Case Presentation: An 18-year-old female with type 1 diabetes (HbA1c 8%) on omalizumab therapy for severe allergic asthma presented with five weeks of fluctuating fevers, malaise, myalgias, and five days of right shoulder and chest pain. CT imaging revealed a large right lobe hepatic lesion (11.3 × 7.8 × 11.4 cm) with central fluid and [...]

Case Presentation: A 47-year-old woman with alcohol use disorder, history of methamphetamine use, and tobacco exposure presented with two months of progressive bilateral lower-extremity weakness and numbness, as well as new gait instability. Notably, her husband had presented to the emergency department several days earlier with similar symptoms, but no diagnosis was made. On exam, [...]

Case Presentation: Heyde’s syndrome—marked by severe aortic stenosis (AS), angiodysplasia, and acquired von Willebrand syndrome—predisposes patients to recurrent GI bleeding and creates major conflicts in cardiovascular management. We present an 81-year-old woman with severe, non-intervenable AS; chronic iron-deficiency anemia; known small-bowel AVMs; paroxysmal atrial fibrillation (AF) not anticoagulated due to bleeding; and CAD previously on [...]

Case Presentation: A 34-year-old woman with a medical history of chronic hypertension, paraplegia secondary to a motor vehicle accident, and chronic substance use disorder managed with buprenorphine presenting with persistent tachycardia. On admission, her electrocardiogram (EKG) revealed sinus tachycardia, and she tested positive for influenza. She was initiated on oseltamivir (Tamiflu) at 1 AM. Within [...]

Case Presentation: A 27-year-old man with a history of malignant right coronary artery (RCA) malformation, paroxysmal supraventricular tachycardia (SVT), and depression presented to the emergency department with a 5 day history of progressively worsening ascending paresthesia, weakness, and numbness. His symptoms were preceded by a confirmed Group A Streptococcal oropharyngeal infection treated with amoxicillin-clavulanate. Neurologic [...]

Case Presentation: 39-year-old female presented 1 hour after ingesting 50-60 mL of phenthoate 50% emulsified concentrate, an Organophosphate (OP) compound, with salivation, lacrimation, vomiting, diarrhea, and respiratory distress with bilateral wheeze and crepitations. Serum cholinesterase (SChE) was markedly reduced (2680 U/L), while other investigations were normal. She was treated with gastric lavage, atropine, oxime therapy, [...]

Case Presentation: A 26-year-old male with a history of alcohol and cocaine use presented with acute respiratory distress, holding his neck in a hyperextension to breathe. He reported a “cracking” sensation in his jaw, malocclusion, and 4 days of nausea, vomiting, and diarrhea. Prior to presentation, he ingested 7 beers and a small amount of [...]

Case Presentation: A 75-year-old woman with hypertension, hypothyroidism, and rheumatoid arthritis on Methotrexate (MTX) and prednisone, recently hospitalized for right foot cellulitis treated with Bactrim, presented after her neighbor found her confused and unable to move. On arrival, she was somnolent, tachycardic to 130, hypotensive to 98/50, and reported several weeks of diarrhea and painful [...]

Case Presentation: A 50-year-old man without pertinent medical history presented with fever and confusion. He reported recent outdoor exposure in the Northeastern USA. Vital signs were significant for a fever of 39.4 °C (102.9 °F), heart rate of 71 bpm, normotension and eupnea. Physical exam was remarkable for an ill appearance, confusional state, and no [...]

Case Presentation: A 69-year-old man with severe aortic stenosis (AS), heart failure with reduced ejection fraction, and end-stage renal disease on hemodialysis presented to the ICU after cardiac arrest. Four weeks earlier, he had undergone transcatheter aortic valve replacement (TAVR) with a 29 mm prosthetic valve following balloon valvuloplasty. The procedure was uneventful, and he [...]