Case Presentation: A 42 year old male with a history of uncontrolled hypertension presented with acute onset of transient left sided weakness, numbness, vertigo and ataxia lasting about an hour. The patient had carried a diagnosis of hypertension since the age of 18, and, despite compliance with five antihypertensive agents as an outpatient, he continued […]

Case Presentation: 67‐year‐old woman with alcoholic Cirrhosis was admitted with 4 weeks of weakness, jaundice, gait disturbance and recurrent falls. She had no cough, pain, limb weakness, hematamesis or melena. Temperature was 103.2 degree F, and rest of the vital signs was normal. She was lethargic, icteric with an unremarkable cardio respiratory and abdominal exam. […]

Case Presentation: A 63‐year‐old right handed male with a history of hypertension, diabetes mellitus and active tobacco abuse presented with a five day history of right‐sided numbness and sharp pain in his left lower extremity for 1 day. On examination, he was alert, active and oriented to person, place, and time. His vital signs revealed […]

Case Presentation: A 34 year‐old male with hepatitis C and alcoholic liver cirrhosis presented with one day history of nausea, bilious vomiting and intermittent epigastric pain. The patient had elevated WBC but no fevers, SpO2 was 92% on ambient air, and abdomen was tender to palpation in the right upper quadrant. Intra‐abdominal processes were suspected, […]

Case Presentation: A 58 year‐old male with recently diagnosed HIV presented with altered mental status in setting of six months progressive cognitive decline, visual hallucinations and paranoia. Patient reported subjective fevers, night sweats, weight loss, and diffuse pruritic rash. On presentation, the patient was somnolent; temperature 98.2, heart rate 95, BP 136/87, SpO2 100% on […]

Case Presentation: The patient is a 43 year old female with a past medical history significant for IVDA, alcoholism, and recent cocaine use who presented to the emergency department with severe agitation and complaints of diffuse pain. The patient was found to have 3/4 SIRS criteria, though no identifiable source of infection was found. As […]

Case Presentation: A 72‐year‐old woman with successful implantation of dual‐chamber permanent pacemaker presents two months after pacemaker placement with progressive shortness of breath. She was recently hospitalized one‐month prior for idiopathic pericarditis with hemorrhagic pericardial effusion, treated with colchicine and high‐dose aspirin. On current presentation, she was tachycardic to heart rate 120s, but vital signs […]

Case Presentation: 51‐year‐old man with a history of Legg‐Calve Perthes disease and chronic lower back pain presented with left lower extremity pain and swelling for 2 days. Pain was not relieved with NSAIDS. Six weeks ago, he sustained an ankle injury requiring a left foot immobilizer for 2 weeks. He denied any chest pain, shortness […]

Case Presentation: A 56 year‐old man with a remote history of skin cancer presented with one month of worsening headaches, nausea and vertigo. He underwent a MRI of the brain in the emergency department which revealed multiple ring enhancing parenchymal lesions with associated edema and local mass effect. He was subsequently transferred to our Hospital’s […]

Case Presentation: A 35 year old male with no known past medical history presented for the evaluation of his worsening shortness of breath cough with hemoptysis, on and off fever and weight loss of about 20 pounds in the past 2 months. He was a known smoker, and denied any recent travel or contact with […]