Hydroxocobalamin, an antidote for cyanide toxicity, is known its safety and efficacy. A notable side effect dark red to purple chromaturia, sometimes mimicking hematuria. We report the case of a middle-aged female exposed smoke inhalation following house fire, who was treated on-site by emergency medical services with oxygenation intravenous hydroxocobalamin developed urine shortly after admission. Hematuria, hemolysis, rhabdomyolysis, renal impairment were excluded appropriate workup. The...

Transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by focal brain ischemia, typically lasting less than one hour without acute infarction. Preeclampsia, multisystem hypertensive disorder occurring in pregnancy, significantly heightens the risk stroke, particularly during postpartum period. This case report details 34-year-old Sub-Saharan African woman, gravida 4 para 4, who experienced TIA characterized right-sided weakness and slurred speech 13 days after...

Granular cell tumors (GCTs) are rare soft tissue with a myogenic origin. While GCTs typically arise in the tongue, skin, and subcutaneous tissues, pulmonary involvement (pGCT) remains rare. The most common site case of pGCT is bronchus, followed by trachea lung parenchyma. In this case, we discuss presentation 33-year-old female respiratory distress who was subsequently diagnosed pGCT, her dyspnea resolved after conservative management. Bronchoscopic evaluation biopsy histopathological...

Hypomagnesemia is a common electrolyte abnormality that can cause wide range of neuromuscular symptoms, including muscle weakness, tremor, and tetany. However, it rare isolated lower extremity weakness. We present case 71-year-old female with multiple comorbidities who developed severe bilateral weakness upper tremor in the setting profound hypomagnesemia (serum magnesium level 1.0 mg/dL) after an acute diarrheal illness. The patient's rapidly improved intravenous supplementation. This...

BACKGROUND:This case report is of a patient who presented with loss taste and facial weakness was diagnosed Guillain-Barré syndrome (GBS) Bell's palsy, associated severe acute respiratory coronavirus 2 (SARS-CoV-2) infection. GBS neurological emergency defined as inflammatory demyelinating polyneuropathy. The responded to intravenous immunoglobulin (IVIG) treatment. CASE REPORT:We present the 44-year-old Hispanic man came for evaluation bilateral lack sensation. He had lower motor neuron...

Cerebral air embolism (CAE) is an infrequently reported complication of routine medical procedures. We present two cases CAE. The first patient was a 55-year-old male presenting with vomiting and loss consciousness one day after his hemodialysis session. Physical exam significant for hypotension hypoxia no focal neurologic deficits. Computed tomography (CT) scan head showed gas in cerebral venous circulation. did not undergo any procedures prior to presentation, last session uneventful....

Lung cancer has the highest mortality of all cancers in United States. The incidence lung with metastases to skin varies between 1-12%, seen men. Here, we present two cases presenting as metastasis. first patient was an 80-year-old African American male who presented hospital for evaluation a right upper back mass. A few months prior admission, he found have left mass on CT scan chest, underwent biopsy which showed poorly differentiated SCC lung. He also had carcinoma dermis consistent...

Asthma education programs have been shown to be effective in decreasing health care utilization and improving disease control management. However, there are few studies evaluating the outcomes of group asthma education. The aim this study was assess impact an outpatient adult program inner-city-based hospital caring for underserved population.We conducted a pre- poststudy all patients with who participated two structured sessions led by respiratory therapist, clinical pharmacist,...

Dieulafoy’s lesion (DL) is an unusual cause of recurrent gastrointestinal bleeding that can be fatal. It occur in various parts the (GI) tract, most commonly located stomach, especially at level lesser curvature; however, it other parts, including colon, esophagus, and duodenum. A duodenal Dieulafoy characterized by presence a larger-caliber artery protrudes through GI mucosa lead to massive hemorrhage. The exact DL yet determined. Clinical presentation includes painless upper bleeding,...

As the principal route of marijuana use is by inhalation, potential harmful consequences on pulmonary structure and function can be anticipated. Here, we present a case hemoptysis attributed to smoking cannabis in 38-year-old man. The patient experienced an episode shortness breath immediately after marijuana. Chest radiograph computed tomography (CT) scans chest showed bilateral diffuse ground-glass opacities. A fiber optic bronchoscopy confirmed bleeding from respiratory tract. Additional...

Thrombotic thrombocytopenic purpura (TTP) is a thrombotic microangiopathy (TMA) caused by severely reduced ADAMTS13 or the von Willebrand factor-cleaving protease (VWFCP) enzyme resulting in low platelet and red blood cell counts along with severe renal, cardiac, neurological dysfunction. Plasmapheresis treatment of choice. Mitomycin, widely used chemotherapeutic agent for gastrointestinal (GI) cancers anal breast cancers, has been reported to occasionally cause TTP hemolytic uremic syndrome...

BACKGROUND:Idiopathic inflammatory myopathies are autoimmune disorders that can involve the skin, joints, muscles, and lungs. The most common of these dermatomyositis, polymyositis, overlap syndrome, inclusion body myositis. Necrotizing myopathy is an idiopathic rarely associated with Sjögren's syndrome. lung findings anti-EJ antisynthetase syndrome nonspecific interstitial pneumonia usual pneumonia; this condition fibrinous organizing pneumonia. CASE REPORT:Here, we present a rare case...

Thrombotic thrombocytopenic purpura (TTP) is a rare, life-threatening disorder typically presenting with classic pentad of symptoms: thrombocytopenia, microangiopathic hemolytic anemia, neurological abnormalities, renal dysfunction, and fever. This report explores an unusual presentation TTP in 47-year-old female medical history hypertension, hyperlipidemia, chronic TTP, who exhibited only petechial rashes, generalized weakness, headache. Notably, the rash, less common manifestation became...

Background Congestive heart failure (CHF) is a leading cause of hospitalizations and readmissions, placing significant burden on the healthcare system. Identifying factors associated with readmission risk crucial for developing targeted interventions improving patient outcomes. This study aimed to investigate impact socioeconomic demographic 30-day 90-day rates in patients primarily admitted CHF. Methods The was carried out using cross-sectional design, data were obtained from Nationwide...

Etanercept (Enbrel) is a drug targeted against tumor necrosis factor-α, which increasingly being used in treatment of variety autoimmune disorders. It has been reported to have relatively safe profile; reactions minor moderate severity and range from hypersensitivity reactions, serious infections, fulminant pneumonias, lung nodules. We report case diffuse alveolar hemorrhage acute injury probably related its use patient with rheumatoid arthritis. A high index suspicion for noninfectious...

A 49-year-old African American woman was admitted to our hospital with abdominal pain, nausea, vomiting, lethargy, and confusion. She receiving ciprofloxacin for a urinary-tract infection prior admission. Laboratory examination revealed anemia, thrombocytopenia, elevated lactate dehydrogenase, serum creatinine. Peripheral smear showed numerous schistocytes, the patient diagnosed thrombotic thrombocytopenic purpura (TTP). Ciprofloxacin identified as offending agent. The received treatment...

Multiple primary lung cancer may present in synchronous or metachronous form. Synchronous multiple is defined as lesions that develop at the same time, whereas describes different times, typically following treatment of cancer. Patients with previously treated are risk for developing cancer, but success computed tomography and positron emission tomography, ability to detect both has increased. We a case 63-year-old Hispanic man who came our hospital evaluation chest pain, dry cough, weight...

BACKGROUND:Angiotensin-converting enzyme inhibitors are widely used drugs, and in appropriately selected patients, serious side effects infrequent. Commonly seen include cough, rash, hyperkalemia, renal dysfunction, angioedema. Historically, dose-related agranulocytosis has been associated with captopril. Benazepril, a relatively more potent angiotensin-converting inhibitor, is rarely agranulocytosis. CASE REPORT:Here, we report case of drug-induced due to benazepril, complete recovery white...