Case Presentation: A 30 year old woman with history of benign essential hypertension, hyperlipidemia, gastroesophageal reflux disease and fatty liver disease who was four days post-partum after a vaginal delivery complicated by post-partum depression presented with acute onset altered mentation, erratic behavior, visual hallucinations, combativeness and occasional bursts of hyperactivity. She had been started on [...]

Case Presentation: A 43-year-old female Jehovah’s Witness was admitted for 30 minutes of blurred vision, dysarthria, and left upper extremity weakness. She had two similar episodes in the past 2-3 weeks, each transient with full recovery. Associated symptoms included bi-frontal and occipital headache. Three weeks prior to admission, the patient had profuse watery diarrhea with [...]

Case Presentation: A 39 year-old female from Sudan with no medical history presented with recurrent fevers. She had been discharged 3 days prior after a workup for the cause of her fevers was unfruitful. This workup had included blood and urine cultures, viral hepatitis serologies, anti-nuclear antibodies, rheumatoid factor, HIV antibodies, Quantiferon tuberculosis testing, stool culture, [...]

Case Presentation: A 54-year-old Caucasian female with a history of obesity hypoventilation syndrome on 2L/min home oxygen therapy, breast cancer status post lumpectomy and radiation, and deep vein thrombosis on warfarin, presented to the emergency room with a chief complaint of dyspnea. She noted she was saturating between 70-80 percent on home pulse oximetry, prompting [...]

Case Presentation: A 56 year-old-female with past history of schizoaffective disorder on clozapine after failure of many antipsychotic medications for around 3 years got voluntarily hospitalized in a psychiatric facility for over 2 months and then presented to the acute care hospital with complains of fever, generalized fatigue and abdominal pain and admitted for SIRS [...]

Case Presentation: A 47 year-old African American male presented with lower extremity pain and swelling. Three weeks prior he started azilsartan/chlorthalidone for hypertension. A week later, pain and swelling of his right leg began, worsening with ambulation. He denied trauma or unusual physical exertion. Review of symptoms elicited a history of chronic bilateral leg cramps. [...]

Case Presentation: A 66 year-old man presented with fever, chills, and a diffuse erythematous truncal rash for five days. His symptoms began upon returning from travelling to Morocco and Thailand, and six weeks after a hiking trip in the Northeast.  He had not received any prophylactic vaccinations or antimalarial agents. He denied sick contacts, new [...]

Case Presentation: A 52 y.o with a past medical history of uncontrolled, untreated hypertension presented to our hospital with a 3 week history of progressively worsening lower extremity edema and shortness of breath. Review of systems was positive for hoarse voice x6 months, unintentional weight gain, cold intolerance, abdominal fullness, and cough productive of white [...]