Case Presentation: A previously healthy 28-year-old female, originally from India, presented with severe perineal pain and recurrent fevers six weeks following a forceps-assisted vaginal delivery complicated by perineal lacerations and hemorrhage. Two weeks post-partum, she presented with vaginal pain despite being afebrile with a normal physical exam. Four weeks later, the pain continued, and she [...]

Case Presentation: A 74-year male with a medical history of CAD, aortic stenosis (s/p TAVR), type 2 diabetes, andHTN, presented to the emergency department with a chief complaint of shortness of breath and darkurine.  11 months prior to admission, the patient underwent a routine dental procedure.  10 months prior tohospitalization, he had been experiencing progressive [...]

Case Presentation: A 72-year-old man with benign prostatic hyperplasia and a history of paroxysmal atrial fibrillation presented with chest discomfort, dyspnea, dizziness, and weakness. Initial ECG interpretation raised concern for wide-complex tachycardia, prompting further rhythm evaluation. Subsequent telemetry and electrophysiology review identified atypical atrial flutter with variable atrioventricular conduction. His previous cardiac workup had been [...]

Case Presentation: Bouveret Syndrome is a rare complication of gallstone disease and is critical to recognize early, given its 60% morbidity rate and 30% mortality rate. We present a unique case of Bouveret syndrome causing duodenal adenocarcinoma. A 73-year-old male presented to the ER with chief complaints of abdominal pain, nausea, and vomiting for 2 [...]

Case Presentation: A 39-year-old woman with history of migraines, Chiari malformation, and PTSD was admitted with 2 months of constant generalized pain with spasms in her face, neck, shoulders, and back. She had severe and diffuse muscle twitching in her extremities and 6-pound weight loss.At onset of symptoms, MRI of brain and cervical spine showed [...]

Case Presentation: A 77-year-old Japanese woman developed trismus after receiving a facial massage, two months before admission. She initially consulted a dental clinic, where panoramic radiography revealed a complete absence of the interincisal distance, and she was provisionally diagnosed with temporomandibular joint disorder. Her symptoms persisted with the development of a low-grade fever and difficulty [...]

Case Presentation: Introduction:DRESS syndrome (Drug Reaction with Eosinophilia and Systemic Symptoms) is a rare but severe and delayed hypersensitivity reaction to a medication, characterized by rash, eosinophilia, fever, and systemic organ involvement. We describe a case in a 54-year-old patient treated with carbamazepine for trigeminal neuralgia.A 54-year-old woman with a history of hypertension and hyperlipidemia [...]

Case Presentation: A 60-year-old male presented after a witnessed syncopal episode. Initial vital signs showed hypertension and tachycardia (BP 143/116 mmHg, HR 132 bpm), tachypnea (RR 30), normal temperature (37.2°C), and hypoxemia (SpO2 84% on room air). Examination showed unresponsiveness despite naloxone administration by EMS, with a tense, distended abdomen. In the emergency department, the [...]

Case Presentation: A 73-year-old woman presented with a 10-year history of recurrent symptomatic hypoglycemia that had intensified over several months. Laboratory evaluation confirmed endogenous hyperinsulinism (serum glucose 57 mg/dL; insulin 32.7 μIU/mL). Contrast-enhanced CT revealed an 18-mm hypervascular nodule in the pancreatic head. MRI and endoscopic ultrasound (EUS) localized a 16-mm well-circumscribed lesion in intimate [...]

Case Presentation: Epstein-Barr virus (EBV) infection in young adults is typically a straightforward diagnosis characterized by fever, sore throat, and lymphadenopathy. However, EBV can be a master of disguise, presenting outside this classic triad and masquerading as primary hepatobiliary or hematologic disease. We describe a patient who presented with hepatitis, pancytopenia, and warm autoimmune hemolytic [...]