Case Presentation: A 43-year-old male with a past medical history of Atrial Fibrillation on Warfarin, Stage III Chronic Kidney Disease, and Chronic Systolic Heart failure (EF 15%) presented to the ED with diarrhea and dyspnea. He was found to be in Atrial fibrillation with Rapid Ventricular Response with CHF exacerbation and shock, and he was [...]

Case Presentation: A healthy 64-year-old woman presented with a sudden onset of crampy lower abdominal pain, nausea, and vomiting. Physical examination showed a soft, distended abdomen with lower abdominal tenderness and multiple waxy, brown to tan colored papules and plaques on the back, resembling “raindrops,” consistent with seborrheic keratoses. This skin finding was new; her [...]

Case Presentation: A 44-year-old female with a history of SLE and chronic diarrhea presented with a one-day history of fever and lethargy. On admission, she was septic with a pancytopenia and a neutropenia with an ANC of 1.6. CT of chest, abdomen and pelvis showed non-specific enteritis, concordant with the chronic diarrhea history, but no [...]

Case Presentation: A 62-year-old female with diabetes, hyperlipidemia, and hypertension presented after a transient episode of left-sided weakness and dysarthria that resolved by the time of arrival to the emergency department. Vital signs were stable except for a blood pressure of 167/92. Physical exam, including a comprehensive neurologic exam, was negative. Urgent stroke workup was [...]

Case Presentation: Our patient is a 42-year-old male with history significant for hypertension, end stage renal disease (ESRD) on hemodialysis (HD), anemia of chronic disease, renal osteodystrophy, and right wrist calciphylaxis who presented with worsening right wrist erythema and bleeding. Patient had reported non-compliance with his dialysis schedule and noted to have multiple previous admissions [...]

Case Presentation: In infectious disease diagnostics, Next-Generation Sequencing (NGS) is a game-changer. The test is particularly useful when regular tests are unable to pinpoint the problem, especially in healthy people with no risk factors for unusual infections. It enhances pathogen identification through genetic analysis A 55-year-old woman with sigmoid diverticulosis and recurrent urinary tract infection [...]

Case Presentation: A 32-year-old Human Immunodeficiency Virus (HIV)-negative male presented with one week of headaches, dizziness, blurry vision, nausea, and vomiting. He denied fevers, chills, cough, hemoptysis, neck pain or stiffness, recent travel, sick contacts, photophobia, or phonophobia. He was recently diagnosed with cryptococcal meningitis (CM) and cryptococcal pneumonitis (CP) after presenting previously with 1.5 [...]

Case Presentation: An 80-year old woman with a PMH of a hemorrhagic R thalamic CVA, CKD3, HTN, HLD, T2DM presents for weakness and fevers in the setting of a 1 month long diffuse rash. The rash began on her legs, but spread to gluteal region, chest, arms, and palms/soles. The lesions started as blisters that [...]

Case Presentation: Hypereosinophilia (HE) is an abnormality noted on complete blood count that can have a myriad of causes. Identification of associated eosinophilia-related organ damage is important in the workup and treatment of this condition. Recognition requires a high degree of clinical suspicion from providers. We present a case of HE with end-organ damage that [...]

Case Presentation: A 71-year-old male presented with ongoing complaints of acute onset of shooting abdominal pain, polyuria, drenching night sweats, no appetite, fatigue, and constipation for the past 10 days. A CT of the chest, abdomen, pelvis, and soft tissue of the neck was ordered for further work-up with abnormal findings of marked lymphadenopathy involving [...]