Case Presentation: 23- year old Latino male with no known history presented to the ER complaining of worsening left eye pain. Patient stated that he has been cleaning manmade lakes and for one week started to have an erythematous and painful left eye associated with persistent frontal headache, and blurry vision. Patient endorsed recent diagnosis [...]

Case Presentation: Here, we describe a 34 year-old female admitted with five days of worsening left sided pleuritic chest pain and shortness of breath.  Her medical history is significant for four presentations to the emergency department and two admissions for similar symptoms over the last six months.  The diagnosis of pericarditis was made on the [...]

Case Presentation: A 49 year old Hispanic male presented with epigastric abdominal pain for 2 months, nausea and vomiting without a significant past medical history. He rarely consumed alcohol and denied any recent trauma. He presented one month earlier with similar symptoms and due to noted cholelithiasis on abdominal ultrasound, he was diagnosed with gallstone [...]

Introduction: Thyrotoxic crisis is rare and presents as a life-threatening exacerbation of hyperthyroidism. It can have a myriad of manifestations affecting multiple organ systems. The mortality rate is as high as 30% even with treatment. Thyrotoxic crisis is usually precipitated by acute illness, surgery especially on the thyroid, or radioiodine treatment of a patient with partially treated [...]

Case Presentation: A 42 year-old woman with history significant for systemic lupus erythematous (SLE) for 20 years complicated by pleurisy and thrombocytopenia on belimumab presented with a 10-day history of migratory polyarthritis. Her pain started in her left wrist, traveled to her right wrist one day later and then to her right shoulder after two [...]

Case Presentation: A 39 y/o Hispanic man presented with 1 week of fever, headache, photophobia, and mild confusion. His complaints and physical examination were consistent with possible meningitis, so empiric treatment with vancomycin, ceftriaxone and acyclovir was initiated following blood cultures. Laboratory data was significant for mild hyponatremia, transaminases 3-4X normal, monocytosis, and surprisingly normal [...]

Case Presentation: 69-year-old gentleman presented to the emergency room with 6-week history of progressive dyspnea, lower limb edema and weight gain. Patient had a relevant past history of melanoma on the scalp treated with surgery, orthotic liver transplant, diabetes mellitus, chronic kidney disease stage two and hypertension.  Patient denied viral prodrome, new drug initiation, sick [...]

Case Presentation: A 30 year-old woman with a history of severe asthma presented with two weeks of progressively worsening dyspnea. She has a history of multiple hospitalizations and intubations in the setting of asthma exacerbations. She noted a non-productive cough, but denied any fevers, edema or recent sick contacts.  Symptoms persisted despite increasing albuterol use [...]

Case Presentation:  A 32 year old female with history of gestational diabetes presented with fevers, chills and swelling of the left breast. She delivered a healthy boy 2 weeks prior to admission by cesarean section. She had difficulty breastfeeding and developed pain, swelling and purulent drainage from the breast. She was prescribed dicloxacillin for mastitis, [...]

Case Presentation: 69-year-old Caucasian female was admitted with acute malaise, poor appetite and nausea with 20 pound weight loss and vague abdominal discomfort for 2 months. Her background medical history included hypothyroidism on Levothyroxine 75 mcg, Asthma on Tiotropium and Albuterol inhalers, Peptic ulcer disease on Lansoprazole 30 mg bid, Anxiety on Sertraline 150 mg [...]