Case Presentation: A 56-year-old woman with a history of Parkinson’s disease and seizures presented with a month of dyspnea and associated easy bruising. She had previously presented to the emergency room two weeks before her current presentation with swelling of her right lower extremity and bruising. Workup at this time included a lower extremity doppler [...]

Case Presentation: A 40-year-old Hispanic male with a history of diabetes mellitus presented with recurrent febrile episodes. His temperature on admission was 41.6oC associated with seizure-like activity requiring intubation. Labs were significant for WBC 1,800, platelets 85,000, creatinine 1.53, AST 178, ALT 199, ALP 254, and HA1c 10.3%. RUQ ultrasound showed a hepatic lesion concerning [...]

Case Presentation: A 56-year-old male with type II diabetes presented to the hospital with 3 weeks of oral ulcers involving the left buccal region with spread to the palate and tongue. He also reported odynophagia, poor oral intake, and 40-lb weight loss. He had not responded to outpatient amoxicillin, fluconazole, and nystatin swish and swallow. [...]

Case Presentation: 57-year-old female patient with no significant past medical history presented to the ER with a chief complaint of progressive dyspnea and lower extremity weakness for the past 3 months. Oxygen saturation was 87% on room air. Physical exam revealed bilateral crackles on lung auscultation. Bilateral lower extremities (BLE) had 3/5 strength with a [...]

Case Presentation: A 66-year-old male presented to the emergency department with complaints of intermittent high-grade fever of 38℃ for five days and non-specific chest pain for the past 6 hours. The pain was gradual in onset and was a dull nagging type of pain radiating to his left shoulder. He was tachycardic and had shortness [...]

Case Presentation: A 31-year-old female with no pertinent past medical history presented first with right upper quadrant (RUQ) abdominal discomfort a year after giving birth to her first child in 2018. Prior to pregnancy, patient was taking oral contraceptives for nine years. The pregnancy was complicated by severe preeclampsia and associated nephrotic syndrome and LFT [...]

Case Presentation: A 66-year-old male with a past medical history of left frontal Glioblastoma multiforme (GBM) with recent resection, radiation therapy, and temozolomide presented to the emergency department with chest pain. CT chest revealed bilateral subsegmental pulmonary embolisms for which a heparin drip was initiated. Duplex also shows a right lower extremity DVT. Given recent [...]

Case Presentation: A 53-year-old male with a past medical history of hypertension who recently emigrated from El Salvador presented to an ambulatory clinic for evaluation of substernal chest pain that started eight days earlier. He described the chest pain as intermittent, non-radiating, and associated with palpitations, chills, shortness of breath, and diaphoresis. He denied fever, [...]

Case Presentation: A 36-year-old male with no known past medical history presented with 2-month history of facial swelling and progressively worsening dysphagia. This was associated with diffuse, painless, purplish skin lesions involving multiple body parts. On admission, patient was hemodynamically stable. Examination was remarkable for oral candidiasis, diffuse purplish nodules of varying sizes involving his [...]

Case Presentation: A 34-year-old female with a history of hypertension, hyperlipidemia, and SLE presented with acute substernal tightness associated with nausea and vomiting. She denied fever, chills, diaphoresis, or palpitations. Her EKG showed sinus rhythm with new T wave inversions in anterior leads. Troponin elevation was noted with a peak of 4.48. Echocardiogram showed normal [...]