Case Presentation: A 27-year-old Chinese-American woman presented to the ED for sore throat, flank pain, dysuria, and generalized weakness for 1 week. The symptoms began after returning on a domestic flight. She initially denied any medical history or substance use to multiple providers and insisted her symptoms were due to infrequent bathroom use during the [...]

Case Presentation: A 32 year old South Asian man with a history of hyperlipidemia presented to the emergency department (ED) for severe, crushing, mid-sternal chest pain associated with nausea and diaphoresis that awoke him from sleep. In the ED, he was found to have a troponin elevation to 1.159 ng/ml (normal < 0.055 ng/ml) and [...]

Case Presentation: A 61-year-old man with type 2 diabetes mellitus was admitted for surgical resection of left fifth metatarsal due to osteomyelitis refractory to prolonged antibiotic use. Vital signs on admission were all within normal limits; significant lab values included ESR 79 mm/hr, CRP 7.07 mg/dL, and WBC 9.2 k/uL. Following surgical debridement and amputation, [...]

Case Presentation: A 30-year old woman with antiphospholipid antibody syndrome secondary to lupus with extensive arterial and venous thrombotic history presented to the emergency department with left lower extremity pain, coolness, and skin blanching for seven days. She had stopped taking her chronic anticoagulation medication two months prior to admission when she ran out of [...]

Case Presentation: A 15-week G2P3 pregnant 33-year-old woman with past medical history of chronic hepatitis C, current intravenous drug use (IVDU) presented from a correctional facility complaining of abdominal pain and hematuria. Exam revealed a gravid uterus and bilateral pedal edema. Patient responding only to pain and not following commands. Temp 102.8 F, HR 120’s [...]

Case Presentation: An 86-year-old woman with a history of COVID-19 and MRSA pneumonia six months prior to presentation and COPD, presented to a local emergency room for abdominal pain related to persistent cough. Other pertinent history included ovarian cancer cured 20 years ago and exposure to tuberculosis when the patient was younger. Computed tomography (CT) [...]

Case Presentation: The patient is a 49 year-old female with end stage renal disease (ESRD) and obesity who initially presented to the emergency department (ED) for acute onset epigastric abdominal pain and hematemesis. She had a gastric sleeve procedure two weeks prior to presentation in preparation for renal transplant. She required 2 units of packed [...]

Case Presentation: A 57-year-old male with HIV, heart failure with reduced ejection fraction, and hypothyroidism initially presented for dyspnea on exertion, found on EKG to have electrical alternans. Telemetry showed intermittent type2 second degree AV block. Transthoracic echocardiogram was notable for large pericardial effusion, ejection fraction 35%, grade 1 diastolic dysfunction, early diastolic right ventricular [...]

Case Presentation: A 62-year-old male with hypertension, CAD s/p CABG, atrial fibrillation on oral anticoagulation, type 1 diabetes s/p pancreatic and renal transplant in 1999 on maintenance Tacrolimus and Mycophenolate presented to the ED complaining of severe headache and confusion. He was very agitated and unable to follow commands. At one point, he was sitting [...]

Case Presentation: A 58-year-old immunocompetent female with PMHx asthma, obesity and unvaccinated for COVID-19 who presented with 10 days of worsening nonproductive cough, SOB, fatigue, and loss of appetite. Exam was notable for tachypnea with diffusely diminished air movement throughout posterior lung fields. Relevant labs included CRP 15.2 mg/dL, procalcitonin 0.20 ng/mL, blood glucose 343 [...]