Brady Pregerson, MD

A man in his mid-30’s with a medical history significant for obesity and diabetes on an insulin pump presents to the hospital with 4 days of gradually worsening right foot pain and swelling. He denies any fever but has had intermittent chills and also feels a bit of generalized weakness. He denies any other complaints.

Vital signs are normal except for a pulse of 118 and a BP of 104/51 mmHg. Physical exam is otherwise normal except for a red swollen foot.

: normal except for glucose 431, bicarb 19

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Our latest endocrine case report features a man in his mid-30’s with a medical history significant for obesity and diabetes on an insulin pump presenting to the hospital with 4 days of gradually worsening right foot pain and swelling. Can you determine the correct diagnosis?

Endocrine Case Report: Foot Infection

A man in his 60’s with a history of diabetes and cirrhosis presents to the hospital with 2 weeks of RUQ pain radiating to the back with constipation and now 2 days of vomiting. He was triaged as having RLQ pain, not RUQ pain. He denies any fever, bleeding, melena or other complaints.

Vital signs are normal except for a pulse of 101. Physical exam is otherwise normal except for epigastric but not RLQ tenderness

: normal except for sodium of 128. LFT’s mildly elevated

The latest case report from Brady Pregerson, MD, features a man in his 60s with a history of diabetes and cirrhosis presenting with 2 weeks of right upper quadrant pain with constipation and 2 days of vomiting. Can you determine the correct diagnosis?

Endocrine Case Report: Cirrhotic with Epigastric Pain

A man in his mid-70’s with a recent UTI is brought to the hospital by ambulance with a glucose of 30 after family called 911 for generalized weakness. Medics gave an amp of D50 and he gradually became less weak. He is 4 days into the second course of antibiotics for a UTI but denies any fever, pain, or other complaints. He has a history of Parkinson’s and HTN, but no diabetes or other endocrine conditions.

Vital signs are normal. Physical exam is non-focal

The latest endocrine case report from Brady Pregerson, MD, features a man in his mid-70’s with a recent UTI brought to the hospital with a glucose of 30 mg/dL and reports of generalized weakness. Can you determine the correct diagnosis?

Endocrine Case Report: Glucose of 30 mg/dL

A man in his 60’s with a history of DM and left BKA is brought to the hospital by his wife for a pink smelly right foot that has been getting gradually worse for the past 2 weeks. He did not want to see a doctor but the smell got so bad that his wife finally called 911. He denies any fever, recent trauma or other complaints though he says he broke the same foot a long time ago in a motorcycle accident.

Vital signs are normal except for a pulse of 118. The temperature is 99.1. Physical exam is otherwise normal except for a BKA on the opposite leg and a stinky erythematous right foot with a large black eschar.

Glucose 350, bicarb is normal, lactate 2.5, creatinine 2.1, WBC 32K, 12 bands

The latest endocrine case report from Brady Pregerson, MD, features a man in his 60s with diabetes and left below-knee amputation for a smelly right foot that has been getting gradually worse for 2 weeks. Check out the report, labs, and imaging and see if you can determine the correct diagnosis.

Endocrine Case Report: Smelly Foot

A woman in her mid-30’s comes to the ER for swollen glands in her neck for the past 3 days with associated sore throat. On your history, she denies any medical history but is currently breastfeeding a 6-month-old. She denies any SOB, fever or cough, or decrease in PO intake but is worried she may have strep throat or COVID due to recent exposure.

Vital signs are normal as is her physical exam except for some mild swelling in the anterior neck. There is no exudative pharyngitis. Here is a picture of her neck.

The latest endocrine case report from Brady Pregerson, MD, features a woman in her mid-30s presenting with swollen glands lasting for the past 3 days and an associated sore throat. Can you determine the correct diagnosis?

Endocrine Case Report: Swollen Glands

A man in his mid-60’s with a history of diabetes and obesity presents to the hospital for one day of left groin pain that started in the morning and became severe after dinner followed by a syncopal episode

Vital signs are normal except for pulse of 48 and BP of 88/62. The physical exam is otherwise normal except for diminished left leg pulse (ALWAYS CHECK THE PULSE IN THE FOOT WITH ANY COMPLAINT INVOLVING THE LEG).

: CBC shows a WBC count of 13 and Hb of 12.2

Our latest endocrine case report features a man in his mid-60’s with a history of diabetes and obesity presenting with left groin pain followed by a syncopal episode. Check out the CT scan and determine the correct diagnosis.