Case Presentation: A 78-year-old female presented with headaches of ten days duration associated jaw soreness while chewing. She was afebrile and erythrocyte sedimentation rate (ESR) was elevated at 74 mm/hr. After performing a magnetic resonance angiogram, a conventional cerebral angiogram confirmed the presence of a wide-necked right posterior communicating artery aneurysm approximately 5 mm in [...]

Case Presentation: A previously healthy 35-year-old woman presented with fever, dizziness, and weakness for 1 day. Three weeks prior, she had back pain and difficulty taking deep inspirations that was treated with a 10-day course of levofloxacin. The pain subsided; however, she noticed frothy urine. Other symptoms included a 30-pound weight loss in 4 months [...]

Case Presentation: 47 year-old male with PMH of hypertension, DM, CAD and ESRD on peritoneal dialysis, presented with altered mental status for 1 day. He had developed a vesicular rash in the right upper extremity and was diagnosed with herpes zoster at another facility 2 days prior, for which he was prescribed valacyclovir that was [...]

Case Presentation: The patient is a 54-year-old male, with history of HIV (diagnosed in 2004), previous history of treated syphilis, inflammatory bowel disease (IBD) and hypertension. He presented with non-pruritic rash that spread from the face to the trunk and extremities except the palms and soles. The rash started as circular macules then became nodular [...]

Case Presentation: A 28-year-old male patient was admitted to an outside hospital due to dyspnea on exertion. Further inspection displayed signs of transaminitis, leukocytosis, and a blanchable diffuse body rash. An echocardiogram demonstrated new-onset non-ischemic cardiomyopathy with left ventricular ejection fraction of 30-35%. The patient also had a recent positive COVID-19 diagnosis one month prior. [...]

Case Presentation: A 58 year-old undomiciled man with no known medical history presented with three days of anorexia, malaise, abdominal pain, nausea and decreased urine output. His exam was notable for scleral icterus. Initial lab work was remarkable for sodium 133 mEq/L, BUN 132mg/dL, creatinine 8.82 mg/dL, platelet 64 K/uL, total bilirubin 6.4 mg/dL, and [...]

Case Presentation: A 67-year-old man with tobacco use disorder, class I obesity, OSA, and recurrent basal cell carcinoma (BCC) of the external auditory canal presented to his preoperative appointment prior to planned surgical removal of his BCC with partial temporal bone resection, parotidectomy, and reconstruction. At the time, he endorsed subacute progressive dyspnea, dry cough, [...]

Case Presentation: 72-year-old male with h/o HTN, DM, obesity, polymyalgia rheumatica (on steroids), CKD stage IV, ankylosing spondylitis, and HFrEF (LVEF 45-50%) underwent total knee arthroplasty with removal of prior implant and distal femur replacement for osteosarcoma. Cut to close time was 9 hours. Intraoperatively, the SBP dipped to 90s for about 10-15 minutes after [...]

Case Presentation: A 33-year-old woman with sickle cell SC disease (HbSC) was admitted to the hospital for respiratory support after testing positive for COVID-19. Four days prior to presentation, the patient developed subjective fever, cough, shortness of breath, substernal non-radiating chest pain, thigh and back pain. Her medical history included prior vaso-occlusive episodes, though no [...]

Case Presentation: A 40-year-old Hispanic man with no past medical history presented with right thigh pain and swelling for three weeks. He had a 10 pound weight loss over the past few months. He also noted melena two months ago with recent recurrence. No recent trauma or skin infections were reported. Vital were notable for [...]