‘roids for the Rage

Case Presentation: A 41 year-old African-American woman with recently diagnosed pericarditis presented actively seizing with fixed gaze deviation to the right. When levetiracetam and lorazepam did not break seizure activity, she required sedation with propofol [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on ‘roids for the Rage

‘sprue-Cing’ Up the Evaluation of Chronic Diarrhea: Let’s Look at the Medication List

770,000 people are admitted due to adverse drug events annually, with an annual cost of 5.6 around million dollars per hospital, making the patient’s medication list an object of scrutiny. Olmesartan is an angiotensin receptor [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on ‘sprue-Cing’ Up the Evaluation of Chronic Diarrhea: Let’s Look at the Medication List

“An Adrenaline Filled Icu”: Use of Continuous Intravenous Epinephrine Among Asthmatics in a Critical Care Setting to Prevent Chronic Illness Myopathy

Case Presentation: A 45-year old female smoker with a history of asthma presented to our institution with an acute episode of dyspnea after being outdoors. On arrival, she was noted to be hemodynamically stable with [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “An Adrenaline Filled Icu”: Use of Continuous Intravenous Epinephrine Among Asthmatics in a Critical Care Setting to Prevent Chronic Illness Myopathy

“Chemotherapy Induced Chest Pain”: Coronary Vasospasm Secondary to 5-Fluorouracil

Case Presentation: A 71-year old female with known stage 3-colon cancer post resection, presented to our neighboring hospital with intermittent pleuritic chest pain radiating to her back. She was started on chemotherapy with 5-fluorouracil (5-FU) [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “Chemotherapy Induced Chest Pain”: Coronary Vasospasm Secondary to 5-Fluorouracil

“Hashimoto’s Heart”: Cardiac Tamponade As Presenting Symptom in Patient with Severe Hypothyroidism

Case Presentation: A 52 y.o with a past medical history of uncontrolled, untreated hypertension presented to our hospital with a 3 week history of progressively worsening lower extremity edema and shortness of breath. Review of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “Hashimoto’s Heart”: Cardiac Tamponade As Presenting Symptom in Patient with Severe Hypothyroidism

“Ion Membrane Channelopathies: A Connected Gateway”: Brugada Pattern in a Patient with Underlying Charcot Marie Tooth Syndrome

Case Presentation: A 52-year old male with a past medical history of Charcot Marie-Tooth disease presented to our facility for evaluation of acute dyspnea. He presented for respiratory distress, mentioning progressive generalized weakness and symptoms [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “Ion Membrane Channelopathies: A Connected Gateway”: Brugada Pattern in a Patient with Underlying Charcot Marie Tooth Syndrome

“Sweet” Response to Steroids

Case Presentation: A 44 year old man presented with three days of severe reflux, fever, non-bloody diarrhea and a progressive red right lower extremity rash.  His past medical history was significant for gastroesophageal reflux disease [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “Sweet” Response to Steroids

“Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke

Case Presentation: A 39 y/o female with no significant past medical history and long term use of phentermine for weight loss presented to our hospital with complaints of transient right sided weakness and right sided [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke

“Where’s the Inflammation?” a Case of Immune-Mediated Necrotizing Myopathy

Case Presentation: A 42-year-old female with no significant past medical history presented with a 20-day history of myalgias and proximal muscle weakness.  She reported difficulty walking, rising from a chair, brushing her hair, and holding [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “Where’s the Inflammation?” a Case of Immune-Mediated Necrotizing Myopathy

“Fat Burners May Burn the Heart” L-Tryptophan Related Eosinophilia-Myalgia Syndrome (Ems) with Myocarditis: A Case Report Emphasizing the Importance of Detail History About the Use of Dietary Supplements

Case Presentation: 26 year old woman with past medical history of asthma and eczema presented with positional chest pain for 6 days, that was associated with worsening spasm-like pains in her extremities and back for [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “Fat Burners May Burn the Heart” L-Tryptophan Related Eosinophilia-Myalgia Syndrome (Ems) with Myocarditis: A Case Report Emphasizing the Importance of Detail History About the Use of Dietary Supplements

“It’s Not Lupus..Until It’s Lupus!” ~ Acute Disseminated Lupus Presenting As Sepsis

Case Presentation: A 45 year old AA Male with PMHx of hypertension and ESRD on HD for 10 years with severe (8/10), diffuse epigastric pain associated with nausea, vomiting, high fever and chills for 2 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on “It’s Not Lupus..Until It’s Lupus!” ~ Acute Disseminated Lupus Presenting As Sepsis

19 Year Old Female with Diffuse Alveolar Hemorrhage

Case Presentation: A 19 year old female with systemic lupus erythematosus presented to a community hospital with hemoptysis. Bronchoscopy showed diffuse alveolar hemorrhage. She developed tachycardia and hypoxemic respiratory failure requiring ICU transfer, intubation and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on 19 Year Old Female with Diffuse Alveolar Hemorrhage