Case Presentation: A 65-year-old man presented to outside hospital post-fall with weakness, back pain and fever. He had sinus tachycardia, leukocytosis, and a meth-positive urine drug screen (UDS). Chest x-ray and CT abdomen/pelvis were unremarkable. Blood and urine cultures grew MRSA. Empiric antibiotics and infectious disease (ID) consult ordered. Transthoracic (TTE) and transesophageal (TEE) echocardiogram [...]

Case Presentation: An 18-year-old female with no medical history was evaluated at an outside hospital for erythematous rash on her forearms, abdominal pain, chest pain, and leukocytosis. Chest Computed Tomography revealed hilar adenopathy. Transthoracic echocardiography showed right atrial and right ventricular (RV) dilation with low ejection fraction (EF). She was then transferred to our institution. [...]

Case Presentation: A 37-year-old woman with a history of HTN and ESRD due to preeclampsia now on hemodialysis presented to the hospital for two days of weakness, confusion, and fever. Notably, she had a recent history of blood cultures growing Acinetobacter for which she had received a course of antibiotics. Blood cultures taken at dialysis [...]

Case Presentation: A 62-year-old woman with Crohn’s disease and rheumatoid arthritis, on vedolizumab and prednisone, presented to the hospital with altered mental status. Her labs were notable for WBC 13.4K and creatinine 2.18mg/dL, CXR and non-contrast head CT were unremarkable. Blood cultures were obtained, and she was treated empirically with broad spectrum IV antibiotics and [...]

Case Presentation: A 65-year-old female with a history of focal epilepsy and carotid stenosis with recent endarterectomy presented with four weeks of abrupt aphasia, right sided weakness and several days of altered mental status and unusual left-hand movements. Since the endarterectomy one month prior to presentation, her family reported cognitive decline, memory loss and increased [...]

Case Presentation: A 71-year-old female patient with a medical history of coronary artery disease (CAD), hypertension (HTN), and mixed hyperlipidemia presented to our medical facility, reporting chest pain. She underwent a left heart catheterization, revealing significant stenosis in the proximal right coronary artery (RCA), which was successfully treated with percutaneous transluminal coronary angioplasty (PTCA) and [...]

Case Presentation: We describe a 59-year-old male patient with a medical history of coronary artery disease, multiple sclerosis, chronic obstructive pulmonary disease, and ischemic stroke. He presented with symptoms including fever, altered mental status, and a rapid heart rate. Initial assessments revealed an elevated white blood cell count, lactic acidosis, acute kidney injury, and signs [...]

Case Presentation: A 71-year-old man with a history of coronary artery disease (CAD) and percutaneous coronary intervention (PCI) presented to our hospital with unstable angina. He was urgently taken for coronary angiography (CAG) using a trans-radial approach, which revealed three-vessel CAD and severe in-stent restenosis of the left anterior descending artery. Balloon angioplasty was performed [...]

Case Presentation: A 64-year-old woman presented to the Emergency Department (ED) with widespread exanthem that started weeks prior to presentation. She reported having had similar exanthems at the same time the previous two years, which resolved with oral steroid therapy on both occasions. However, they were not as extensive as the present rash. 6 weeks [...]

Case Presentation: A 51-year-old African American female with a past medical history of hypertension, hyperlipidemia, and alcohol use disorder presented with acute onset confusion and difficulty with communication upon awakening preceded by intermittent mild headache for a few weeks. While in the emergency room, the patient experienced a grand mal seizure. The patient was afebrile [...]