Case Presentation: A 75–year–old male presented for inpatient treatment of major depression. A medicine consult was requested for evaluation of a pruritic facial rash that had been present for 2 weeks. Review of the systems was otherwise negative. Past history was significant for chronic systolic CHF, permanent pacemaker, hypothyroidism, BPH, and abdominal aortic aneurysm repair. […]

Case Presentation: A 27–year–old African American male inmate with a history of occupational exposure to silica and fiberglass dust presented with an acute onset of dyspnea associated with left–sided pleuritic chest pain. He reported a 6–month history of mild dyspnea, nonproductive cough, night sweats and unintentional weight loss. He had a history of tobacco and […]

Case Presentation: A 42–year–old man presented with persistent dyspnea for 10 months that had worsened over the last month. He has had multiple hospital admissions for congestive heart failure and anemia of chronic disease. An extensive gastrointestinal, cardiac and respiratory workup had been normal. Transthoracic echo (TTE) 2 weeks prior failed to show systolic or […]

Case Presentation: A 28–year–old nonsmoker female with a history of migraines and OCP use presented to the hospital with acute onset confusion, disorientation and right–sided focal neurologic deficits. The patient had migraines since age 12 and had been placed for the past year on topamax daily and sumatriptan as needed. Her typical aura consisted mainly […]

Case Presentation: DG is a 50–year–old female with no significant past medical history who presented to the emergency department (ED) two weeks after a near–syncopal episode. She complained of “flu–like” symptoms and ED physicians noted her to be “hyper.” A non–contrast CT head was negative for acute intracranial abnormalities and patient was discharged home with […]

Case Presentation: A 38–year–old Mexican man presented with one day of sudden onset left shin pain, with generalized weakness and dyspnea. His temperature was 99.0, pulse 90, blood pressure 108/72, respiratory rate 24. On exam he had erythema of the left shin, calf tenderness and decreased range of motion. EKG showed right bundle branch block […]

Case Presentation: A 60–year–old female bookkeeper with a past medical history significant for a 40 pack year smoking history presented to her primary care physician with a complaint of a persistent sweet taste in her mouth. The dysgeusia (dysfunction in taste) started about two months prior to presentation and had progressively gotten worse. She reported […]

Case Presentation: We report a case of a 68–year–old female with hypertension and osteoarthritis who presented with altered mental status and bilateral lower extremity cellulitis. Shortly after initial evaluation, the patient became non–responsive and exhibited horizontal gaze palsy, a left dilated non–reactive pupil, extensor Babinski response, and decerebrate posturing. Repeat head CT imaging, twenty hours […]

Case Presentation: A 59–year–old male presented with abdominal pain for 5 days. His past medical history was significant for hypertension, dyslipidemia and a stable 5 cm abdominal aortic aneurysm (AAA) detected 4 years ago. The pain was located in left lower quadrant associated with fever. His vital signs were T 103.0 °F, BP 102/59 mmHg, […]

Case Presentation: A 59–year–old male with a history of asthma presented to our emergency department with severe wheezing associated with shortness of breath. His asthma had been stable, requiring albuterol inhalation one to two times per month. He had no history of being intubated due to asthma exacerbation. Five days prior to presentation, he experienced […]