Case Presentation: A 90-year-old-male with history of hypertension, coronary artery disease and chronic lymphocytic lymphoma presented with shortness of breath that had been getting worse over the previous few weeks, particularly at night and with lying down. He also reported increased cough and worsening leg swelling. In the ED, he was hypoxic (84% on room [...]

Case Presentation: LF is a 63 year-old female with a history of schizoaffective disorder, gastroparesis, and stage III chronic kidney disease (CKD) who was initially admitted to the inpatient psychiatric unit for psychosis with suicidal and homicidal ideation in the context of medication nonadherence. Mental status exam was remarkable for persecutory delusions and auditory hallucinations. [...]

Case Presentation: 33-year-old female with no significant past medical history presented to an outside hospital with complains of abdominal pain, nausea, vomiting, night sweats and dark urine. She was found to have Systemic inflammatory response syndrome and an initial diagnosis of UTI was made. Patient was started on empiric antibiotics. Further laboratory work up was [...]

Case Presentation: A healthy 44-year-old woman with latent TB on isoniazid (INH) for 6 months was sent to the hospital by her primary care physician for elevated liver tests and right sided abdominal pain, anorexia, and jaundice for two weeks. She had normal liver tests prior to starting INH. She denied illicit drugs, alcohol or [...]

Case Presentation: Serotonin syndrome is a potentially life-threatening condition associated with increased serotonergic activity in the central nervous system. Clinical manifestations of serotonin syndrome range from barely perceptible to lethal, and the symptoms can overlap with other clinical entities. Here we presented a case with a challenging diagnosis.Our patient is a 44yo woman with a [...]

Case Presentation: A 77-year-old man from the Dominican Republic was admitted to an affiliate hospital with two months of low back pain. He had a history of hypertension and COVID-19 pneumonia three months prior to this presentation. MRI at that time showed osteomyelitis (OM), and biopsy of the L5-S1 intervertebral space revealed dense fibrous and [...]

Case Presentation: Discussion45-year-old male with history of HIV on Antiretroviral and treated syphilis presented with painful oral lesions and difficulty swallowing which started several days after being placed on Nitazoxanide, Doxycycline, Levaquin, and Omeprazole for diagnosis of Helicobacter Pylori via Endoscopy done for diarrhea. He was given fluconazole for presumed thrush during ER visit. His [...]

Case Presentation: An 18 year old Caucasian male with no known medical history presented with a chief complaint of sharp epigastric pain radiating to the back for two days after meals, associated with multiple episodes of non-bloody emesis and high grade fevers. Patient denied any history of alcohol use and did not have any known [...]

Case Presentation: A 31-year-old man with rheumatoid arthritis (on adalimumab, methotrexate, and prednisone) presented with a 3-day history of fatigue, severe asymmetrical weakness of the lower extremities (left > right), and painful vesicular rash spanning multiple dermatomes in the left > right lower extremities (Image 1). There was no evidence of myelopathy or meningismus on [...]

Case Presentation: A 79-year-old female presented with substernal chest discomfort while having dinner radiating to her jaw lasting approximately 2 hours with associated lightheadedness. She reported psychological stressors in the weeks leading up to her admission including her neighbors threatening to kill her cat on multiple occasions. She was also stressed from being limited in [...]