Case Presentation: A 42–year–old man who works for the Justice Department stationed in Ghana presented with 3 days history of headache, fatigue fever (105°F) and sore throat. He was treated with anti–malarial and antibiotics. Few weeks later, fever continues with drenching sweats and was flown to the US for further work up. On presentation to [...]

Case Presentation: A 4–year–old Hispanic male presented to the emergency department (ED) with 4 weeks of fever and increasing cervical lymphadenopathy. His mother reported daily fevers of approximately 38.3°C with neck pain and swelling. He was seen by his pediatrician on day 5 of fever, and given 3 days of IM followed by 5 days [...]

Case Presentation: A 45–year–old white female with a remote history of bulimia, chronic mild hypokalemia, and a recent upper respiratory infection presented with two 2 days of ascending muscle weakness and paralysis. Physical exam showed normal vital signs and was significant for lower extremity paralysis, moderate upper extremity weakness, and diminished lower extremity reflexes. Initial [...]

Case Presentation: A 55–year–old man with a history of eosinophilic esophagitis requiring repeated stricture dilations presented to the Emergency Department with headache, fevers, nuchal rigidity, nausea, vomiting, photosensitivity, and myalgias. These symptoms followed a recent esophagogastroduodenoscopy (EGD) for esophageal impaction of chicken four 4 days prior to presentation. The procedure was uncomplicated and performed approximately [...]

Case Presentation: We present a 56–year–old male, who came to the emergency room with diffuse abdominal pain, decreased oral intake and constipation. Laboratory values showed that hemoglobin had dropped to 9.7 grams per deciliter (from baseline of 14 grams per deciliter). Levels of serum iron, transferrin, haptoglobin, vitamin B12 and folic acid were within normal [...]

Case Presentation: A 56–year–old asymptomatic male presented with a rash since 5 days. He noticed the rash on his legs which then spread to his arms. Rash was non tender and non–pruritic. Patient had chills but no fevers. Physical exam was unremarkable except for his rash. The rash was palpable and purpuric, consisted of discrete [...]

Case Presentation: This is a 73–year–old white male with a history of recent strokes and residual left hemiparesis who presented status post mechanical fall and worsening left sided weakness over 1 week. The patient was admitted to the Internal Medicine service for evaluation of possible stroke. The patient had been started on Phenytoin 7 days [...]

Case Presentation: A previously healthy 20–year–old woman presented to the emergency room (ER) with several days of fevers, sore throat, myalgias, and a diffuse rash. The rash emerged as papules on the back of one hand, soon coalescing into plaques over much of her body, including palms and soles, but sparing mucous membranes. The patient [...]

Case Presentation: A 63–year–old man presented with four 4 days of palpitations, progressive dyspnea on exertion, and orthopnea. He denied chest pain, cough, or fever. He had no personal history of arrhythmia or ischemic heart disease, and no family history of coronary artery disease or sudden cardiac death. His only medication was a multivitamin. He [...]

Case Presentation: A 52–year year–old female presented with a chief complaint of 5 days dyspnea, four pillow orthopnea, chest pain when lying supine, and a non productive cough. She denied fevers, chills and night sweats but did report a weight gain of 15 pounds in the past 10 days. Her past medical history was significant [...]