Case Presentation: An otherwise healthy 37‐year‐old woman presented to a local hospital with left arm paresthesias and word‐finding difficulties. A head CT found a 3‐cm corona radiata lesion with mass effect and steroids were prescribed with improvement of symptoms. While awaiting further outpatient workup, she was found to be dyspneic, with recurrence of her left […]

Case Presentation: The patient is a 51‐year‐old man with history of IVDA and depression who presented with complaints of bilateral leg pain and swelling. He attributed his symptoms to cold weather during a snowstorm. A routine CBC showed his platelet count was more than 1 million/UL on an automated analyzer, whereas, 1 year prior to […]

Case Presentation: The patient is a 33‐year‐old white woman with dermatomyositis who was well until she awoke one night with a severe frontal and bibasilar headache associated with neck stiffness, bilateral eye and neck pain on movement, chills, nausea, and vomiting. She noted that her 2‐year‐old son had had a mild viral illness recently. The […]

Case Presentation: A 56‐year‐old white man with history of gallstone cholecystitis status post‐ERCP 11 years ago with sphincterotomy presented with bilateral upper quadrant pain after meals for 2 days. He had dark urine but no color change in stools. He had no associated nausea, vomiting, or diarrhea. The pertinent physical exams included upper abdomen tenderness […]

Case Presentation: A 31‐year‐old woman with history of depression was 7 days postpartum with no peripartum complications and presented with depressed mood and aphasia. Her family reported depressed mood, decreased verbal communication, and fatigue. She also had difficulty reading and was unable to write. No focal weakness, sensory loss, facial droop, or seizure activity was […]

Case Presentation: An 89‐year‐old woman with a history of paroxysmal atrial fibrillation and gastrointestinal (GI) bleeding less than 2 weeks prior was admitted to the hospital with worsening dyspnea over the past 3 days. She had a history of congestive heart failure (CHF) and clinically presented in acute exacerbation. She was treated with oxygen, diuretics, […]

Case Presentation: A 76‐year‐old woman presented with left lower extremity numbness and weakness for 1 hour. She denied chest or back pain. Vital signs were unremarkable. Neurological examination revealed 0/5 motor strength and decreased pinprick and light touch sensation in the left lower extremity. Vascular examination was remarkable for the absence of a left dorsalis […]

Case Presentation: A 25‐year‐old woman with a history of systemic lupus erythematosus (SLE), hypertension (HTN), and class IIIA lupus nephritis was admitted to the ICU for a generalized tonic‐clonic seizure. Her blood pressure was 250/150, and a head CT showed an acute intracerebral hemorrhage in the right basal ganglia and thalamus. The patient was also […]

Case Presentation: A 59‐year‐old Mexican man on immunosuppressive agents for a cadaveric renal transplant in October 2006 presented to an outside medical center for headache, weakness, and repeated falls. Over the prior month, the patient had been feeling weak and recently had become progressively disoriented, making odd statements and having both visual and auditory hallucinations. […]

Case Presentation: A 14‐year‐old man presented with a 3‐week history of nightly fevers and a painless upper back ulcer. The lesion had grown in size despite oral antibiotics after initial culture revealed MSSA. Review of symptoms included abdominal pain, nausea, chills, myalgias, and a 6‐kg weight loss. The patient denied trauma, joint pain, anorexia, cough, […]