Case Presentation: A 72-year-old female with rheumatoid arthritis, ILD, hypertension, hypothyroidism, iron deficiency anemia, and monoclonal paraproteinemia presented with 3-day history of progressive dyspnea and productive cough and was admitted for acute hypoxic respiratory failure initially requiring 3 L/minute oxygen via nasal cannula (NC). The remaining vital signs were stable. Exam revealed rales at right [...]

Case Presentation: A 57-year-old female with a medical history of uncontrolled diabetes with a hemoglobin A1C of 14, hypertension, and a previous right-sided stroke presented to the emergency department with a four-day history of nausea, vomiting, watery diarrhea, fever and chills. On presentation, the patient was hemodynamic stable with no fevers. Physical examination revealed no [...]

Case Presentation: A 38-year-old male dentist presented with several days of bilateral lower extremity rash and migratory large joint arthritis in the setting of fevers, myalgias, and a recent viral illness in his 3-year-old daughter. His medical history included remote testicular cancer post-orchiectomy. He was referred by his primary care provider who noted bilateral (right [...]

Case Presentation: 19-Year-old ,African American, female with significant medical history of hypertension, Uncontrolled Diabetes Mellitus, presents with chest pain for 24 hr. Pain was sub-sternal, pressure like,7/10,radiating to right arm and in between the shoulder blades, persistent ,precipitated by drinking alcohol the night before ,associated with Shortness of breath and palpitations. Patient had a history [...]

Case Presentation: A 46-year-old woman with a past medical history of breast cancer, on tamoxifen, presented to the hospital for two-day history of progressive and generalized rash with a fever. Two weeks prior, she took cephalexin for one week for cellulitis of her right lower leg. The patient did not report a recent travel history. [...]

Case Presentation: A 67-year-old male presented to the Emergency Department with a chief complaint of bilateral vision loss. He had a complex medical history including atrial fibrillation, coronary artery bypass graft surgery, aortic stenosis with bioprosthetic valve replacement, and ascending aortic aneurysm graft and repair performed in 2022. He was admitted and on inpatient work-up [...]

Case Presentation: A 71 year old female with past medical history of DM2, HTN, and CKD presented with weakness and body aches, progressing to inability to ambulate. Home medications included insulin, valsartan, and rosuvastatin. She was found to have a creatinine of 7.99 mg/dL from a baseline of 2 mg/dL. She was also found to [...]

Case Presentation: A 40 year-old female with previous out of state hospitalizations for MDD and bipolar disorder with psychotic features presented with disorganized thoughts, withdrawn affect and depression at the behest of her family. Psychiatric evaluation noted echolalia, negativism, withdrawal and poor PO intake. A diagnosis of severe depression with catatonic features was made and [...]

Case Presentation: A 41-year-old male with a history of dextro-transposition of the great arteries (D-TGA) presented after thirty minutes of global aphasia. Symptoms resolved prior to arrival, and the patient noted that this was the second episode in the last three months. Surgical history was notable for Mustard repair of D-TGA at the age of [...]

Case Presentation: A 76-year-old man with a history of chronic obstructive pulmonary disease (COPD), chronic kidney disease, and type II diabetes presented with dyspnea. He was diagnosed with a COPD exacerbation and COVID-19 infection and treated with IV and oral steroids during an 18-day hospitalization. Two days after discharge, he presented with right upper extremity [...]