Case Presentation: 28 year old male with no past medical history presented to an urgent care centre with one day history of right facial palsy which treated as Bell’s palsy with a prednisone taper. Two days later, he again presented to the ED with progressive bilateral upper and lower extremity weakness. Past medical history was [...]

Case Presentation: A 58 year‐old man with a history of hypertension, stroke, seizures and chronic kidney disease was admitted as a stroke alert with left sided weakness and left visual field defect. There was also a history of depression and a previous suicide attempt. Examination was significant for a confused male with an acetone odor, [...]

Case Presentation: A 40‐year‐old African‐American female with no significant past medical history presented to the ER with orthopnea and dyspnea on exertion for last 6 months which was getting worse over time. She had a positive family history for unknown cardiac disease. The patient was a nonsmoker, physically active, never used any illicit drugs or [...]

Case Presentation: A 68 year old female presented with confusion, left hand paresthesias, and unsteadiness with one fall. Her past medical history was significant for alcoholism and rheumatoid arthritis (RA) treated for six years with rituximab. Exam revealed stable vital signs in an alert, cooperative, well‐nourished patient. She had no joint swelling, nodules, ulnar deviation, [...]

Case Presentation: A 21‐year‐old female with a history of asthma presented to the emergency department for evaluation of left ear pain, sore throat and productive cough for the past three days. She was found to be febrile and tachycardic, which resolved after receiving antipyretics. Rapid Strep screen was negative and patient was discharged home with [...]

Case Presentation: A 27 year‐old with ADHD presented with 4 days of fever and chills associated with diffuse myalgias, arthralgias, and headache. Following fever onset, she developed an erythematous morbilliform rash beginning on her back and spreading to her arms, neck and face. Further history revealed that she had recently traveled 3 weeks throughout Thailand. [...]

Case Presentation: A 58‐year‐old woman presented with a 4‐month history of dysphagia. The dysphagia was to solids and liquids, and was associated with regurgitation and loss of appetite. On further questioning, it was discovered that during this time period she had also been experiencing right eye ptosis, diplopia, 40 pound weight loss, fatigue, and intermittent [...]

Case Presentation: A 68 year‐old man with a past medical history of autosomal dominant polycystic kidney disease (ADPKD) and diverticulosis presented with a 1‐day history of severe chest pain radiating to the back with associated diaphoresis and dizziness. Vital signs were within normal limits; blood pressure measured 102/63 mmHg with no significant difference between left [...]

Case Presentation: A 59 year old African American male being treated for bilateral lower extremity deep vein thromboses, heparin‐induced thrombocytopenia, acute kidney injury and fever was administered intravenous vancomycin and piperacillin‐tazobactam for suspected health care acquired pneumonia. Other medications included warfarin and enoxaparin. On antibiotic day 1, the patient developed a pruritic rash of erythematous [...]

Case Presentation: A 53 yo male presented to the ER. Relatives claimed that patient was in USOH when he started to ‘convulse’. PMH did not include seizures. Home medication was bupropion, as tobacco cessation treatment. Pt appeared disoriented, being a*o*1, and slow to answer questions. He was not recognizing family and was very paranoid. (Pt’s [...]