Case Presentation: A 76 y.o. Caucasian male with a past medical history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, HTN, and DVT/PE presented to the ED with a chief complaint of sharp, [...]
Case Presentation: A 46-year-old male with a history of type II diabetes mellitus on metformin presented with five days of severe, post-prandial epigastric pain with inability to tolerate meals. Labs on admission were notable for [...]
Case Presentation: A 38-year-old Asian American male presented with severe non-radiating upper abdominal pain for the previous 18 hours. The pain was exacerbated with deep breathing and movement. He had no significant past medical, surgical, [...]
Background: Choosing Wisely recommends against testing for amylase in the diagnosis and management of acute pancreatitis; however, national CMS data shows over $19 million in charges for amylase laboratory testing per year. Our hospital spent [...]
Case Presentation: We present a case of a 33 year old male with history of alcohol abuse and hypertension who presented with 3 day history epigastric abdominal pain diagnosed to have pancreatitis by CT with [...]
Case Presentation: Patient with prior history of alcohol use presented with abdominal pain, nausea vomiting of 4 days duration. Labs were remarkable for elevated BUN 38 mg/dL, Creatinine 1.9 mg/dL, AST 50 U/L and lipase [...]
Case Presentation: A 29-year-old otherwise healthy male presented to the emergency department with a 1-day history of abdominal pain radiating to his back and associated with nausea and nonbilious vomiting. He denied any fever, chills, [...]
Case Presentation: A 61-year-old man presented to the emergency department with acute onset of fevers, myalgias and generalized erythematous rash after taking five weeks of Trimethoprim-sulfamethoxazole (TMP-SMX) for acute prostatitis. Vital signs were notable for [...]
Case Presentation: A 24 year-old man presented with one day of mid-epigastric abdominal pain with radiation to his back. He reported an episode of binge drinking the night before. On admission, pulse was 107, blood [...]