Case Presentation: A 47-year-old male presented with distal extremity and facial weakness. Physical exam and electroencephalogram showed myopathy with myotonic features and a distal predominance, characteristic of myotonic dystrophy type 1. Patient denied any chest pain, shortness of breath, presyncope, syncope, and palpitations. Due to associated risk of cardiac-related complications, a baseline electrocardiogram (ECG) was [...]

Case Presentation: A 69 year old woman presented to the hospital with 2 days of progressively worsening right lower leg pain and rash. Other symptoms included persistent nausea & vomiting following a recent episode of gastroenteritis. Exam demonstrated normal vital signs and bilateral lower extremity edema extending to the knees with apparently equal bilateral tenderness. [...]

Case Presentation: A 76-year-old female with past medical history of hypertension, recent intracranial hemorrhage (ICH) in the left cerebellar hemisphere with subsequent craniotomy, and newly found 6.5 mm aneurysm in the right middle cerebral artery (MCA) was directly admitted for an elective diagnostic cerebral angiogram to further evaluate her aneurysm. At baseline, patient was alert [...]

Case Presentation: A 64-year-old male presented to the Emergency Room with one week of worsening productive cough, fevers (Tmax 103F), vomiting, diarrhea, and malaise. His past medical history was significant for Rheumatoid Arthritis (RA), treated with etanercept, hydroxychloroquine, leflunomide and sulfasalazine. On physical examination, he was febrile, normotensive with tachycardia, and tachypneic with diminished breath [...]

Case Presentation: A 74-year-old fully independent man with diabetes mellitus and hypertension developed wavy, vertical double vision which was worse in the right eye and with reading. On outpatient evaluation, he was diagnosed with metamorphopsia and palinopsia. Four weeks later, he was admitted with headache, unsteady gait, dysphagia, and visual distortion. On exam, he was well-appearing, [...]

Case Presentation: A 39-year-old male with no past medical history presented with four days of a constant “pins and needles” sensation located from fingertips through elbows bilaterally as well as progressive shortness of breath and fatigue. He reported feeling unbalanced and light-headed. Additionally, for seven months he experienced confusion including word finding difficulties. Further history [...]

Case Presentation: A 57-year-old male with multiple medical conditions presented to the Emergency Room (ER) for evaluation of worsening skin rash and bleeding gums. The patient was discharged from the hospital 3 days ago and treated for an infected left prosthetic knee joint, he initially received empiric antibiotics Vancomycin and Piperacillin-Tazobactam, Cultures from tissue sample [...]

Case Presentation: A 41 year-old female with a history significant for end stage renal disease (ESRD) secondary to focal segmental glomerulosclerosis (FSGS) on peritoneal dialysis for two years, uremic pericardial effusion with pericardiocentesis three years prior, and polyarticular gout on allopurinol presented as a transfer from an outside hospital for evaluation due to concerns for [...]

Case Presentation: A 55-year-old previously incarcerated male with a history of tuberculosis and a 27-year-old incarcerated male both with a history of cough and hemoptysis, and a 56-year-old female with pulmonary nodules, right ankle pain, and swelling, all presented to the ED at a tertiary center in Wisconsin. All three patients shared a constellation of [...]

Case Presentation: A 30-year-old man presented to the emergency department with dyspnea, dry cough, and skin lesions developed over the past two weeks. He is a man who has sex with men and immigrated from Thailand five years prior. He had not received primary care because of the lack of insurance and the COVID-19 pandemic. [...]