Case Presentation: A 40-year-old-male with history of diabetes type 1 and renal transplant on immunosuppression presents with 2 weeks of weakness, anorexia, and cough. Initial exam revealed temperature 102.8 but was otherwise normal. He was started on empiric broad-spectrum antibiotics. Two days after admission, he was found obtunded and dysarthric. He suffered an aspiration event [...]

Case Presentation: A 66 year old Caucasian female with history of dementia, HTN on amlodipine, HLD on lipitor, spinal stenosis on Meloxicam and GERD on Omeprazole also non alcoholic or non -smoker; was admitted from home after having weight loss for 1 month, recurrent falls, dizziness and black stools for 1 week and acute left [...]

Case Presentation: A 62-year-old female with no known past medical history presented with 3-days of multiple episodes of vomiting after consuming Chinese food.She was in atrial fibrillation with a rapid ventricular response.Significant lab analyses included lactate of 13 mg/dL,WBC of 26,000 /µL with left shift, Cr of 3.4 mg/dL,BUN of 48 mg/dL, and Troponin of [...]

Case Presentation: A 63-year-old man with a history of intravenous drug use (IVDU) and non-ischemic cardiomyopathy presented with one month of fevers, night sweats, and chest pain. Exam was notable for tachycardia (HR = 128), tachypnea (RR = 25), hypoxia (O2 Sat = 85% on RA), accessory muscle use, and crackles to the mid-lungs bilaterally. [...]

Case Presentation: 59 year old African American male presented to our emergency department with chills, night sweats and not feeling well.  Chest x-ray showed a left upper lobe opacity and was diagnosed with community acquired pneumonia and discharged on Levaquin. Three days later, he presented to the ER, with an episode of hemoptysis. Medical history [...]

Case Presentation: A 24-year-old woman presented to the hospital with “5 weeks of hell” from a sharp right upper quadrant and rib pain, nausea, and daily episodes of diarrhea and bilious emesis. She lost 16 lbs over this time, putting her BMI at 17.4. Initially, her labs and imaging from multiple visits to the ED [...]

Case Presentation: A 37-year old G2P2002 female with recent vaginal delivery one month prior, presented with progressively worsening intermittent head, neck and back pain localized to the right side for the past two months.  She reported tongue deviation and slurred speech. After the delivery, she began breastfeeding and noticed a lump on her right breast [...]

Case Presentation: A 68-year-old female with infrequent medical follow-up and a past medical history of chronic back pain presented to the ED with right-sided weakness and slurred speech. On the day of presentation she woke up at 11AM with right hand numbness, followed by the onset of right-sided weakness at 1PM, and slurred speech that [...]

Case Presentation: A 39 year old man with type 2 diabetes, known hypertriglyceridemia with past episodes of pancreatitis presented to the Emergency Room with severe, diffuse abdominal pain for two days. Despite an outpatient medication regimen that included Gemfibrozil, Atorvastatin, Niacin and Lovaza his initial trigyleceride level was 8169 mg/dL with a lipase level of [...]

Case Presentation: A 58-year-old male with previously treated non-Hodgkin lymphoma and multiple myeloma was admitted with 3 weeks of progressively worsening mucocutaneous blisters. The initial pruritic blister was located on the right arm and progressively spread to include his extremities, chest, back, and groin (covering 60% TBSA), with mucosal involvement, and an inability to tolerate [...]