Case Presentation: An 80 year old non-English-speaking Navajo woman, with a past medical history of diabetes type 2, hypertension, and osteopenia presented from an outside hospital with an acute fracture of the right femoral neck after a mechanical fall. The patient was evaluated by the Orthopedic team who recommended surgical repair. Her calculated pre-operative risk [...]

Case Presentation: A 58-year-old male presented to the emergency department with shortness of breath, aggravated by supine position, cough with white sputum production, sore throat, dysphagia  for solid food and odynophagia for last 2 weeks. Past medical history consisted of: coronary artery disease, hepatitis C, alcoholism, chronic obstructive pulmonary disease and chronic kidney disease. Physical [...]

Case Presentation: A 88-year-old female presented to an outpatient office with 3 weeks history of severe progressive bruising and ecchymosis which initially developed on left wrist and then spread to bilateral upper extremities, upper trunk and bilateral breast. Patient was recently diagnosed with intraductal adenocarcinoma of right breast (T2,N2,M0, Stage IIB). She declined surgery and tamoxifen (20 [...]

Case Presentation: : A 60-year-old male with history of emphysema was admitted to the hospital because of   worsening dyspnea, cough with yellow sputum production, fever and night sweats.The patient was hospitalized 9 days before this admission and was treated with levofloxacin and methylprednisone for acute exacerbation of COPD. Of note patient had a CT of [...]

Case Presentation: A 37-year-old man with AIDS on HAART and chronic therapy for history of mycobacterium avium infection (MAI) presented with altered mental status 4 weeks after stopping his medications. Family reported progressive confusion and weight loss. On physical examination his temperature was 38.1°C , blood pressure 130/50, heart rate 118, respiratory rate 16 with O2 saturation [...]

Case Presentation: A 38-year-old previously healthy man presented with left flank and arm pain 72 hours after donating plasma. He noted a blister at the site of the needle insertion followed by chills. He denied intravenous drug use. Physical exam was notable for fever of 39 °C, tachycardia 113 beats per minute, blood pressure 100/65 [...]

Case Presentation: 45 year old Polish male with a past medical history of hyperthyroidism who presented to the emergency room complaining of two weeks history of upper and lower extremity numbness and stiffness involving his palms up to the arms and his feet. He reported fatigue and muscular pain all over his body for the [...]

Case Presentation: A 31-year-old male with no past medical history presented with fevers and headaches for two days. Patient also complained of malaise, neck stiffness and photophobia. Physical exam notable for positive Kernig’s sign. Labs revealed a leukocytosis with neutrophillic predominance. A lumbar puncture was performed to assess for meningitis. The results were initially consistent [...]

Case Presentation: A 73 year-old female presented with significant lethargy and orthostasis with progressive generalized weakness over one week. The patient related that she had experienced increasing fatigue over one year, but that it had acutely worsened in the last two weeks. Upon admission, her vital signs were blood pressure 114/47 mm Hg, heart rate [...]

Case Presentation: A 28 year old male presented to clinic with a painless, progressively enlarging mass in his right testis for 4-6 weeks.  On examination a large, firm, right scrotal swelling was present. Testicular ultrasound revealed a heterogeneous 6.2 x 4.1 x 6.5 cm solid mass in the right testes. Labs were notable for a [...]