Case Presentation: A 28-year-old man with recently diagnosed HIV (CD4 57/mm3), not on antiretroviral therapy (ART), presented to the hospital with shortness of breath for several days. He was severely hypoxic, requiring high-flow nasal cannula oxygen. Chest x-ray showed bilateral infiltrates. He was treated empirically with vancomycin and piperacillin/tazobactam for bacterial pneumonia, and Bactrim and [...]

Case Presentation: A 79-year-old female with a history of metastatic cholangiocarcinoma treated with chemotherapy and a Whipple procedure 17 years before admission presents with deconditioning and weakness secondary to peri-prandial abdominal pain and poor oral intake. This problem existed since her Whipple but progressed over the last year, complicated by cachexia, weakness, and inability to [...]

Case Presentation: A 68-year-old woman presented with a small, right-sided neck lump, without any compressive symptoms. She reported the size of the lump had been constant for 7 years and denied hyper or hypothyroidism symptoms. No known family history of thyroid, pheochromocytoma or calcium disorder was noted. Past medical history showed hypertension.Her neck examination showed [...]

Case Presentation: A 28-year-old female with a history of ulcerative colitis (UC) was hospitalized for surgical evaluation in the setting of refractory colitis. Seven weeks prior to presentation, she developed diffuse proctocolitis (Mayo score 2-3) that progressed despite treatment escalation from oral to intravenous steroids, followed by infliximab induction and mercaptopurine initiation three weeks prior [...]

Case Presentation: A 44-year-old male with a past medical history of psoriatic arthritis [on Guselkumab], asthma presented to the ED with worsening shortness of breath for 10 days and midsternal chest pain for 3 days. He tested positive for COVID-19 one week before and received monoclonal antibodies 2 days before presentation. He had COVID-19 infection [...]

Case Presentation: A 63-year-old male presents to the hospital with complaints of one-day history of weakness, dizziness. His outpatient blood work demonstrated a serum sodium level of 124 mEq/L, and a creatinine of 3.1 mg/dL. His medical history was significant for high-grade urothelial bladder carcinoma status post radical cysto-prostatectomy, neobladder urinary diversion, and MVAC (methotrexate, [...]

Case Presentation: A 55-year-old man with a past medical history of poorly controlled diabetes and remote intravenous drug use was evaluated for a right chest wall infection. 1 week prior to presentation, he had chest wall erythema, pain resulting in decreased range of motion, fevers, chills, decreased appetite, and weight loss. He presented to an [...]

Case Presentation: Typhoid fever is a challenging diagnosis, making it difficult to treat early on and thereby risking fatality. Despite modern antibiotics, increasing multidrug resistance strains pose a serious risk for infectious complications and public health threats due to treatment failure.Here, we present a febrile 41-year-old female with a past medical history of hyperlipidemia, diabetes, [...]

Background: Pediatric abusive head trauma (AHT), frequently seen in Shaken Baby Syndrome (SBS), refers to brain injury resulting from a violent shaking of a child’s intracranial contents or skull, and these injuries are the most common cause of traumatic death in children under 2 years old. National studies indicate that SBS and AHT cause injuries [...]

Background: Helicobacter pylori (H. pylori) infection is a common cause of gastroduodenal ulcers (GDU), and current guidelines recommend evaluation and eradication of H. pylori to promote healing of GDU and prevention of H. pylori-associated diseases. This quality improvement projects aimed to quantify and improve the rate of H. pylori testing and eradication after endoscopic diagnosis [...]