Case Presentation: A 59–year–old man presented with sudden onset left–sided facial droop, aphasia, and left upper and lower extremity weakness. His medical history included hepatitis C, cirrhosis, and hepatocellular carcinoma. CT of the brain showed no acute process, and his deficits resolved within an hour. His vital signs were within normal limits and his exam [...]

Case Presentation: A 37–year–old woman with a past medical history of depression, anxiety and migraine, who presented to emergency complaining of severe left leg pain and swelling which is sudden in onset. Pain is 10/10, worse with walking extends from calf and to distal leg. She was hemodynamically stable. Her left extremity was pale, white, [...]

Case Presentation: A 28–year–old man presented with a 4–day history of progressively worsening left calf pain and swelling that began after he was bitten by a dog. He also complained of fevers and rigors. Initial temperature was 38.4°C, blood pressure 100/52 mmHg, and heart rate 123 bpm. Examination revealed diffuse edema,blanching erythema extending from the [...]

Case Presentation: A 52–year year–old Caucasian female presented with history of wide based ataxic gait for four days. Head CT showed possible pontine stroke, however the MRI was interpreted as normal. Patient denied any dyspnea with pulse oxygenation of 79% and ABG revealed pH of 7.33, CO2 of 53, and HCO3 of 31. Her medical [...]

Case Presentation: A 70–year–old man presented with confusion, mumbling, malaise, and headache after having recently taken oral antibiotics for a skin lesion on his forehead. His prior history was complicated by previously treated chronic lymphocytic leukemia (CLL) resulting in hypogammaglobulinemia with multiple infections including viral encephalitis. Lumbar puncture was remarkable for a lymphocytic predominance in [...]

Case Presentation: A 65–year–old male with a history of Parkinson’s, hypertension, and smoking presented 2 weeks after an uncomplicated left shoulder arthoplasty with one week of worsening shortness of breath, fever, cough, and profound hyoxemia. His exam was significant for mild respiratory distress with crackles loudest at the bases. Initial CT found bibasilar consolidation and [...]

Case Presentation: This is a 17–year–old–man who is part of a strict religious community in Brooklyn, NY, with no significant past medical history who presents to the emergency room with the complaint of diarrhea for 1 day. The patient’s symptoms began the night prior to presentation, when he noted some suprapubic abdominal pain, and then [...]

Case Presentation: Ms. P was frustrated after her neurosurgeon cancelled a scheduled lumbar laminectomy to correct her spinal stenosis. The surgeon had concluded this 73–year–old woman was a prohibitive surgical risk due to hypertension, COPD due to 75 pack year smoking history, coronary disease, and recent aortic aneurysm repair. She presented to our ED with [...]

Case Presentation: A 44–year–old non–smoking, physically active male presented to our hospital with acute onset substernal chest pressure of one hour duration with associated right arm numbness and diaphoresis. His past medical history is relevant for hypertension for which he was on irbesartan daily and proteinuria of indeterminate etiology. Physical examination was normal. EKG on [...]

Case Presentation: A 50–year–old African American woman with history of tobacco use (35 pack–years) and hypersensitivity pneumonitis presented with shortness of breath and chest pain for the past 2 weeks. Chest pain is pressure in nature, non–radiating, mid chest better with leaning forward. This was associated with orthopnea, dry cough and loss of appetite for [...]