Case Presentation: A Caucasian man in his 60s presented to the ED with a 6-week history of extensive bruising, worse in both legs and buttocks, along with shortness of breath on minimal exertion. He stated he had a chronic wound on his right leg (Figure 1). He was not taking any regular medications. Days later [...]

Case Presentation: 34 yo female nonsmoker with PCOS and hirsutism on spironolactone admitted for sleeve gastrectomy for obesity.   Pre-op bp 117/50. BP began to increase intraoperatively and postoperatively into the evening with a maximum bp of 181/104.  She experienced intractable post-op emesis. After the surgery, she noted chest pain, shaking and numbness in her hands which resolved by the morning. On [...]

Case Presentation: 48-year-old man with past medical history of AIDS, unknown recent CD4 count presented to the ED complaining of slurred speech and disorientation for 3 days associated with fever and generalized body ache. Patient was admitted for stroke workup (CTH, CTA head/neck, and MRI brain) which resulted negative and there were also concerns for [...]

Case Presentation: 37 y/o M with a past medical history of SARS-CoV-2 infection one month prior presented after a syncopal episode and complained of inability to move his lower extremities. On exam he was hypotensive and had 0/5 motor strength in his bilateral lower extremities, decreased rectal tone, and absent patellar reflexes. Sensation to light [...]

Case Presentation: We present a case of a 63-year-old woman with hypertension and depression who was hospitalized following two weeks of chills and generalized abdominal pain. The patient denied history of HIV, hepatitis, or IV drug use. Initial workup showed white blood cell count elevation to 18 k/cumm (3.2-11.0 k/cumm) and CT of the abdomen [...]

Case Presentation: A 48-year-old male with past medical history significant for hypertension, alcohol use disorder in remission, known grade I esophageal varices, and cirrhosis who presented with confusion and oral mucosa bleeding. He was tachycardic to 100 but had adequate blood pressure of 106/68. Initial labs remarkable for hemoglobin 9.4 g/dL and platelet count 1 [...]

Case Presentation: An 82 y/o woman with Grave’s disease (diagnosed 3 years prior), h/o thyrotoxicosis, CKD stage 4, HTN, DM2, PAD s/p right AKA, HFpEF, and dementia presented to the ED with worsening bilateral upper extremity edema and new-onset right facial swelling. She denied dyspnea, dysphagia or voice change. Her arm edema was previously managed [...]

Case Presentation: An 88-year-old woman with diabetes mellitus and dementia initially presented with symptomatic bradycardia with loss of consciousness. Her hospital course was extended while awaiting nursing home placement. On hospital day (HD) 18, the patient complained of burning back pain. The exam revealed an erythematous, confluent vesicular rash confined unilaterally to the T2-T4 dermatomes [...]

Case Presentation: A 27-year-old male without medical history presented with paresthesias in his hands and feet, and numbness and instability from his waist down for 4 days. The patient initially denied any illicit substances, had no dietary restrictions, and no known medical problems in the family. Cervical MRI revealed T2 dorsal column hypersensitivity consistent with [...]

Case Presentation: In September 2021, a 53-year-old male with a BMI of 30.91 and no history of alcohol use was diagnosed with advanced prostate cancer, indicated by a PSA level of 111. A transrectal ultrasound-guided prostate biopsy revealed Gleason score 4+5 prostate adenocarcinoma. In February 2022, the patient initiated treatment with Androgen Deprivation Therapy (ADT) [...]