Case Presentation: A 68-year-old male with a three-year history of kidney transplantation on chronic immunosuppression presented with persistent hypotension and acute right leg pain secondary to a right lower extremity abscess. Initial comprehensive computed tomography (CT) revealed multiple additional abscesses, including neck, forearm, retroperitoneal, paravertebral and numerous pulmonary nodules. Given concerns for possible disseminated Nocardia, [...]

Case Presentation: An 84-year-old male with a past medical history of hypertension, type two diabetes mellitus, and left herpes zoster ophthalmicus treated three months prior presented to the hospital with two days of worsening confusion and altered mentation. Initial Computed Tomography (CT) of the head revealed no evidence of acute infarction. Initial serologic workup revealed [...]

Case Presentation: A 61-year-old woman presented to the Emergency Department (ED) with weakness. She had multiple falls over two months, including a presumed mechanical fall on the stairs that caused a nasal fracture two weeks prior to presentation. The patient had difficulty getting out of her car and climbing the stairs in her home and [...]

Case Presentation: A 73-year-old male with a past medical history of hypertension, benign prostatic hypertrophy, gastroesophageal reflux disorder, latent tuberculosis, and no smoking history presented with 4 days of chills, dyspnea, diarrhea, and dysuria. Initial vital signs were notable for SpO2 88% on room air and HR 110s. Labs were notable for VBG with slight [...]

Case Presentation: 59 year-old male with history of hypertension, presented with right arm weakness and slurred speech for 15 minutes. He reported feeling difficulty grabbing items while at the grocery store with his cousin and after starting to slur his words, EMS was called. Upon exam in the emergency department, he regained full strength in [...]

Case Presentation: An 88-year-old woman with history of hypertension and hyperlipidemia presented to the ED after a fall. She denied trauma or loss of consciousness at the time of the event. Prior to the fall, she denied palpitations, chest pain, dizziness, or other prodromal symptoms. She denied prior events. She attributed her fall to swelling [...]

Case Presentation: An 18-year-old female with no significant medical history presented to the hospital with diffuse abdominal pain and jaundice for 2 weeks, associated with nausea, non-bloody vomiting, and subjective fevers. The patient was treated for exudative tonsilitis 2 weeks earlier and had taken 6 grams of acetaminophen over 48 hours before presentation to the [...]

Case Presentation: A 55-year-old woman with a history of hyperlipidemia and hypothyroidism presented with a one month of proximal muscle weakness in her arms and legs, and ten-pound unintentional weight loss. Eight months earlier, routine labs showed mild elevations in ALT and AST levels to ~90. Her atorvastatin was discontinued; however, her liver enzymes continued [...]

Case Presentation: 68-year-old male with a history of recurrent angioedema, complicated by intubation, presented to the emergency room (ER) for progressive tongue swelling and dyspnea prior to arrival. He was on aspirin 81 mg for years with a recent addition of cilostazol for peripheral artery disease. Physical exam was significant for tongue and lip swelling. [...]

Case Presentation: A 69 year old male with no past medical history presented to the hospital with significant generalized pruritus. 3 weeks prior to presentation, the patient started taking a daily dose of a turmeric supplement. About a week later, he began developing a slow but progressive generalized pruritus, scleral icterus, pale stools, darkening urine [...]