Case Presentation: A 52-year-old man with a past medical history of hypertension, hyperlipidemia, and type 2 diabetes mellitus presented to the emergency department (ED) with complaints of two weeks of nausea, vomiting, abdominal fullness and distension, full-body fatigue, and myalgias. He was also noted to be febrile and jaundiced. Abdominal ultrasound findings were consistent with [...]

Case Presentation: This is a 77 year old woman with a history of severe aortic stenosis, severe mitral regurgitation, and chronic atrial fibrillation (afib) on coumadin. In 2017, she underwent bioprosthetic aortic valve replacement, mitral valve repair, biatrial ablation (Maze procedure), and left atrial appendage ligation (WATCHMAN procedure), after which she was to continue coumadin [...]

Case Presentation: An 81-year-old male presented in July with two months of recurrent fevers. He was initially hospitalized in early May for LLQ pain, diarrhea, and imaging findings consistent with diverticulitis and a small pericolonic abscess. He was discharged on ciprofloxacin and metronidazole with outpatient colorectal surgery follow-up. He required subsequent admissions in late May [...]

Case Presentation: A man in his late 70s presented to the emergency department after multiple falls and new onset altered mental status. Past medical history included hypertension, hyperlipidemia, chronic kidney disease (CKD) stage III, and previous infection with anaplasmosis over a decade prior.On clinical exam, the patient was afebrile, hypoxic, and meeting SIRS criteria with [...]

Case Presentation: An 86-year-old male patient with a history of hypertension and newly diagnosed stage 2 prostate cancer was referred from the cancer center due to a hypertensive emergency following the administration of a leuprolide injection. Shortly after receiving the first leuprolide injection, the patient experienced facial flushing, ocular pain, a sensation of eyes bulging [...]

Case Presentation: An 87yo woman with dementia presented with a large right adrenal mass consistent with pheochromocytoma with lymph node metastases based on biochemical testing and MIBG scan. Non-operative management with iobenguane-131 (Azedra) was considered because of her surgical risk. However, given her underlying dementia, comorbid conditions, and frailty, she was appropriately identified as high [...]

Case Presentation: 69 y/o female presents to the emergency department with acute on subacute low back pain in the setting of fall 12 weeks prior. Treated outpatient with conservative therapy including topicals, NSAIDs, tramadol, Flexeril and physical therapy. PMH of asthma, migraines, breast cancer in remission (s/p lumpectomy, chemotherapy and radiation in 2015, last annual [...]

Case Presentation: A 74-year-old individual, a heavy smoker, was diagnosed with advanced Stage III prostate cancer and subsequently underwent androgen deprivation therapy coupled with radiotherapy. Two years later, during active surveillance, the patient experienced exertional dyspnea, prompting a chest CT scan. The scan revealed two significant findings: a complete occlusion of the right upper lobe [...]

Case Presentation: The patient is a 54-year-old male with alcohol use disorder, HIV on antiretroviral therapy, and no history of diabetes, who presented with a 2-day history of painful swelling of the left upper and lower eyelids. After the first 48 hours, the patient developed purulent eye discharge and could no longer open his left [...]

Case Presentation: A 72-year-old male with a history of tobacco use (12 pack-years) presented to the hospital with 4 months of a progressive nonproductive cough. He experienced coughing spells lasting minutes with positional changes. The patient additionally endorsed night sweats, unexpected weight loss of 11 pounds, and dyspnea on exertion. In the days prior to [...]