Case Presentation: A 24-year-old Japanese American male presented with 3-4 weeks of sore throat, fever, vomiting, and fatigue. He was found to be in respiratory distress and was quickly intubated. Physical exam was remarkable for decreased breath sounds along right anterior lung field. His initial chest x-ray showed a large opacity within the right upper and [...]

Case Presentation: A 75 year old male with a history of hypertension and diabetes arrived with a week history of diarrhea, reporting 10-15 episodes per day, and a two to three day history of increased urinary frequency and dysuria. His family reported that there were multiple episodes of fecal incontinence over the past three days [...]

Case Presentation: A previously healthy and ambulatory 34-year-old diabetic man presented with left-sided scrotal and groin cellulitis and was admitted to the hospital for intravenous antibiotic therapy. He was placed on appropriate pharmacoprophylaxis for venous thromboembolic disease and was observed ambulating on the unit. Despite one week of appropriate antibiotic therapy, he continued to have [...]

Case Presentation: A 69 year old right-handed Asian male presented with 2 episodes of right sided focal seizures. He has a past medical history significant for chronic headaches of 4 year duration and was being treated for presumed tuberculous meningitis based on lymphocytic pleocytosis with elevated protein in Cerebrospinal Fluid (CSF) analysis, leptomeningeal enhancement in [...]

Case Presentation: A 19 year old obese African American male with past medical history of asthma presented to the emergency room with sudden onset of shortness of breath. He had cough with expectoration of greenish sputum for 1 week prior to presentation. Review of system was negative except for watery diarrhea of 2 days duration. [...]

Case Presentation: A 50 year old caucasian male with past medical history of asthma and chronic sinusitis presented with a 1-week history of worsening gradual onset exertional dyspnea. He denied orthopnea, paroxysmal nocturnal dyspnea, chest pain, palpitations, syncopal episode, fever, cough with sputum, upper respiratory tract symptoms, sick contacts, recent travel and lower extremity swelling with pain. The remainder [...]

Case Presentation: A 62 year old Caucasian female with past medical history of hypertension, diabetes, hyperlipidemia and 40 pack year smoking presented to the emergency room with sudden onset aphasia. On physical exam, she was found to have tachycardia, altered mental status and severe expressive aphasia. A CT head without contrast revealed an acute left [...]

Case Presentation: This is a 62 year old male with history of stage IIIc melanoma being treated with the monoclonal antibody ipilimumab. One week after his second cycle, he developed diffuse abdominal pain and 3-4 large volume, non-bloody, watery stools per day. He was treated with loperamide and diphenoxylate/atropine. His stool frequency increased to 6-7 [...]

Case Presentation: This is a 51 year-old male with a past medical history of stage IV NSCLC being treated with Nivolumab, an anti-tumor monoclonal antibody.  He presented to urgent care with nausea, decreased appetite, hypoactivity and disorientation. His symptoms progressed over the previous 3 weeks. On initial exam he was disoriented to person, time, and [...]

Case Presentation: This is a 76 year old male with PMH of hypertension who developed severe dyspnea with exertion while at the grocery store. He was taken by EMS to a local ER where he reported fatigue, orthopnea and dyspnea with exertion over the prior 3 weeks. Cardiac markers and echocardiogram were normal. Chest x-ray [...]