Case Presentation: A 21‐year‐old woman with no significant medical history presented to the emergency room with a 2‐day history of acute‐onset, intractable nausea associated with nonbloody, nonbilious vomiting. Four years earlier she had experienced similar monthly episodes. Her physical exam was remarkable only for orthostatic hypotension. Laboratory studies revealed a urine pregnancy test was negative […]

Case Presentation: A 49‐year‐old man presented with a 1‐day history of headache, drenching sweats, photophobia, and vomiting that prompted a CSF evaluation for meningitis. A lumbar puncture revealed protein of 105 mg/dL, a total of 214 nucleated cells/mL with 93% neutrophils, and glucose of 70 mg/dL (130 mg/dL in serum). Occasional myoclonic jerks, lip‐smacking behaviors, […]

Case Presentation: A 69‐year‐old man was transferred from a community hospital with the complaint of postprandial abdominal pain for 1 year. The pain was described as dull, gradually increasing in severity over 1‐2 hours, often radiating to the back, and lasting 2‐3 hours afterfood intake. At its peak severity, he rated the pain as 9 […]

Case Presentation: A 37‐year‐old man with no significant PMH was admitted for evaluation of a 3‐week history of high fevers, fatigue, decreased appetite, and flulike symptoms. As an outpatient, he had been seen by his primary care physician many times and on the last visit was started on Zithromax and Omnicef for persistent fevers. On […]

Case Presentation: A 51 ‐year‐old white woman with a history of recent‐onset hypertension and diabetes mellitus presented to a community hospital complaining of chest pain, shortness of breath, and several episodes of emesis over the preceding 2 days. The presenting vital signs were blood pressure of 60/30 mm Hg, heart rate (HR) of 130 beats […]

Presentation of Case 1: A healthy 20‐year‐old primagravid woman was admitted to the hospital for delivery. Her prenatal course was unremarkable with no evidence of hypertension. On admission her blood pressure was elevated up to 167/99. Treatment was begun with nifedipine for pregnancy‐induced hypertension, and she delivered a healthy male infant. Her blood pressure in […]

Case Presentation: A 36‐year‐old white woman with a history of hypothyroidism and type 2 bipolar disorder presented with a 4‐day history of fever, rigors, nausea, vomiting, neck stiffness, photophobia, and severe diffuse headaches. She had developed a diffuse erythematous maculo‐papularrash over the trunk, thighs, back, and neck the day before admission. Her only recent medications […]

Case Presentation: A 75‐year‐old man with a distant history of laryngeal squamous cell cancer underwent a laryngoscopy to evaluate a new left piriform mass. Complications during the procedure lead to an emergent tracheostomy, and he was admitted to the hospital, where he was diagnosed with aspiration pneumonia but quickly stabilized. His overall prognosis with a […]

Case Presentation: A 72‐year‐old woman with moderately reduced renal function (creatinine, 2.1 mg/dL; GFR, 36 mL/min) was admitted to our institution because of worsening chronic back pain. Her physical examination was unremarkable except for decreased strength in the right lower extremity. An MRI showed spinal osteomyelitis at the level of L4‐L5, and a CT‐guided biopsy […]

Case Presentation: A 27‐year‐old man presented to the emergency department with 1 week of right‐hand weakness and ataxia. Three weeks earlier, he had developed flulike symptoms consisting of headache, fatigue, and nausea. He took Theraflu, but the headache and fatigue continued. One week before admission, his primary care physician gave him albuterol and an unknown […]