Case Presentation: A 25-year-old African American male with no significant medical history presented to the hospital with a new-onset skin rash. Over a month, he noticed a migratory pruritic rash growing on his trunk, arms and legs. He also experienced intermittent high-grade fevers, sore throat, and diffuse symmetrical joint pain. On arrival, patient was noted [...]

Case Presentation: A 77-year-old male with chronic kidney disease and mitral valve prolapse with a history of Lyme disease and West Nile Virus presented with fevers, night sweats, chills, and fatigue for 3 weeks. The patient had been visiting family in Texas for one month but gradually started to notice his symptoms. A few weeks [...]

Case Presentation: A 64-year-old woman with a history of right kidney transplant and Crohn’s disease in remission presented to the emergency department with five days of severe abdominal pain. Her pain was accompanied by nausea, vomiting, and chills. Physical examination was notable for an abdomen that was distended and diffusely tender to palpation, but not [...]

Case Presentation: We describe a 56-year-old man who presented with a three-week-history of dyspnea. The dyspnea began two days following the first dose of a two-part Moderna COVID-19 vaccination series. In the three weeks prior to presentation, he had sought help at an urgent care, and from his primary care physician, and was treated with [...]

Case Presentation: A 51-year-old African American man with history of methamphetamine use disorder, hypertension, and stuttering priapism presented with 2 weeks of painful priapism. Over the past 3 months, the patient had 4 other episodes of priapism lasting 1-4 days that were treated with multiple corporeal aspirations and intracavernous epinephrine injections with temporary relief. He [...]

Case Presentation: A 52 year old man with a PMHx of IVDU and HLD presents with a CC of “Cold Leg”. This was preceded by sudden onset numbness and weakness of his right foot and leg, inability to ambulate and severe pain in his thigh. He reported prodromal fevers, sweats and arthralgias. His last IVDU [...]

Case Presentation: A 24-year-old female with unremarkable past medical history, presented to urgent care for two days of tachycardia, chest tightness, sore throat, and fever. She was found to be in supraventricular tachycardia with a heart rate (HR) of 180 bpm. Patient received adenosine 6mg and then 12mg with improvement of HR to 140 bpm. [...]

Case Presentation: 55-year-old male with past medical history of diabetes mellitus type 2, complete heart block status post pacemaker, nonischemic cardiomyopathy and Crohn’s disease was admitted for headache, loss of consciousness and seizures. Physical exam showed nuchal rigidity. Complete blood count showed mild leukocytosis. Urinalysis was benign and x-ray chest didn’t show any infiltrates. CT [...]

Case Presentation: A 40-year-old male with a biopsy-proven, signal recognition particle (SRP) positive necrotizing autoimmune myositis (NAM) being treated with abatacept, presented to the hospital with a two-day history of worsening shortness of breath. On arrival to the hospital, vital signs were remarkable for a heart rate of 170/ min. The physical exam was unremarkable. [...]

Case Presentation: A 62-year-old male with no significant medical history presented to our clinic after new diagnosis of atrial fibrillation. He had no associated symptoms and endorsed great exercise tolerance. Transthoracic echocardiogram (TTE) was ordered and he was started on metoprolol 25 milligram two times daily. TTE demonstrated normal global systolic function with severely dilated [...]