Case Presentation: An 82-year-old female with a past medical history of type II diabetes mellitus, prior CVA with residual right-sided weakness, CKD, and hyperlipidemia treated with atorvastatin presented to the ED for generalized weakness. The patient was previously hospitalized for weakness and received physical therapy as an inpatient before being discharged to a sub-acute rehabilitation [...]

Case Presentation: An 85-year-old female with a history of non-Hodgkin’s B-cell lymphoma on Ibrutinib is brought into the emergency department (ED) by ambulance for generalized, progressive weakness and recurrent falls. She was recently diagnosed with herpes zoster 2 weeks prior, on her right upper extremity and denies being started on any medication. She complained of [...]

Case Presentation: An unvaccinated 56-year-old man with a past medical history of hypertension, insulin dependent diabetes, sleep apnea, and obesity presented to the emergency department with complaints of dyspnea, cough, fevers, and diarrhea for the past 5 days. Initial work up was significant for COVID-19, a normal troponin level, elevated inflammatory markers, creatinine of 1.57, [...]

Case Presentation: A 38-year-old woman with sickle cell disease, right heart failure due to pulmonary hypertension, and adrenal insufficiency was admitted for septic shock due to MRSA bacteremia. She was treated with antibiotics with initially good response. Her MICU course was complicated by acute decompensated heart failure leading to acute hypoxic respiratory failure. This improved [...]

Case Presentation: A 71-year-old woman with past medical history of COPD, nicotine dependence, and untreated chronic hepatitis C presented to emergency department with progressive swelling, muscular pain, and weakness of her upper and lower extremities as well as dysphagia. On arrival to the emergency department, exam demonstrated proximal more than distal decreased strength of the [...]

Case Presentation: A 56 years old man with a history of CMV-negative hematopoietic stem cell transplant (HSCT) for acute lymphoblastic leukemia (ALL) six years previously, complicated by cutaneous graft versus host disease (GVHD) on mycophenolate presented to the emergency department after three months of progressively worsening shortness of breath that has significantly worsened in the [...]

Case Presentation: A 67-year-old woman with a history of metastatic squamous cell carcinoma of the lungs and plaque psoriasis presented with subacute pruritic and painful descaling lesions of the skin after pembrolizumab maintenance therapy (Figure 1.A). The lesions on the skin were erythematous and desquamating, worse in the upper extremities, lower extremities, abdomen, and trunk. [...]

Case Presentation: Wernicke’s encephalopathy is the presence of neurological symptoms caused by lesions in the central nervous system due to a lack of thiamine (vitamin B1). The deficiency is seen in malnutrition due to excessive alcohol, malabsorption or decreased intake. Most symptoms will improve quickly if deficiencies are repleted; however, we present the case of [...]

Case Presentation: A 28-year-old man from Central America with a history of newly diagnosed human immunodeficiency virus (CD4 119 cells/mm^3, CD4 8%, viral load 61,000 copies/mL) presented with two months of progressive shortness of breath. Physical exam was remarkable for anasarca, diffuse cutaneous purpuric plaques as well as bilateral respiratory crackles. Chest x-ray revealed bilateral [...]

Case Presentation: An 88-year-old woman with a history of hypertension, atrial fibrillation, and HFpEF presented with a right femur fracture following a mechanical fall. Physical exam revealed a right femur fracture and small ascites. The patient underwent a right hemiarthroplasty on hospital day (HD) 4 and received cefazolin perioperatively.On HD 9, the patient developed abdominal [...]