Case Presentation: A 24 year old woman with a history of hypothyroidism presented with six months of burning pain and numbness in her feet. These symptoms began as acute pain in her right foot which progressed to both feet. Over the next few months, she developed dizziness, difficulty walking, and a tingling sensation in her [...]

Case Presentation: A 56‐year old female with a history only significant for hernia repair and colonoscopy six months prior to admission presented with a fever for a week, generalized abdominal pain and vomiting. Physical examination revealed an ill‐appearing woman with bilateral costo‐vertebral tenderness. Diagnostic data revealed a serum white cell count (WBC) of 22.9 k/ul. Urine [...]

Case Presentation: A 49 year‐old female nurse presented to our hospital with a one‐week history of progressive swelling around her right eye. At the time of admission, she reported photophobia and a right‐sided headache but denied diplopia, sinus tenderness, or oral pain. She was diagnosed with periorbital cellulitis and was admitted for intravenous antibiotics. The [...]

Case Presentation: A 31‐year‐old female presented with six hours of exertional chest pain, dyspnea, palpitations, and vomiting. Her review of systems was significant for easy bruising and bleeding gums. Physical examination was significant for epigastric tenderness and diffuse ecchymoses. Initial blood work revealed normal chemistries, a WBC of 11.3 mm3, a Hgb of 8.3 g/dl, and platelets [...]

Case Presentation: A 63‐year‐old female with a history of type II diabetes and hypertension was admitted to the hospital with two weeks of nausea, vomiting, and diarrhea and one week of abdominal pain. On admission, her BP was 86/63mmHg, T = 102°F, RR = 16, and HR = 110. Her physical exam was significant for icteric sclerae, dry oral mucosa, a [...]

Case Presentation: A 29‐year‐old, 5 week pregnant female was brought to the ER by her husband for progressive weakness. One day prior to presentation, the patient complained of leg cramps that by the following morning progressed to difficulty getting out of bed and she was unable to walk. Upon arrival to the ER, the weakness [...]

Background: Hydralazine is a popular and effective antihypertensive and afterload reducing agent. It is frequently used in patients with congestive heart failure and renal insufficiency, or when patients cannot tolerate angiotensin converting enzyme (ACE) inhibitors.. Hydralazine is known to cause a drug induced lupus syndrome, but pulmonary and renal involvement is rarely reported. Method: We [...]

Case Presentation: We present a twenty‐one year old AA female with a past history significant only for premature birth, referred by her physician for evaluation of a single brief episode of dyspnea at rest and an abnormal CXR. ROS disclosed a history of intermittent palpitations. On examination, vital signs were unremarkable. Lung examination revealed rightward [...]

Case Presentation: A 69 year old AA male, transferred from nursing home, with AMS and seizures after lack of medications and oral intake for 3 days. PMHx included CKD, Parkinson's with dementia and DM 2. On examination, patient was afebrile with mild tachycardi, focal seizures were present responsive to D50, lorazepam and phenytoin. Remainder of [...]

Case Presentation: 34 yr old female with no past medical and surgical history was admitted with 4 days of vomiting, fever and shortness of breath. On examination, she was febrile and icteric.Lung exam revealed bibasilar dullness to percussion but no added sounds.Heart sounds were muffled. The rest of the exam was unremarkable. Lab results showed [...]