Case Presentation: A 57 year-old African-American male with past medical history of osteoarthritis, opioid dependence secondary to arthralgia, and chronic bilateral lower extremity venous thrombi secondary to both protein C and protein S deficiency, presented with acute altered mental status resulting from synthetic cannabinoid intoxication. The pain was so severe; he was only able to tolerate [...]

Case Presentation: A 60-year-old female with a history of hypertension, mild hypercalcemia, ESRD on hemodialysis, and pulmonary fibrosis status-post right lung transplant 6 years prior presented with acute on chronic diffuse abdominal pain, nausea, and diarrhea for 7 months.  She had no recent hospitalizations, antibiotic use, or sick contacts. She was seen multiple times in [...]

Case Presentation: A 77 year old female presented to her primary care physician for a routine follow-up. She had no complaints and stated that she felt well. Her blood pressure (BP) was found to be 224/90 and repeat checks confirmed it. She has history of hypertension, which has been controlled with Lisinopril 5 mg and [...]

Case Presentation: A 21 year old male with no significant past medical or surgical history presented to the hospital with sudden onset of bilateral lower extremity paralysis and paresthesia. He was lifting heavy boxes at work when he felt severe lower back pain that eventually radiated to his legs. The pain was followed by bilateral [...]

Case Presentation: A 65 year old female with stage IV poorly differentiated left breast adenocarcinoma presented with ­­a one day history of malaise, nausea, and jaundice. The patient was already undergoing treatment with Anastrozole, however, six days prior to presentation, Fulvestrant was administered for the first time due to findings of spinal metastases. Laboratory testing [...]

Case Presentation: A 27-year-old male presented with one year history of nonproductive cough and a 4 week history of expiratory wheezing, dyspnea on exertion, facial swelling and episodic hemoptysis. Past medical history was significant for fatigue, insomnia and headaches. Social history was significant for minimal tobacco use, occasional alcohol consumption, prior use of marijuana and [...]

Case Presentation: A 64-year-old man with history of coronary artery disease, hypertension, and hyperlipidemia initially presented to outside hospital with complaint of 6 weeks of fever, weakness, anorexia, and left flank pain. He reported recent illness one month prior with pneumonia which was treated with antibiotic for 10 days. Shortly thereafter, he began to experience [...]

Case Presentation: A 78 year old female with Type 2 diabetes, HTN, vitiligo, sacral decubitus ulcers, CHF, and atrial fibrillation presented with fevers and two weeks of malaise, dizziness, progressive somnolence, and altered mental status. Per her husband, she also had some episodes of sweating but had not complained of any headaches or palpitations. At [...]

Case Presentation: A 71 year old woman with a history only significant for Lyme disease in 2005 presented with complaints of malaise and fatigue for two weeks. One week prior to admission, the patient was evaluated by her physician who prescribed a course of doxycycline, after recognizing the patient was bitten by a tick in the [...]

Case Presentation: A 55-year-old man with a history of asthma, chronic kidney disease and hypocalcemia presented with dyspnea and hypoxemia to the Emergency Room. The patient reported cough, purulent sputum production, and fever. His symptoms began 3 weeks prior and he was diagnosed with pneumonia by his outpatient pulmonologist. He completed a 10 day course [...]