Axial Gouty Arthropathy Causing Cord Compression

Case Presentation: A 50‐year‐old man with a history of hypertension and gout presented with 2 weeks of bilateral lower‐extremity weakness and generalized fatigue. He was diagnosed 10 years ago with gout, initially controlled with antihyperuricemic [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Axial Gouty Arthropathy Causing Cord Compression

Vancomycin‐Induced Acute Interstitial Nephritis

Case Presentation: A 60‐year‐old man with type 2 diabetes and hypertension was admitted for low‐grade fever and worsening rash. The patient was on intravenous vancomycin (1 g daily) for 4 weeks for right knee joint methicillin‐resistant [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Vancomycin‐Induced Acute Interstitial Nephritis

A Convincing Case of Nitrofurantoin‐Induced Systemic Inflammation Response Syndrome

Case Presentation: A 79‐year‐old woman with a history of recurrent urinary tract infections (UTIs) presented with a 1‐week history of fever, chills, nausea, vomiting, and abdominal discomfort. She was treated 3 days prior by her [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on A Convincing Case of Nitrofurantoin‐Induced Systemic Inflammation Response Syndrome

Sarcoidosis and Cryptococcal Infection: A Rare Clinical Association

Case Presentation: A 42‐year‐old African American woman presented to the hospital with a 1 week history of nasal congestion, sore throat, and fever of 38.8°C. Over 12 hours, she developed acute headache, photophobia, and neck [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Sarcoidosis and Cryptococcal Infection: A Rare Clinical Association

Rap on Rapamune: Pulmonary Alveolar Hemorrhage Mimicking Infection in a Renal Transplant Patient

Case Presentation: A 50‐year‐old renal transplant patient presented to the emergency room with mild respiratory symptoms. Medications included sirolimus, cyclosporine, and prednisone. Vital signs were temperature 37.9°C, pulse 98/minute, blood pressure 109/64 mm Hg, respiratory rate [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Rap on Rapamune: Pulmonary Alveolar Hemorrhage Mimicking Infection in a Renal Transplant Patient

Recurrent Syncope: A Plethora of Causes

Case Presentation: A 69‐year old man with a history of congestive heart failure was admitted for recurrent syncope. He initially presented with 4 months of progressive dyspnea on exertion and facial swelling. Subsequently, he developed [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Recurrent Syncope: A Plethora of Causes

Ovarian Hyperstimulation—too Much of a Good Thing?

Case Presentation: Ovarian hyperstimulation syndrome (OHSS) is a complication of exogenous gonadotropin stimulation, used in infertility cases. Most cases are mild and self‐limited, but occasionally they can become severe and require hospitalization. A 31‐year‐old woman [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Ovarian Hyperstimulation—too Much of a Good Thing?

Smelling a Rat: Supratherapeutic INR in a Patient Not Taking Warfarin

Case Presentation: A 39‐year‐old pharmacy technician was referred by her local physician for continued outpatient evaluation of bruising, epistaxis, and diarrhea. These conditions had been present for 3 months. She had been on disability leave [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Smelling a Rat: Supratherapeutic INR in a Patient Not Taking Warfarin

Intradermal Malignant Melanoma: The Great Enigma

Case Presentation: A 31‐year‐old woman who was 8 weeks pregnant presented to her obstetrician for an initial prenatal examination. On physical exam, a firm, fixated 4 × 5 cm mass was palpated in the midline of [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Intradermal Malignant Melanoma: The Great Enigma

A Tree Leading to the Root Cause of Encephalopathy

Case Presentation: A 50‐year‐old woman presented with acute‐onset confusion and seizure‐like episodes. She had experienced recent fatigue, generalized weakness, dyspnea on exertion, and ataxia for several days. She did not drink alcohol or use illicit [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on A Tree Leading to the Root Cause of Encephalopathy

Reversible Man‐in‐the‐Barrel Syndrome from Septic Shock

Case Presentation: A 66‐year‐old woman presented with pneumonia, severe sepsis, acute respiratory failure requiring mechanical ventilation, acute kidney injury, and disseminated intravascular coagulation. Her medical history included diabetes and hypertension. Her temperature was 103.9°F, blood [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Reversible Man‐in‐the‐Barrel Syndrome from Septic Shock

Vancomycin‐Induced Vasculitis

Case Presentation: The patient is a 61‐year‐old woman with a medical history of hypertension, non–small cell lung cancer which was resected 6 weeks prior to admission, coronary disease, and previous cecal ulcer and polyps. She [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Vancomycin‐Induced Vasculitis

Hantavirus Pulmonary Syndrome Acquired in New York State

Case Presentation: A healthy 44‐year‐old man presented with a 4 day history of myalgia, cough, fever, and dyspnea after a hiking expedition. Two weeks prior to admission he had traveled to the Catskill Mountains, sleeping [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Hantavirus Pulmonary Syndrome Acquired in New York State

Facial and Scrotal Swelling in a 40‐Year‐Old Man

Case Presentation: A 40‐year‐old white man presented with a chief complaint of fevers and lip and scrotal swelling. Two weeks prior, he had chills and sore throat, followed by right submandibular and cheek swelling and [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Facial and Scrotal Swelling in a 40‐Year‐Old Man

Multifaceted Approach to Improving the Inpatient Management of Infants with Hyperbilirubinemia

Background: Neonatal jaundice is a common condition that can result in devastating consequences if not treated aggressively. Despite evidence‐based guidelines for monitoring and treating hyperbilirubinemia, variation in care persists that can result in suboptimal outcomes. [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Multifaceted Approach to Improving the Inpatient Management of Infants with Hyperbilirubinemia