Case Presentation: We present a 25-year-old female with past medical history of right fibular hemimelia who presented with acute on chronic leg pain. She had a history of multiple prior limb lengthening surgeries complicated by Staphylococcus aureus infection with hardware removal. Patient endorsed weeks of worsening leg pain and cramping. Had been seen by orthopedic [...]

Case Presentation: A 62 year old homeless male with no significant past medical history presents to a large tertiary referral center after being found unresponsive by police. Vital signs: 99.2 F, HR 86, RR 17, BP 160/81. Labs: Lactic acid 2.9, WBC 26.35, CRP 150.60, urine drug screen negative. CT imaging revealed evidence of ureteral [...]

Case Presentation: A 32-year-old man with alcohol use disorder complicated by delirium tremens, who initially presented with left ankle pain, was later found to have septic arthritis. He was admitted to the ICU for alcohol withdrawal, altered mental status (AMS), and sepsis in the setting of septic arthritis, with gram-positive cocci identified on ankle aspiration. [...]

Case Presentation: A 30-year-old man with a remote history of Kawasaki disease and eosinophilic esophagitis, presented with 5 days of fevers, poor appetite, fatigue, and diarrhea after returning from India. Upon arrival, he was febrile (39.1°C), had a normal heart rate, and hepatosplenomegaly. Blood cultures demonstrated Salmonella Typhi, and stool polymerase chain reaction showed Salmonella [...]

Case Presentation: A 35-year-old male with a history of chronic alcohol use disorder, tobacco use, and malnutrition presented to the emergency department with a few days of yellow discoloration of the eyes. He denied fevers, headache, chest pain, shortness of breath, abdominal pain, nausea, vomiting, dark or bloody stools, or urinary pain. He drank two [...]

Case Presentation: A healthy 34-year-old female presented to the hospital with severe left lower extremity pain. Patient endorsed 4 days of progressively worsening left upper thigh and hip pain that caused her to become bed bound, prompting her to come in. She also reported fevers, chills, cough, and myalgias but denied vomiting, diarrhea, numbness, or [...]

Case Presentation: Neuroendocrine tumors encompass a range of presentations, with pheochromocytomas (PCCs) accounting for most cases. PCCs are catecholamine-secreting tumors arising from the adrenal medulla, while paragangliomas (PGLs) represent a rarer subset (15-20%) originating from extra-adrenal chromaffin cells. Symptoms, including episodic or sustained hypertension, arise from catecholamine excess. Rarely, PGLs can present with intracerebral hemorrhage [...]

Case Presentation: A 29-year-old Black female presented with abdominal pain, nausea, vomiting, and diarrhea. Her history was notable for a hospitalization three months prior for Streptococcus pneumoniae meningitis with associated septic arthritis of the hip requiring long term antibiotics. On examination she was afebrile with reassuring vital signs. Her abdomen was distended with notable diffuse [...]

Case Presentation: The patient is a 59-year-old female with medical history notable for dysautonomia utilizing Hickman catheter for home fluids. The day before presentation, the patient was febrile and then was found down by a family member. Upon awakening, she had word-finding difficulties prompting emergency room presentation. On arrival to the ED she was in [...]

Case Presentation: A 25-year-old African American male with a history of Frasier syndrome, renal transplant, bilateral orchiectomy, and chronic immunosuppression presented to an outside hospital with a three-day history of shortness of breath and malaise. Workup revealed bilateral multifocal pneumonia and an acute kidney injury. He was transferred to the ICU at our hospital so [...]