Case Presentation: An 83-year-old male with a history of renal cell carcinoma s/p nephrectomy, chronic kidney disease, and hypertension presented to the Emergency Department with several weeks of recurring fevers to 103°F, chills, malaise, fatigue, night sweats, anorexia, and an unintentional weight loss of 4.5 kg. He denied arthralgias, myalgias, neurologic symptoms, rashes, diarrhea, or [...]

Case Presentation: A 61-year-old man presented to his primary care provider’s office but could not recall reason for his visit. Over the past year, there had been numerous instances of similar forgetfulness, oftentimes upon completing routine activity without additional symptomatology. Medical history was notable for factor V Leiden, hypothyroidism, and transient ischemic attacks. Physical examination [...]

Case Presentation: A 37-year-old female with no significant past medical history presented to emergency room with complaint of palpitation, diarrhea, and heat intolerance. She was five months postpartum. She also complained of unintentional weight loss of 20lb after delivery. She denied fever, chest pain, abdominal pain, or sick contact. General examination including thyroid gland was [...]

Case Presentation: A 79 year old African American female with non-ischemic cardiomyopathy, EF 35-40%, hypertension, chronic kidney disease, hypothyroidism, mild pulmonary hypertension, obesity, and mixed hyperlipidemia, presented with worsening dizziness and bipedal edema for 2 weeks. Patient reported stopping diuretics and carvedilol due to persistent hypotension for several months. Patient noted unintentional weight loss of [...]

Case Presentation: A 71-year-old male with a history of diabetes, hyperlipidemia, and stage II small cell bladder cancer on cycle 2 of cisplatin, etoposide, and atezolizumab that he received 1 week ago presented with neck stiffness, pain, fevers, and diffuse muscle aches to his PCP. Concerned about meningitis he was sent to the hospital. A [...]

Case Presentation: A 69-year-old male with history of metastatic prostate cancer on chemotherapy presented with fever for three days. On presentation, he was tachycardic with a heart rate of 130 beats per minute. Physical examination was significant for right upper quadrant tenderness. Initial laboratory workup revealed leukocytosis with a white blood cell count of 17000 [...]

Case Presentation: A 32 year old previously healthy male presented to the emergency department with acute non-exertional chest pressure with radiation to the back and jaw three days after receiving his third COVID-19 vaccine, a Pfizer-BioNTech, and 6 months after his initial two series Astra-Zeneca COVID-19 vaccines. His chest pain was improved with leaning forward. [...]

Case Presentation: A 40-year-old male with no personal or family psychiatric history; presented to the emergency department displaying flight of ideas, a tangential thought process, grandiose delusions, and insomnia for the 10 days prior to admission. His symptoms began 10 days following an uncomplicated SARS-CoV-2 infection that required no treatment. The patient was a highly [...]

Case Presentation: A 44-year-old male patient with a history of vitiligo, presented with a chief complaint of lower extremity tingling and numbness sensation. Upon evaluation, the patient reported unintentional weight loss along with fatigue and frequent palpitation. A review of blood testing revealed an elevated TSH level, HbA1c, a low T4, Free T3, and vitamin [...]

Case Presentation: 67-year-old gentleman with medical history significant for alcohol use presented to the Emergency Department (ED) with hallucinations and tremors. His last drink was the day prior. In the ED, he was tremulous, tachycardic, hypertensive and confused. He was admitted and placed on the alcohol withdrawal protocol with diazepam. At discharge, he was evaluated [...]