Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, [...]

Case Presentation: A 63-year-old man presented with progressive dyspnea associated with new onset lower-extremity weakness, numbness, and low back pain. CXR revealed bilateral, large pleural effusions which were borderline exudative, but with negative cytology. An MRI of his spine showed concern for possible metastatic disease, but a CT of his chest, abdomen, and pelvis failed [...]

Case Presentation: A 65-year-old male with a past medical history of hypersensitivity pneumonitis/bronchiolitis, coronary artery disease, hypertension and hyperlipidemia was admitted for uncontrolled pain. Myalgias and fatigue were present for a month following a tick bite and shingles. He was treated with doxycycline 100mg twice a day for 14 days and valacyclovir 1g three times [...]

Case Presentation: A 61 year old male with a past medical history of hypertension, hyperlipidemia, and obstructive sleep apnea presented to the hospital with fever. He reported 1 week of fever to 103 F with associated rigors, abdominal pain, confusion, and decreased urine output. He reported a keen interest in outdoor activities such as hiking. [...]

Case Presentation: The patient is a 27-year-old male with lupus anticoagulant with hypoprothrombinemia syndrome (LAHPS)/triple positive antiphospholipid syndrome (APLS) in the setting of systemic lupus erythematous (SLE) and immune thrombocytopenia (ITP) on hydroxychloroquine, mycophenolate mofetil (MMF), and prednisone for immunosuppression, who presented to the ER with worsening right upper quadrant and epigastric pain. RUQ US [...]

Case Presentation: A 73-year-old man with hypertension, atrial fibrillation, coronary artery disease, heart failure, end stage renal disease on hemodialysis, and hypothyroidism presented with 3 weeks of nausea, vomiting, and inability to tolerate food. He had no fevers, abdominal pain, or diarrhea; symptoms did not improve with dialysis. Vitals were normal, abdominal exam was unremarkable, [...]

Case Presentation: A 35-year-old male with a history of SPINK-1-associated hereditary pancreatitis presented to the emergency department with hematemesis. Hemoglobin (Hgb) of 11.2 g/dL (Baseline Hgb 15g/dl), and a lipase of 51 U/L were noted on admission. The patient was started on intravenous (IV) pantoprazole and esophagogastroduodenoscopy (EGD) was performed revealing a 3cm polypoid lesion [...]

Case Presentation: A 77-year-old female with breast cancer on capecitabine (Xeloda) initiated 3 weeks ago presented with mouth pain and diarrhea for the last 10 days. She denied any fevers, sick contacts, or recent antibiotic use. Her last dose of capecitabine was 1 week prior. On arrival, she was hypotensive and tachycardic; physical exam was [...]

Case Presentation: Bacterial osteomyelitis is very challenging to treat. This is partly due to the widespread antimicrobial resistance to gram positive bacterium Staphylococcus Aureus. We present a severe case of disseminated staphylococcus aureus osteomyelitis, that includes bacteriemia, psoas abscess, infective endocarditis, osteomyelitis, septic arthritis of knee and shoulder joints. A 63-year-old woman with poorly controlled [...]

Case Presentation: A 39yo M with no past medical history and taking no medications, presented with 9 months of cough, dyspnea, chills, weight loss, nausea and diarrhea. He had no fever, chest pain, rashes, arthralgias, headaches, abdominal pain, weakness, oral or genital ulcers. He had no recent travel, had no family history of TB or [...]