Is this syncope worrisome?
A case of a 58yom with a history of HTN who presented after a syncopal episode at Logan airport after eating sushi with wasabi. He felt faint and diaphoretic and like his throat was closing and then had a brief LOC after which he felt fine again. He had no visible seizure activity. His exam […]
When is a backache not just a backache?
We discussed a 32yom with past IVDU (none in 10 years) and type I diabetes who presented with lumbar back pain radiating down his left leg for 2 months and worse for the last few days, to the point where he couldn’t sit or lay down comfortably. He had a history of an untreated +PPD, […]
Abbreviation Monday – HHS and KPD
We discussed a case of a 58 yo M who presents with altered mental status who was found to have HHS, with a glucose of 1018. His presentation is consistent with a subset of Type-II DM, known as Ketosis-Prone Diabetes (KPD). This subset often occurs later in life and a presentation of HHS/DKA can be […]
2 Cases of Pleural Effusion
Today we discussed 2 interesting cases of pleural effusions. 1) 56 yo Haitian man presented with DOE, LE edema and large right-sided pleural effusion. Thoracentesis showed a transudative effusion. His final diagnosis was systolic heart failure. Don’t forget, heart failure is known to lead to unilateral effusions on the right. No one knows why, it […]
What’s smelling?
69 yo M with PMH of HTN, GERD presented with malaise, decreased appetite and PO intake, generalized weakness, HA, subjective fevers/chills and hyperosmia for the preceding 3-4 days. On admission, was found to be volume deplete and with the working diagnosis of a ?viral syndrome was admitted for further work up. On HD#2, he develops […]
Septic Arthritis
51 year old male with history of alcohol abuse and bilateral previous knee surgeries presented with sudden onset right knee pain of 2 days duration and fever for two days. No known trauma. Patient febrile to 100.6 in PCP’s office. On arrival to hospital knee exam shows erythema, warmth, suprapatellar edema, knee effusion, pain with […]
28 year old female with Quorn Allergy
28 year old female presents with complaint of shortness of breath and rash. She reports that one hour prior to presentation she developed a rash on her inner thighs, so she took benadryl with no relief of symptoms. About 30 mins later she developed shortness of breath and wheezing. She reports that one hour prior […]
Rare complication of a common disease
Today’s case discussion was of a 42 yo M who presented multiple times to the ED for evaluation of persistent L thigh pain and swelling. It started acutely while he was walking on a treadmill about 2 mos ago and has been constant since then. Reports subjective fevers. Due to the severity of the pain, […]
Cerebral Vasculitis
Cerebral Vasculitis Review ARTHRITIS & RHEUMATISM Vol. 40, No. 7, July 1997, pp 1189-1201
Unilateral recurrent pleural effusion
Today we discussed a 54 yo M p/w gradually worsening dyspnea on exertion, pleuritic chest pain and cough which is intermittently productive of greenish sputum. Denies fevers/ hemoptysis/ wt loss. Similar symptoms a month ago when he was admitted to a hospital in Cape Verde he was found to have right sided pleural effusion-> 1L of […]