Case Presentation: Patient A is a 59-year-old man with medical history of hypertension, asthma, benign prostate hyperplasia, daily marijuana use and occasional alcohol use who presented with acute onset of progressive weakness of his right upper extremity and right lower extremity. He had been assaulted to the face but denied any neck or back injury [...]

Case Presentation: A 97-year-old male with past medical history of HTN, COPD, CAD post PCI, T2DM, HLD, CVA with no residual deficit, presented to the emergency department (ED) with generalized weakness for one week. The patient had been in his usual state of health until seven days ago when he woke up with symptoms of [...]

Case Presentation: A 34-year-old morbidly obese man with a history of recurrent headaches was admitted to the hospital with two months of rapidly progressive bilateral vision loss, weight gain, and lower extremities (LE) and scrotal swelling. An eye exam revealed severe papilledema in both eyes. Labs revealed brain natriuretic peptide 588 pg/ml and chest X-ray [...]

Case Presentation: Systemic Lupus Erythematosus (SLE) is known for its diverse clinical presentations. We present the case of a 41-year-old African American male prisoner with an initial presentation featuring bilateral submandibular, sublingual, and parotid swelling with concurrent facial angioedema and fever. The patient was presumed to have Ludwig’s Angina, yet initial treatment with broad spectrum [...]

Case Presentation: We present a 70-year-old female with a past medical history of heart failure, atrial fibrillation, COPD, and type-2 diabetes mellitus who was admitted with subjective fevers, vomiting, diarrhea, and intermittent cough for five days. On admission, the patient was alert and oriented but febrile (39C) and tachycardic (112 beats/min). Laboratory tests were significant [...]

Case Presentation: Patient is a 37-year-old male with a history of HIV, Kaposi’s sarcoma, substance abuse, Hepatitis C, and heart failure. Patient was previously treated for cryptococcal meningitis, neurosyphilis, VZV encephalitis, and ESBL UTI. He presents to the hospital due to shortness of breath, facial pain, malaise, neck stiffness, and abdominal pain with bilious vomiting. [...]

Case Presentation: A sixty-six-year-old male with a history of Monoclonal Gammopathy of Undetermined Significance (MGUS), Atrial Fibrillation, and Rheumatic Heart Disease requiring aortic and mitral valvuloplasty, was on warfarin with an INR goal of 3.5-4 due to multiple hypercoagulable factors and recurrent Transient Ischemic Attacks (TIAs) at INR 2.5-3.5. Post prostate cancer radiation, he developed [...]

Case Presentation: A 25-year-old male with polysubstance abuse presented with 5-days of sweats, chills, confusion, nausea, vomiting, dehydration, and anorexia in the setting of opioid detoxification. On presentation, he was afebrile, tachycardic to 115 bpm, with otherwise normal vitals. Exam revealed a tired-appearing thin man. Labs were consistent with mild dehydration. His urine toxicology screen [...]

Case Presentation: An 84 year old female with a past medical history of stroke, hypertension, hyperlipidemia, hypothyroidism, cataracts, glaucoma and recent diagnosis of autoimmune hepatitis presented with shortness of breath and abdominal pain. Three months prior to admission, the patient had been admitted and found to have acute liver failure secondary to autoimmune hepatitis and [...]

Case Presentation: A 33-year-old man with recent travel to India presented with fevers, abdominal pain, and bloody stools. He was admitted two weeks prior to a hospital in India for fever and right upper quadrant pain where he was found to have elevated liver enzymes (ALT 569, AST 390, total bilirubin 9.9) in addition to [...]