Case Presentation: A 58-year-old man with type 2 diabetes, hypertension, peripheral arterial disease, and right fifth toe amputation for osteomyelitis presented to the emergency room with pain at the site of a non-healing right foot ulcer. When the pain started two years prior, the patient was diagnosed with a diabetic foot infection (DFI) from poorly [...]

Case Presentation: A 75 year-old man with no significant history presented with four weeks of malaise and lower extremity rash, five days of cough and rhinorrhea, and one day of pleuritic chest pain that he attributed to incessant coughing. On arrival he was febrile to 38.3 Celsius and tachycardic to 120 beats per minute. His [...]

Case Presentation: A 56-year-old previously healthy Caucasian woman was evaluated by a neurologist for seizure-like activity and syncope. She was placed on a Holter monitor that showed episodes of paroxysmal supraventricular tachycardia, ventricular tachycardia (VT), and third-degree AV block. She presented to the emergency department with chest pain, a new left bundle branch block, and [...]

Case Presentation: 77-year-old Caucasian male with history of Stage IV mantle cell lymphoma, multiple myeloma, atrial fibrillation, presented to the emergency department with 5-day history of progressively worsening ataxia & generalized weakness. He reported a black legged deer tick bite 10 days prior and was on doxycycline for this. He reported tremors in his bilateral [...]

Case Presentation: A 70-year-old man presented with 3-months of profuse watery diarrhea and 40 lb. weight loss. Two months prior, he was seen at an outside facility where he underwent extensive non-diagnostic work-up of his symptoms with lab testing, imaging, esophagogastroduodenoscopy (EGD), and colonoscopy. At that time, his serum pancreatic elastase-1 level was low, prompting [...]

Case Presentation: A 29-year-old man with a history of mood disorder was admitted with acute encephalopathy after friends had requested a welfare check. The patient was found to have nonsensical speech, delusions of alien interaction and possible gait ataxia without other signs of focal neurological deficits. Vitals were within normal limits; no other significant physical [...]

Case Presentation: A 33-year-old woman with a past medical history of a calcaneal fracture requiring internal fixation complicated by poor wound healing and repair with a free flap, and polymicrobial osteomyelitis on home amoxicillin-clavulanate and IV daptomycin presented with three days of fevers, chills, and generalized malaise. She reported adherence to her home antibiotic regimen. [...]

Case Presentation: A 68-year-old male presented to the hospital with declining mental status. His chronic medical conditions included stage IV renal cell carcinoma on nivolumab maintenance therapy, type II diabetes mellitus, chronic kidney disease, hypothyroidism on levothyroxine 150 mcg, and long-term opioid therapy for malignancy pain. He had a one-week duration of upper abdominal pain [...]

Case Presentation: A 63-year-old gentleman with a history of unprovoked left lower leg deep vein thrombosis (DVT) on rivaroxaban and seizure disorder on phenytoin, presented with acute onset abdominal pain, hematochezia, vomiting for two days. On presentation patient was tachycardic with a heart rate of 130/min, a physical exam revealed a distended and tender abdomen. [...]

Case Presentation: A 76-year-old female with hypertension, osteoarthritis, and a prior pulmonary embolism presented with two days of neck pain. She had been moving boxes and assumed she pulled a muscle but came in when the pain persisted. She endorsed subacute subjective fevers and proximal muscle pain and stiffness, which was worse in the neck [...]