Case Presentation: A 29-year-old male with a history of HIV/AIDs on antiretroviral therapy (ART), prior cryptococcal meningitis, and mycobacterium avium complex (MAC) colitis presented to the ED with a three-week history of worsening abdominal pain and distension. His MAC colitis was diagnosed earlier that year and treated with clarithromycin and ethambutol. However, the ethambutol was […]

Case Presentation: We have a 63 year old female with a history of spontaneous coronary artery dissection (SCAD) of the left anterior descending artery (LAD) 2 years prior that was found on a left heart catheterization after she presented to the ER with a complaint of chest pain with associated dyspnea. On a physical exam, […]

Case Presentation: Addison’s disease, or primary adrenal insufficiency, is a rare disorder of glucocorticoid or mineralocorticoid deficiency caused by adrenal cortex dysfunction or destruction. Since the disease gradually progresses with nonspecific symptoms, patients are often misdiagnosed or diagnosed late. Consequently, patients receive delayed treatment and are at increased risk for Addisonian crisis, which continues to […]

Case Presentation: A 30-year-old man with no medical history presented to infectious disease (ID) clinic with 6-months of diffuse and progressive hypopigmented, erythematous, non–purulent, pruritic papules on bilateral hands, fingers, ears, testicles, and anterior sinuses. He didn’t report other symptoms but had recently immigrated from Peru.He was initially seen in dermatology clinic and diagnosed with […]

Case Presentation: A previously healthy 19-year-old woman presented to the hospital for a persistent headache with photophobia, nausea, and vomiting that started one week prior. Previously, she was evaluated in the emergency department three times with a negative brain MRI with contrast as well as MRI angiography and venography. On admission, given lack of improvement, […]

Case Presentation: A 66 year old female with a past medical history of hypertension (HTN), hyperlipidemia (HLD) and coronary artery disease (CAD) presented to the hospital for an elective three-vessel coronary artery bypass graft involving the left internal mammary artery to left anterior descending artery, saphenous vein graft (SVG) to the obtuse marginal artery, and […]

Case Presentation: A 76-year-old male with PMH of atrial fibrillation s/p WATCHMAN device three years prior to presentation, CAD, and COPD presented to the emergency department with altered mental status, generalized weakness, and dysarthria for one day. He denied having any headache, nausea, vomiting, trauma, numbness, tingling, or palpitations. On physical exam, his vitals were […]

Case Presentation: The patient is a 51 year old male with diabetes, peripheral arterial disease with extensive vascular surgeries including left below the knee amputation, ESRD on hemodialysis, multivessel coronary artery disease, history of seizures, who presented with altered mental status likely from missed dialysis. Patient was found to be afebrile, hypertensive to the 200s […]

Case Presentation: Patient is an 82-year-old male with a past medical history of primary epithelial mesothelioma secondary to asbestos exposure while on active duty in the Navy. Patient was initially treated with neoadjuvant chemotherapy with carboplatin pemetrexed for 4 cycles followed by pleurectomy and talc pleurodesis. Patient had recurrent disease after surgery and was started […]

Case Presentation: A 77-year-old male patient presented with a one-month duration of low-grade fever, dry cough, and dyspnea. In his fifties, he received a diagnosis of bronchial asthma. He has no history of smoking. The patient reported orthopnea and was unable to articulate complete sentences. Auscultation of the chest revealed bilateral wheezing during both inspiration […]