakness. He was also noted to have a 40-pound weight loss over two months. He was recently admitted the month prior for mastoiditis and again two weeks earlier for similar [...]

Case Presentation: A 75-year-old male with a past medical history significant for coronary artery disease, paroxysmal atrial fibrillation on Eliquis, hypertension, and hyperlipidemia presented to the emergency room with complaints of left-sided weakness, more pronounced in the left upper extremity. Physical examination revealed an alert, oriented, and well-appearing gentleman with decreased strength in his left [...]

Case Presentation: A 20 year old female with no past medical history presented for fever. She developed fevers, intermittent rash, polyarthralgias and odynophagia prompting her to present to the ED. She was febrile to 38.1 C and heart rate was 126 beats per minute. A faint erythematous facial rash was noted on physical exam along [...]

Case Presentation: A 56-year-old male with history of opioid and cocaine use disorder without intravenous drug use presented to the emergency room with bilateral lower extremity swelling and shortness of breath for two weeks. A transthoracic echocardiogram was performed which showed an ejection fraction of 45%, grade II diastolic dysfunction, and severe aortic regurgitation. The [...]

Case Presentation: We present the case of a 70-year-old male with a medical history of atrial fibrillation, hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD), admitted for elective radiofrequency ablation for atrial fibrillation. In the immediate postoperative period, the patient became hypotensive, with a blood pressure of 60/40 mmHg, and developed tachycardia, with a heart [...]

Case Presentation: A 23-year-old male with no significant past medical history presented to an urgent care with six days of fevers, chills, and cough. He was diagnosed with influenza B and discharged home with supportive care. His symptoms continued to progress, and he developed pleuritic chest pain. He presented to the emergency department on day [...]