Case Presentation: A 46–year–old woman presented with a 4 day history of progressive throat pain and low grade fever. She went to an urgent care clinic 3 days prior to admission and was discharged on ibubrofen and amoxicillin. A lateral view X–ray of the neck reveals findings consistent with acute epiglottitis. A flexible larygoscopic examination [...]

Case Presentation: A 45–year–old man presented with encephalopathy after experiencing multiple seizures. The patient’s fiancée observed the patient’s body stiffen, then he had full–body jerking for 10 min. He lost bladder function, and afterwards was confused and tired. He had similar episodes 1 h later and then again in the ED. He was admitted and [...]

Case Presentation: This is a 37–year–old African American man with history of type 2 diabetes mellitus, scleroderma complicated by esophageal dysmotility requiring total parental nutrition and Raynaud’s phenomenon, who was admitted to the hospital for fevers and found to have coagulase–negative staphylococci bacteremia from an indwelling Hickman catheter. The patient had been receiving 40 units [...]

Case Presentation: A 56–year–old Caucasian female with a history of asthma since age 14 presented with dyspnea on exertion and productive cough for the past three days. One month prior she was hospitalized for similar symptoms and treated for an asthma exacerbation. She has had progressive dyspnea on exertion over the past several months acutely [...]

Case Presentation: A previously healthy 70yo female presented to the emergency department after a syncopal episode. The patient had been feeling progressively fatigued for 2 months prior to presentation, yet had not seen a physician in years. On admission, she complained of vague abdominal discomfort, fullness, and early satiety for 2 weeks prior to presentation. [...]

Case Presentation: This is a 52–year–old man with a history of Stage 1A Hodgkin lymphoma diagnosed at age 18 successfully treated with mantle radiation. He recurred at age 48 and underwent chemotherapy and autologous stem cell transplant in 2008. Post transplantation in 2011, surveillance studies showed no evidence of disease. However, the patient’s history was [...]

Case Presentation: An 85–year–old Hispanic female with history of hypertension presented with abdominal pain, diarrhea and increased abdominal distension for 4 days. She also had increased fatigue, dysphagia and edematous legs for 4 months. She denied shortness of breath, chest pain, fever or dysuria. On examination, she was alert and oriented but fatigued. There was [...]

Case Presentation: This is a 59–year–old man with diabetes and heart failure who was admitted for surgical treatment of recurrent foot infection. He received two weeks of vancomycin and piperacillin–tazobactum before a muscle flap repair. Intra–operative cultures grew Pseudomonas and the patient was started on cefepime. Two weeks post–operatively, cultures after a debridement grew resistant [...]

Case Presentation: A 21–year–old male with no significant past medical history presents with two episodes of acute pericarditis in a one month period. The first episode was complicated by cardiac tamponade requiring pericardial drain. Work up during initial presentation (Table 1) revealed a large pericardial effusion with tamponade physiology and serologic studies that were unrevealing [...]

Case Presentation: A 54–year–old female with metastatic ovarian cancer was admitted to the gynecologic oncology service with increasing abdominal girth, nausea, and vomiting. Her past medical history was significant for papillary serous adenocarcinoma with malignant pleural effusions and peritoneal carcinomatosis diagnosed six months ago. She had undergone neoadjuvant chemotherapy with carboplatin and paclitaxel, followed by [...]