A 66-year-old woman with a history of type 2 diabetes, stage 4 chronic kidney disease (CKD), hypertension, heart failure with reduced ejection fraction, and gout presented with a chief concern of dyspnea...
A 51-year-old man who works in the delivery services industry presented with bilateral leg edema, weight loss, and fatigue. He has lost more than 4.5 kg (10 lb) in the past 4 months without dieting. In...
An unresponsive 47-year-old woman with uncontrolled type 2 diabetes was brought to the emergency department because of a hypoglycemic episode. After her mental status had improved following administration...
Valacyclovir is generally well-tolerated; however, several reports of neurotoxicity have been described in patients with and without underlying renal impairment. Despite these reports, valacyclovir-induced...
A 33-year-old man presented to our emergency department after a few hours of nausea, vomiting, and diarrhea associated with left lower quadrant abdominal discomfort.
Direct oral anticoagulants (DOACs) are recommended for stroke prevention in patients with atrial fibrillation and mild to moderate chronic kidney disease. However, data are limited regarding the use of...
