Case Presentation: A 58–year–old Caucasian male presented to the emergency department with a three–month history of worsening dyspnea, productive cough, low–grade fevers and chills. Past medical history was significant for 60 pack year smoking history, paranoid schizophrenia and end stage renal disease currently receiving hemodialysis. On physical exam, patient was afebrile, hypotensive with an oxygen [...]

Case Presentation: A 52–year–old woman with seropositive (RF,CCP) ANA negative rheumatoid arthritis (RA) diagnosed in 1999, controlled with methotrexate, hydroxychloroquine, and then infliximab (since 2007; last dose 8 weeks prior to admission (PTA)) now admitted with dyspnea, malaise, pleuritic chest pain, nocturnal diaphoresis and arthralgias. History is notable for controlled hypothyroidism and gastric bypass. Symptoms [...]

Case Presentation: A 25–year–old previously healthy man, presented with a 3–month history of intermittent pleuritic chest pain, dyspnea and intermittent hemoptysis after returning from a trip to Europe. He was treated with oral antibiotics for presumed pneumonia with no improvement of symptoms; a chest roentgenogram and a computed tomography (CT) revealed a large subcarinal cyst [...]

Case Presentation: A 39–year–old woman was admitted for severe gastroesophageal reflux (GERD) with nausea and emesis. The patient had 20 years with heartburn which evolved to intermittent episodes of food impaction requiring multiple esophageal dilatations for the past 7 years, the last in 2009 complicated with an esophageal perforation and therefore refused subsequent dilatations. She [...]

Case Presentation: A 65–year–old Black woman with PMH of hypertension presented with 1 hour history of an acute onset of nausea, vomiting, epigastric discomfort, diaphoresis and dizziness. She denied any significant chest pain or shortness of breath. Denied any back pains. She vomited about four times before coming to ED. On exam, her BP was [...]

Case Presentation: This is a 22–year–old female with history of SCD and MAC, diagnosed one month prior, who presented with complaints of shortness of breath, pain in lower back and legs, nausea and vomiting. Chest x–ray showed patchy infiltrates in both lungs. She was admitted for sickle cell crisis with acute chest syndrome. IV antibiotics [...]

Case Presentation: This is a 28–year–old male with history of Type 1 diabetes, polysubstance abuse and childhood asthma who was admitted for complaints of fatigue, night sweats and bilateral pleuritic chest pain that had been persisting for a few days prior to admission. He denied any cough, high fevers, chills, or shortness of breath that [...]

Case Presentation: An 87–year–old female presented with weakness. She reported fatigue over several weeks, now unable to walk. She denied fever, chest pain, or shortness of breath. Past medical history includes CAD, DVT, hypertension, ophthalmic vein thrombosis. The patient was hypoxic with an O2 saturation of 84%, which improved to 93% with a non–rebreather (NRB). [...]

Case Presentation: We report a previously healthy 18–year–old female who presented to an urgent care clinic with low–grade fever and sore throat, she was given a 5–day course of Azithromycin for pharyngitis. Three days into her antibiotic course she experienced worsening throat and neck pain with a low–grade fever, she was instructed to continue her [...]

Case Presentation: An 84–year–old male with type 2 diabetes, hypertension, and a remote history of pulmonary TB presented with fevers, dysphagia, and scant hemoptysis. Physical exam remarkable for fevers to 38.8 C and bibasilar rhonchi. Chest radiography unrevealing; subsequent chest CT showed bilateral dependant rounded ground glass foci in right middle lobe suggestive of aspiration, [...]