Case Presentation: A 32‐year‐old man with no significant medical history presented with complaint of dark‐colored urine, jaundiced skin, and fatigue for the last 4 weeks. He also reported having diarrhea mixed intermittently with blood for last few months. Physical exam was consistent with jaundice and anemia (pallor and icterus), with mild splenomegaly. The initial laboratory [...]

Case Presentation: A 75‐year‐old man with a history of chronic myeloid leukemia presented to the emergency room with bifrontal headache, syncope, and double vision of the right eye. Physical examination was unremarkable. He was afebrile, and laboratory investigations, EKG, and chest X‐ray were normal. A CT scan of the head was normal. A cerebrospinal fluid [...]

Case Presentation: A 54‐year‐old woman presented to the ED with 6 months of right lower extremity swelling and intermittent pain. The swelling began after 3 international flights and had progressively worsened since. The pain was described as sharp, waxing with ambulation and waning with rest. Over the past 6 months, she had been diagnosed with [...]

Case Presentation: A 44‐year‐old woman with history of SLE on chronic prednisone presented to the ED with complaints of severe headaches and neck stiffness. A CT scan revealed acute communicating hydrocephalus and bilateral cerebellar lesions. Shortly after admission, she became acutely obtunded. Emergency ventriculostomy was performed, and she was stabilized. AN MRI showed diffuse meningeal [...]

Case Presentation: A 72‐year‐old woman with rheumatoid arthritis presented with confusion and fever. She had visited an urgent care 2 days prior to admission for fevers and low back pain. She was transferred to a local hospital, where urinalysis and CXR were unremarkable and was given codeine/APAP. Her home medications included infliximab, methotrexate, lovastatin, amlodipine, [...]

Case Presentation: A 38‐year‐old diabetic presented to the emergency room with 2 days of worsening bitemporal headache, diplopia, left facial weakness, and partial left temporal numbness. This constellation of symptoms began while the patient was on a hunting trip in northern Louisiana and had been preceded by sinus congestion. The patient denied ticks bites and [...]

Case Presentation: A 61‐year‐old man presented with progressively worsening nausea and nonbloody vomiting for 9 weeks. He reported thirst, polyuria, and polydipsia accompanied by weakness, lethargy, palpitations, and shortness of breath. He denied recent illness, cough, or fever. He had a history of hepatitis C that he contracted from intravenous drug use. He has been [...]

Case Presentation: The patient was a 14‐month‐old male presenting with feeding intolerance and failure to thrive with associated vomiting and diarrhea. His medical history was significant, including chronic emesis and poor weight gain with a Nissen fundoplication and G‐tube placed at 6 months of age, He had undergone an extensive negative evaluation in the past, [...]

Case Presentation: A 26‐year‐old man with a history of hypertension and end‐stage renal disease (ESRD) on hemodialysis for the past 8 months was sent to the hospital from the hemodialysis center for complaints of a fever of 102°F for 6 days with pain and swelling of the right supraclavicular fossa. Patient also had testicular pain [...]

Case Presentation: A 92‐year‐old woman with a medical history of recurrent urinary tract infections (UTIs) presented with progressive dyspnea, a dry cough, and low‐grade fevers for 6 weeks. She was taking nitrofurantoin for prophylaxis of recurrent UTIs for 3 months prior to the presentation. Relevant clinical findings included a respiratory rate of 28/minute, oxygen saturation [...]