Case Presentation: A 46-year-old female with a history of hypertension and end-stage renal disease presented with a progressive rash. Three days prior to presentation, she underwent a fistulogram using iodine contrast for evaluation of a non-functioning fistula. Several hours later she developed an irregular skin eruption over her legs, subsequently developing lesions involving the torso, […]

Case Presentation: A 77-year-old woman with past medical history of renal cell carcinoma with known liver metastases, status post left nephrectomy who was on Tivozanib presented with acute onset speech disturbances, headache, nausea, and vomiting. Patient reported intermittent, milder headaches and confusion over the previous three weeks, coinciding with the start of Tivozanib chemotherapy. Vitals […]

Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced […]

Case Presentation: A 63-year-old female with history of end-stage renal disease, atrial fibrillation (AFib), cirrhosis, and Parkinson’s disease was admitted to the hospital after an unwitnessed fall with persistent encephalopathy and altered mental status. Upon admission the patient was found to have wide QRS complexes with an Atrial fibrillation, clinical findings of heart failure, and […]

Case Presentation: A 44-year-old female with a history of hypertension and depression, presented to the emergency department with 3 days of diffuse worsening rash, fever, and leukocytosis. Four weeks prior to symptom onset, the patient was prescribed a two-week course of Augmentin for a sinus infection. Prior to arrival, she was seen at an outside […]

Case Presentation: A 51-year-old male with a history of IBS presented with three weeks of non-bloody diarrhea and five days of worsening arthritis. It first appeared in his right wrist but subsequently affected his fingers, wrists, elbows, ankles, and knees bilaterally. The patient denied any recent travel or antibiotic use. On exam, the most affected […]

Case Presentation: A 70-year-old man with history of diffuse large B-cell lymphoma (status-post 2 cycles of CHOP chemotherapy), COPD, stage 3 chronic kidney disease, and diabetes mellitus presented with generalized weakness and diarrhea. His symptoms began three days prior with head pain, chills, and weakness. He then developed increasing diarrhea from his baseline of one […]

Case Presentation: A 42-year-old female with a past medical history of end stage renal disease from focal segmental glomerulosclerosis on hemodialysis for the past four years, presented to her cardiologist with worsening dyspnea on exertion and a feeling of “increased fluid in her lungs”. An outpatient transthoracic echocardiogram (TTE) was obtained, which showed a normal […]

Case Presentation: A 62 year old female with a past medical history of hypertension and diabetes presented to the emergency department with two days of fevers and lethargy. She was hypotensive despite fluid resuscitation and admitted to the intensive care unit for septic shock. Both urine cultures and initial blood cultures grew E. coli resistant […]

Background: Hospitalizations to treat SARS-CoV-2 infected patients have strained health systems worldwide. Monitored outpatient management of select low-risk COVID-19 patients with isolated exertional hypoxia could help preserve hospital resources and reduce costs while aiming to maintain a high standard of care. In this retrospective cohort analysis, we aimed to evaluate the safety and effectiveness of […]