Case Presentation: A 29–year–old woman presented to the hospital with fever, chills, and bilateral neck swelling for 1 week. There was no history of recent travel, sick contacts or exposure to tuberculosis. On presentation vital signs revealed a temperature of 103.2 F and a pulse of 113. Physical exam was unremarkable except for bilateral symmetrical [...]

Case Presentation: A 52–year–old gentleman with human immunodeficiency disease (HIV) and CD4 count greater than 500 cells per cubic millimeter of blood presented with 2 days of diarrhea, lethargy, myalgias, arthralgias, and a rash. He was found by his friends to be “ill–appearing” and have altered mental status. Shortly after arrival, he became obtunded and [...]

Case Presentation: A 34–year–old Caucasian female recently diagnosed with hypertension presented to our hospital with an episode of syncope. She was started on hydrochlorothiazide by her primary care physician 1 week prior to admission. Two days prior to admission, during routine follow–up she was still found to have increased blood pressure and was started on [...]

Case Presentation: An 80–year–old woman presented to the hospital with syncope and several weeks of headache, nausea, dizziness, generalized weakness and anorexia. Vital signs were stable and physical exam was unremarkable except bilateral maxillary sinus tenderness. Labs revealed sodium 122 meq/L (135–146 meq/L), potassium 2.7 meq/L (3.5–5 meq/L), serum uric acid 2 mg/dl (2.6–8 mg/dl), [...]

Case Presentation: A 20–year–old man with no past medical history was brought to the hospital with complaints of two witnessed episodes of generalized tonic–clonic seizures. He also complained of headaches which were diffuse, but denied any trauma, fever or chills. He had no prior history of seizures as a child and was not taking any [...]

Case Presentation: A 66–year–old woman presented to the hospital for vomiting, diarrhea and abdominal pain since 10 days but persistent for many years. She had been diagnosed as Irritable Bowel Syndrome. Physical exam was unremarkable except generalized abdominal tenderness. Labs revealed leukocyte count 29,000/mm3 with 64% eosinophilia. Albumin was 2.9 g/dL. Renal and liver function [...]

Case Presentation: A 73–year–old man with atrial fibrillation, and multiple myeloma was admitted with severe back pain secondary to multiple lumbar osteoporotic vertebral compression fractures (VCF). Four kyphoplasties (KP) were performed, providing significant pain relief. He presented 8 months later with pneumonia, and was incidentally found on a contrast–enhanced computed tomography scan of the chest [...]

Case Presentation: 45–year–old previously healthy male presented to the ED with progressively worsening headache of 5 days associated with dizziness and a questionable seizure activity per family members. There were no fever, motor, sensory or visual disturbances. Patient also denied any trauma or previous surgeries. Patient admitted usage of tobacco and alcohol regularly but denied [...]

Case Presentation: An 80–years–old Korean man with a history of liver fluke infection treated 26 years ago presented with 2 weeks history of fever and abdominal pain Pt had a non diagnostic CT scan of abdomen 2 weeks prior to this hospitalization. During the hospitalization the patient was treated empirically with intravenous piperacillin/tazobactam. Fever persisted, [...]

Case Presentation: A 73–year–old man, with a past history of coronary artery disease, s/p CABG, end stage renal disease on hemodialysis and aortic stenosis status post bioprosthetic aortic valve replacement 3 years prior. Presented to the ED for an altered mental status. For 2 days prior, was increasingly convinced that his wife was working with [...]