Case Presentation: A 78-year-old African American female with a history of coronary artery disease (CAD) with stent placement, hypertension, and hyperlipidemia developed chest pain after being admitted for pulmonary embolism secondary to recently diagnosed pancreatic cancer. She was treated appropriately, but developed severe chest pain on day six of her stay. The patient’s vital signs [...]

Case Presentation: K.H. is an 80M with a PMH of CAD, Afib on warfarin, urothelial carcinoma, stable non-functioning pituitary adenoma, complaining of a day long history of fever, neck pain, headache, nausea, and vomiting. He was febrile, HR 130, and hypotensive at 80/55. On exam, he was mildly confused and had an irregular heart rate, [...]

Case Presentation: A 32 year old male presented to the emergency department unresponsive. Three months prior he had developed urinary incontinence, cognitive impairments, paresthesias in his extremities and weakness requiring crutches. His symptoms progressed leaving him bed bound weeks prior to arrival. EMS was contacted when he became unresponsive to verbal-noxious stimuli and exhibited difficulty [...]

Case Presentation: A 37-year-old man with no significant past medical history presented with four days of worsening abdominal distension and left lower quadrant abdominal pain. He also reported pruritus following hot showers for the last several months. He denied fevers, chills, changes in bowel habits, vomiting, weight changes, or lower extremity swelling. He is a [...]

Case Presentation: A 27-year-old African American male with past medical history of hypertension presented with vomiting, diarrhea, chest pain and shortness of breath for about 1 week. He was septic with a temperature of 100.4F and heart rate of 130 bpm, but normotensive. No peripheral edema was present on exam. Leukocytosis (11.2K), anion gap metabolic [...]

Case Presentation: A 36-year-old male with no significant past medical history presented with bilateral facial swelling at the behest of his wife. Discharged home. Two weeks later he presented for follow up with continued swelling and new onset fevers, night sweats, a 12-pound unintentional weight loss, and dyspnea on exertion, specifically reporting difficulty ascending one [...]

Case Presentation: 45 year old female with history of pulmonary embolism seven years ago not on anticoagulation presented with chest pain of 4 weeks. Chest pain was sharp, retrosternal, radiating to left upper extremity, neck & back. Chest pain was also positional, worse laying flat but improved on sitting up. It started 48-72 hours of [...]

Case Presentation: A 48-year-old man without significant past medical history presented with 1 week of left eye central vision loss and left frontal headache. He denied eye pain or photophobia. Examination revealed left relative afferent pupillary defect and visual acuity at count fingers at 4 feet. Fundoscopic examination showed grade 5 disc/retinal edema with flame [...]

Case Presentation: Lupus nephritis (LN) is a clinical manifestation of SLE that can be histologically categorized from class I-VI. One form of LN that is not included in the classification is lupus podocytopathy (LP). LP is a somewhat rare manifestation of SLE associated nephrotic syndrome that mimics minimal change disease (MCD) and is diagnosed via [...]

Case Presentation: A 55-year-old female presented to the ED with 1 week of worsening “throbbing” headache. She reported having a continuous headache after riding a roller coaster one week ago. She denied fever, neck stiffness, weakness. She denied head trauma or recent illicit drug use Past medical history was significant fora right-sided non-traumatic subdural hematoma [...]