Case Presentation: A 63-year-old male with end-stage renal disease, on hemodialysis via left arteriovenous fistula for over 10 years, presented with progressively worsening left fifth-digit infection and severe hand pain over the last month. Additional history includes peripheral vascular disease resulting in bilateral above-the-knee amputations and recent right fourth-digit amputation. He was seen outpatient by [...]

Case Presentation: An 80 year-old male with a past medical history of hypertension, hyperlipidemia, coronary artery disease with previous coronary artery bypass graft 4 years prior, and chronic diastolic heart failure presented with three days of acute onset weakness, abdominal pain, and subjective fevers. Patient had a fall one month prior to presentation and had [...]

Case Presentation: A 22-year-old Filipino man presented with worsening left groin and hip pain 2 weeks after falling down 3 steps on subway stairs. Since the fall, he had minimal range of motion due to pain and required assistance with ambulation. He also reported intermittent dull achiness in that hip one week prior to the [...]

Case Presentation: A 25-year-old female with no known significant medical conditions presented with two weeks of vaginal bleeding, generalized body aches, chills, and fever. Blood counts were significant for WBC count 74 K/uL with 9% blasts, platelet count 25 k/uL, and hemoglobin 5.4g/dL. Peripheral smear showed leukocytosis with numerous blasts and occasional Auer rods concerning [...]

Case Presentation: A 29-year-old man with medical history of type 1 diabetes mellites complicated by chronic nonhealing diabetic foot wound presented with one week history of shortness of breath and malaise. On physical exam he was hemodynamically stable and had a new grade II/VI holosystolic murmur at lower sternal border. Initial laboratory workup revealed elevated [...]

Case Presentation: We present a 59-year-old female with a past medical history of uterine fibroids and osteoarthritis who initially presented to the emergency department with a stroke alert for 10 days of slurred speech and facial droop. The patient was traveling with her husband in San Diego 2 weeks prior. Upon her return, she noticed [...]

Case Presentation: We report here a case of high output heart failure (HOHF), a rare but potential complication of Arteriovenous fistula (AVF) in a post-renal transplant patient.A 60-year-old male with end-stage renal disease and subsequent renal transplant 3 months ago presented with exertional dyspnea, worsening anasarca, and weight gain of 20 pounds. The patient also [...]

Case Presentation: introduction:Pseudohypotension, a phenomenon where blood pressure readings falsely suggest hypotension, poses a significant diagnostic challenge, especially when associated with subclavian artery stenosis. The condition can lead to misleading interpretations of a patient’s hemodynamic status, impacting clinical decision-making and therapeutic interventions. In this presentation, we explore a case of pseudohypotension due to subclavian artery [...]

Case Presentation: A 63-year-old female with a past medical history of hypertension, atrial fibrillation, type 2 diabetes, multiple strokes with residual left sided deficit, and chronic kidney disease, who presented with altered mental status (AMS) after losing consciousness for 20 minutes during which family noticed left sided facial droop and dysarthria. The patient denied chest [...]

Case Presentation: A 71-year-old patient with a past medical history of hypertension, insulin-dependent type two diabetes mellitus with peripheral neuropathy, and deceased donor kidney transplant two years prior (CMV D-/R+ & EBV D+/R+) presented with a complaint of acute onset dark urine, and progressively worsening nausea, vomiting, and intermittent diarrhea. His immunosuppressive regimen consisted of [...]