A Confusing Case of Confusion

Case Presentation: A 19‐year‐old African American man was “not acting right,” so he was brought to the emergency room (ER) by his mother. Last year, he was treated for syphilis and diagnosed with HIV but [...]

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The A,b(19) and Cs of Acute Renal Failure

Case Presentation: A 48‐year‐old man was referred from the clinic with worsening acute renal failure. He reported nausea without emesis but no other symptoms. His creatinine was 8.3 mg/dL (increased from his baseline of 1.4 mg/dL 12 [...]

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Hyperdense Middle Cerebral Artery Sign (Hmcas)—an Early Sign of Ischemic Stroke

Case Presentation: A 70‐year‐old right‐handed white man with a medical history significant for but not limited to coronary artery disease and hypertension presented to the emergency department with acute left‐sided hemiplegia, facial droop, and slurred [...]

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Think Zebras: Late Stage of Churg–Strauss Syndrome

Case Presentation: A 61‐year‐old woman presented to the emergency department with a painful, nonpruritic rash over the palms of the hands, elbows, face, and behind the ears for 1 week. Associated symptoms included weakness and [...]

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Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations

Case Presentation: A 70‐year old woman had 2 episodes of intracranial bleed over 6 months and was referred to hematology to rule out bleeding diathesis. Neurological exam showed a mild right‐sided facial palsy. Blood pressure, [...]

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Celiac Curveball

Case Presentation: A 47‐year‐old woman presented with a 2‐day history of lower back pain and acute onset of abdominal pain that was associated with an episode of nausea and emesis. She was afebrile with elevated [...]

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A Rare Diagnosis for a Commonly Encountered Problem

Case Presentation: A 36‐year‐old man presented with 6 weeks of abdominal pain, bloody stools, and fatigue. Pain was described as dull, 6 of 10 in intensity, nonradiating, in bilateral upper quadrants and epigastrium, lasting minutes [...]

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An Eye for a Life

Case Presentation: A 60‐year old woman with type 2 diabetes mellitus presented with a 1‐week history of worsening left eye pain, redness, and gradual vision loss following a recent outside hospitalization. She also complained of [...]

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The Catatonic Stuporous Child: A Severe Case of Anti–Nmda Receptor Encephalitis

Case Presentation: A former 27‐week‐gestation Hispanic male aged 2 years and 9 months with a history of grade 2 intraven‐tricular hemorrhage in the neonatal period presented with sub‐acute onset of ataxia, difficulty with hand coordination, [...]

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Villaret's Syndrome from Skull Base Aspergillosis in a Diabetic Man: A Case Report

Case Presentation: A 72‐year‐old Dominican man with history of diabetes, hypertension, dementia, chronic renal insufficiency, epilepsy, cholesteatoma, and smoking presented for generalized weakness, confusion, otorrhea, otalgia, progressive hoarseness, and weight loss of 11 kg over 2 [...]

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Colonoscopy‐Induced Pancreatitis

Case Presentation: A 59‐year‐old man with a history of cirrhosis, hepatitis C, diabetes mellitus, and hypertension was admitted with melena. Home medications were lisinopril and metformin. Vital signs were normal, and physical exam revealed coffee‐ground [...]

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A Mortal Case of Moonshine

Case Presentation: A 50‐year‐old male painter with a history of depression presented to the emergency room with altered mental status. His wife stated he had been acting strangely the night prior to admission and was [...]

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A Case of Megacolon: An Adult Presentation of Hirschsprung's Disease?

Case Presentation: C.M. is a 38‐year‐old man who presented to the hospital with severe abdominal distention that developed over 1 month. Four days prior to admission, he had some diarrhea. Past medical history included constipation [...]

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Blame It on the Birds: An Unusual Cause of Dyspnea in a Young Woman

Case Presentation: A 26‐year‐old woman with a medical history of asthma presented to the emergency department with a 3‐day history of nonproductive cough, dyspnea on exertion, diaphoresis, and right‐sided chest pain. She also noted an [...]

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Impact of Targeted Individual Feedback on Provider Patterns of Stat Laboratory Test Ordering Frequency

Background: The literature suggests that stat laboratory tests are frequently ordered inappropriately by physicians. In fact, up to 65% of laboratory tests are ordered as stat in teaching hospitals. Previous studies also suggest that reporting [...]

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