Case Presentation: A 65 year-old female with past medical history of type 1 diabetes mellitus, renal transplant, breast cancer, sarcoidosis, and hypothyroidism presented with acute onset of severe pain, numbness, and weakness of bilateral upper and lower extremities. The patient developed rapidly progressive fatigue and weakness over three days following acute bronchitis six weeks prior. [...]

Case Presentation: A 77-year-old female was brought to the emergency with lethargy, confusion, fever for 3 days and neck pain. She had a recent trip to the Caribbean where she was taking Metamizole to manage neck pain. Her physical exam was notable for fever, sinus tachycardia, cervical lymphadenopathy, a muffled voice, and stridor. Initial blood [...]

Case Presentation: Case 1: A 38-year-old woman with no past medical history presented to the hospital with four days of fatigue, myalgias, and productive cough. On admission, she was febrile to 103 F, had a heart rate of 130 with ECG showing sinus tachycardia, saturating 95% on two liters of nasal cannula oxygen. Initial workup [...]

Case Presentation: A 47-year-old male with past medical history of HIV controlled on Biktarvy (CD4 >1000, reportedly negative HIV viral load) and mild substance use disorder (multiple substances, snorting, denied IV use) presented to the hospital with acute chest pain. The pain was present in the midsternal region, described as “sharp,” and was associated with [...]

Case Presentation: A 38-year-old female with a past medical history of recurrent pancreatitis, heart failure with recovered ejection fraction, type 2 diabetes mellitus, and hyperlipidemia presented with acute-onset abdominal pain, nausea, and vomiting. Her history was notable for no alcohol use, a prior cholecystectomy, and an episode of pancreatitis with an unclear cause several months [...]

Case Presentation: 61-year-old male presented with fatigue, dizziness and epigastric discomfort. Patient was noted to be anemic on lab investigations. Patient underwent a CT scan of the abdomen and pelvis which demonstrated a 4.7 x 4.6 cm mass in the anteromedial stomach distal to GE junction. There was also a 1.8 x 1.5 cm structure [...]

Case Presentation: A 31-year-old woman, G2P1A0, 32 weeks pregnant, with a history of systemic lupus erythematosus (SLE), presented with a gradual onset of worsening abdominal wall, genitalia, and bilateral lower extremity swelling. Upon admission, the workup revealed nephrotic-range proteinuria, normal renal function, and elevated anti-dsDNA. A lower extremity ultrasound showed no evidence of deep vein [...]

Case Presentation: A 57-year-old Honduran male with no past medical history presented with two weeks of recurrent fevers, dyspnea, bilateral blurred vision, and pain in his low back, flank, and abdomen. Chest X-ray revealed a round opacity over the right lower lung. CT chest, abdomen, and pelvis showed patchy consolidation in the right lower lobe [...]

Case Presentation: A 58 year-old woman with a past medical history of bipolar disorder, pulmonary embolism, opioid use disorder, and hypothyroidism presented to the hospital after being found unresponsive. Review of systems were only positive for confusion and bilateral lower extremity pain/swelling. Initial vital signs included a blood pressure of 79/48 mmHg, a heart rate [...]

Case Presentation: A 41-year-old woman with a history of nephrolithiasis managed conservatively presented to the hospital with right flank and right upper quadrant pain. The pain initially started four months prior to her presentation, cramping in nature, rated 10/10 in intensity, intermittent, progressively worsening, initially well managed with ibuprofen, aggravated by movement, and relieved partially [...]