Case Presentation: A 69-year-old woman with hypertension and arthritis presented with 2 weeks of myalgias, decreased appetite, malaise, and fevers. She also reported two days of non-bloody diarrhea that had since resolved. She denied any recent travel, abdominal or dental procedures, or contact with livestock. Vital signs were notable for the absence of fever. Physical [...]

Case Presentation: A 75-year-old woman with a past medical history of latent tuberculosis, hypertension, and type 2 diabetes mellitus presented with three days of non-bloody, non-bilious emesis, diarrhea, abdominal pain, and a new onset of weakness, pitting edema, and rash with burning sensation in the bilateral lower extremities. Admission labs were notable for elevated creatinine [...]

Case Presentation: A 63-year-old male with hypertension and a history of thalassemia trait presented to the ED for evaluation of two weeks of progressive malaise and widespread tender lymphadenopathy. One week prior, the patient started a course of doxycycline for presumed tick-borne illness by his primary care provider, but worsening symptoms along with diarrhea, vomiting, [...]

Case Presentation: We present the case of a 34-year-old female with PMHx of chronic hypoxemic respiratory failure secondary to LCH with cor pulmonale that had questions about sexual intercourse. She reported that she and her partner were planning to have sexual intercourse, and she wanted a medical opinion about the health risks because of probable [...]

Case Presentation: A 62-year-old male with past medical history including tobacco use and hypertension presented to the ED with fatigue, generalized weakness, and ankle pain of two-week duration. His clinical course started with upper respiratory symptoms following contact with family members who were positive for COVID-19. The presenting symptoms resolved without confirmatory testing and were [...]

Case Presentation: A 55yo woman with no prior history of rheumatologic disease or skin disorders presented to the hospital with erythroderma. Two months prior to presentation, she had a sudden eruption of patchy, erythematous plaques and diffuse scaling of the scalp, face, upper chest, and back. This progressed to involve her entire torso and extremities. [...]

Case Presentation: A 69-year-old male with no significant medical history presented to his primary care provider with a 6-week history of progressive rash with painful lesions involving the oral mucosa, face, scalp, back, arms, legs, and groin. The condition was initially treated as a fungal process. In the setting of rapidly progressive oral erosions and [...]

Case Presentation: 85-year-old male with history of Myasthenia Gravis who presented with shortness of breath and back pain after a fall. Presenting vitals were as follows: heart rate of 80, respiratory rate of 20, afebrile and normotensive. Exam was negative for scleral icterus, jaundice, rashes, or petechia. Significant labs included Hgb 8.7 g/dL (baseline 13 [...]

Case Presentation: A 69-year-old female presented to the Emergency Department with progressive weakness, nausea, vomiting, diarrhea, abdominal pain, and confusion for several weeks following an eye surgery the month prior, with symptoms acutely worsening over the last week. On the day of admission, she was found disoriented and clinging to a doorway at home, unable [...]

Case Presentation: A 21-year-old female recently started on doxycycline for acne presented to our institution with epigastric pain. On the third day of doxycycline initiation, the patient began feeling nauseous with progressively worsening pain. The pain was localized to the epigastrium, described as sharp, stabbing, radiating to her back, and rated as severe. The patient [...]