The population around the world is growing in age, and taking care of the elderly has become a medical challenge as new pathologies, risk factors, treatments, and approaches are being explored. One of the most important chapters that should be focused on is falls in the elderly, as it is a common reason for, not only fractures but also dependency, morbidity, and mortality in this population. The chapter on fall is vast and can be further categorized. In this article, we aim to focus on one of the complications, which is discitis post-vertebral fracture. The patient studied was a 78-year-old female patient who consulted post-fall and was admitted to the geriatric ward for a vertebral fracture. The hospitalization was complicated by a spinal infection and later on by a rarely-seen pacemaker lead infection. Vertebral fractures are very common in the geriatric population, whether spontaneously or post-trauma. Although treatment can be surgical or conservative, complications are commonly seen and can be fatal. Discitis is a medical challenge as the germs can be difficult to isolate, the pain management is difficult and in frail elderly patients, the infection and inflammation can be fatal. Prevention of falls is important in the elderly population as a simple slip can have drastic outcomes. Understanding the possible complications of falls is essential for better management.

Patient: Male, 75-year-old Final Diagnosis: Delayed IV contrast allergic reaction Symptoms: Rash Medication:— Clinical Procedure: — Specialty: Dermatology Objective: Rare co-existance of disease or pathology Background: Iodine contrast allergy can cause acute and delayed allergic reactions. Just like any other sensitivity reaction, the severity can vary from mild to moderate skin manifestations such as erythematous rash to an even more severe presentation or life-threatening event, such as angioedema and anaphylaxis. Case Report: This case report discusses a patient who presented to our institution with a diffuse complex rash 2 days after undergoing CT scan imaging with intravenous iodine contrast injection. The rash started by being maculopapular in nature. Later on, the patient developed a purpuric and petechial pattern, and eventually, an acute exanthematous pustulosis rash was noticed. Several attempts to treat the patient with intravenous corticosteroids failed. Three days after admission (5 days after the rash started), topical steroids were used in place of parenteral steroids. The rash showed remarkable improvement in a very short time. The patient was diagnosed with delayed hypersensitivity IV iodine reaction, resistant to parenteral corticosteroids. The workup of such an extensive rash and odd presentation include several laboratory tests and skin testing to be able to rule out more serious differential diagnoses. Conclusions: This case is unique as it enables us to show the importance of substituting topical management, more specifically, topical steroids that might even replace parenteral steroids, to our management in order to treat allergic reactions, especially in the presence of a rash.

Increased level of uric acid could be due to several etiologies, mainly non-balanced diet, and if uncontrolled can cause serious outcomes. Hyperuricemia's major adverse effects in an individual can include nephropathy, nephrolithiasis and uric acid depositions in joints. On the other hand, hyperuricemia can be the result of several underlying disorders, of which are the hematologic malignancies. A case presented to our institution with generalized fatigue found to have multiple electrolytes abnormalities. On further investigation, the patient was diagnosed with acute leukemia, hyperuricemia and kidney calculus and acute gouty arthritis concurrently, and treated with surgery, corticosteroid and uric acid lowering agents and pain management. Diagnosis and rapid management of acute leukemia associated with hyperuricemia is crucial to avoid the complication of uric acid accumulation in different body organs.

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Background: Neutropenic patients are at an increased risk of infections. These infections can originate from several sites including the respiratory, urinary or gastrointestinal systems. Diverticulitis is one such infection, that carries a high morbidity and mortality risk in such patients. The management remains controversial and involves deciding between a conservative medical approach and surgical intervention. Regardless, these patients should be closely monitored due to a high risk of developing complications including septic shock. Case Report: In this article, we discuss the case of a patient with acute myeloid leukemia (AML) presenting with neutropenic fever and found to have a recurrent episode of diverticulitis. The patient was quickly managed with medical therapy, and surgery was therefore deferred. Conclusion: In conclusion, physicians should always maintain diverticulitis as a differential diagnosis in neutropenic patients who present with abdominal pain, especially in those who have had a previous episode. This allows for rapid and more efficient management.