Case Reports
Clinical Review
Adjunctive Treatment for a Nonhealing Pressure Ulcer in a Patient with Spinal Cord Injury
A wound of 12 years' duration finally heals when negative pressure wound therapy and pulsed radio frequency energy supplement traditional wound...
Clinical Review
Supraclavicular Lymphadenopathy Secondary to Smallpox Vaccination
An airman scheduled for deployment presents with a mass highly associated with malignancy. Might it be an adverse reaction to his recent smallpox...
Clinical Review
Diabetic Ketoacidosis as a Presentation of Hemochromatosis
When this patient presented with symptoms of diabetic ketoacidosis, blood tests revealed elevated iron levels associated with a common genetic...
Clinical Review
Vitamin K Supplementation in a Patient Taking Warfarin
This patient's anticoagulation control fluctuated, despite appropriate changes in warfarin therapy, until vitamin K supplementation was added to...
Clinical Review
Syncope from an Unusual Cause: Glossopharyngeal Neuralgia
For this patient, recurrent episodes of severe ear and throat pain progressed to syncopal episodes that interfered with his ability to drive...
Clinical Review
Acute Obstructive Manifestation of a Jejunal Carcinoid
Enteric obstruction is a mechanical or functional impeding of the normal transit of products of digestion. It may involve any level distal to the...
Clinical Review
Mitochondrial Myopathy, Encephalopathy, and Lactic Acidosis with Stroke-like Episodes Syndrome
A presentation of altered mental status, nausea, vomiting, gait difficulty, and a left homonymous hemianopia, in the context of a long history of...
Clinical Review
Tackling Adverse Reactions to Local Anesthetics
This patient wanted to undergo an important procedure that required local anesthesia. With his history of an adverse reaction to such medication,...
Clinical Review
Insulinoma Presenting as an Unusual Cause of Marital Discord
Months before this patient’s near collapse, the metabolic derangements caused by his cancer manifested in his marriage.
Clinical Review
Unusual Complications of Exertional Rhabdomyolysis in a Patient with Sickle-cell Trait
In addition to the more commonly reported complications of renal failure, liver failure, and disseminated intravascular coagulopathy, this young,...