Case Presentation: A 50 year-old man with a history of kidney-pancreas transplant was transferred to our hospital for acute onset right side numbness, twitching and altered mental status. Prior to his presentation, he was hospitalized for a perforated appendicitis with abscess and was discharged one day before on IV ertapenem and oral linezolid. The patient […]

Case Presentation: A 35-year-old Chinese male with no significant past medical history presented to our hospital with a 6 year history of bilateral hand weakness. The patient reported that he first noticed the weakness after a motor vehicle accident while riding his bicycle, but had little work-up because of his minor injuries. When presenting to […]

Case Presentation: A 24 year old female with a history of bipolar disorder was admitted for nausea, dizziness and jitteriness that started after intentional ingestion of 4 gm of lamotrigine and 80 mg of aripiprazole, in addition to cocaine abuse. Physical examination revealed diaphoresis, tachycardia, bilateral horizontal nystagmus, and bilateral lower extremity hyperreflexia with inducible […]

Case Presentation: A 25 year old Ethiopian female presented with a four week history of painful genital ulcer, oral lesions and intermittent back pain with dysuria. Ulcer initially started as painless bumps that progressively became painful and ulcerated. She reported no prior history of genital ulcers or sexually transmitted diseases and denied any sexual encounter […]

Case Presentation: A 63 yr old gentleman with a history of ischemic stroke and hypertension presented to the ED from his assisted living center for evaluation of R hip & knee pain. The patient reported that, 5 days prior, he had bumped into another resident and fallen on his right side. He had experienced pain […]

Case Presentation: A 57 year old male with past medical history of COPD and schizophrenia presented with complaints of shortness of breath. The patient was discharged from a different hospital a day prior to the admission. Patient had to be intubated secondary to hypercapnic respiratory failure and was sent to the ICU. He remained intubated […]

Case Presentation: A 21 year old African-American male with no medical history presented with multiple organ injuries secondary to gunshot . He had exploratory laparotomy with repair of abdominal wall , colonic resection, splenectomy, and gastric repair. Two weeks post-surgery , patient developed right femoral vein and bilateral cephalic vein thrombosis . Therapeutic dose of […]

Case Presentation: A 25 year-old man presented with one month of progressively painful, bruised, and swollen bilateral calves. Symptoms started as bilateral feet and ankle pain followed by the development of bruising over the posterior aspects of his calves.  The pain was described as “hard, tight” and constant, worsening with weight bearing.  He was prescribed […]

Case Presentation: A 62 years old male presented to the emergency department with soft tissue swelling, urticarial skin rash and acute respiratory failure. He was diagnosed with acute anaphylactic reaction with angioedema. He was given IV Epinephrine, Benadryl and solumedrol. Shortly he was intubated for airway protection. Although the Initial EKG was unremarkable, shortly the […]

Case Presentation: A 66-year-old man with a history of Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia(SLL/CLL) in remission, hypogammaglobulinemia and atrial fibrillation presented to an outside hospital with shortness of breath, facial swelling and bilateral upper extremity edema.Computed tomography scanning done prior to this admission showed that the patient had a right mediastinal mass posterior to the superior vena cava and azygous vein with possible invasioninto the right pulmonary […]