Case Presentation: A 40-year-old man with history of hyperlipidemia, type 2 diabetes mellitus, and alcohol-induced liver cirrhosis complicated by portal hypertension, ascites and esophageal varices presented with three weeks of epigastric abdominal pain, nausea, and vomiting. The Physical Exam was unremarkable. Lab results showed elevated Lipase 1854 U/L, Tbili 8.1 mg/dL, Dbili 5.5 mg/dL, ALT [...]

Case Presentation: A 54-year-old man with history of type II diabetes mellitus and hyperlipidemia presented to the Emergency Department with 6 weeks of generalized weakness. On arrival, he was mildly tachycardic but otherwise stable. Physical examination was most notable for diffuse proximal muscle weakness in the bilateral upper and lower extremities. Pertinent laboratory studies showed [...]

Case Presentation: A 56-year-old female with past medical history of systemic lupus erythematosus (SLE) on hydroxychloroquine (HCQ) for 30 years, gastroesophageal reflux disease, autoimmune hepatitis on budesonide, asthma, and fibromyalgia presented to the emergency department (ED) with five days of worsening fatigue, bilateral lower extremity weakness, and pain. One week prior, she experienced nausea, heartburn, [...]

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: A 75-year-old female with a history of mild Lewy body dementia, hypothyroidism, hypertension and cryptogenic cirrhosis presented to the hospital with complaints of jaw pain and right gluteal pain. She had been prescribed a 7-day course of amoxicillin/clavulanate two days prior for a cat bite. Two weeks prior, her furosemide had been increased [...]

Case Presentation: A 21-year-old healthy female presented with diffuse muscle soreness, bilateral thigh pain, and one day of dark colored urine after an intense spin class five days prior. Two days prior, the patient presented to an urgent care clinic and was told that she had blood and protein in her urine likely due to [...]

Case Presentation: An 18-year-old female with no known past medical history presented to the emergency department with hematuria, chills, cough, and body aches lasting approximately one week. On admission, she was afebrile with stable vital signs. Laboratory findings revealed a normal white blood cell count of 6 × 10³/μL, normal creatinine of 0.6 mg/dL, elevated [...]

Case Presentation: A 53-year-old male with no past medical history of seizures, and an otherwise limited medical history aside from a remote stroke, was admitted after witnessed seizure activity. He was loaded with Keppra. However, due to ongoing agitation and airway concerns, he was intubated and sedated with propofol. A CT of his head showed [...]

Case Presentation: Acute Compartment Syndrome (ACS) develops when the tissue pressure within a closed compartment exceeds its perfusion pressure, leading to myoneural ischemia. If sustained, this ischemia can result in irreversible muscle necrosis and nerve damage.We present a case of hypothyroid myxedema leading to recurrent nontraumatic ACS of the lower extremity. A 42-year-old male with [...]