Case Presentation: A 39‐year‐old white woman presented to the emergency department with complaints of weakness and fatigue. On physical examination, the patient had orthostatic changes, and lung examination revealed bibasilar crackles. Laboratory data were significant for HGB of 5.1 g/dL with low MCV. Three stool guaiac tests were negative. On further questioning, the patient stated [...]

Case Presentation: A 62‐year woman was admitted for evaluation of recent‐onset, moderate‐intensity headaches. The headaches began 2 weeks prior, shortly after starting sertraline (a selective serotonin reuptake inhibitor) to treat depression. Waxing‐waning headaches persisted, accompanied by nausea, vomiting, dizziness, photophobia, and visual scotomas. Her admission neurological examination and head CT were normal. On hospital day [...]

Case Presentation: A 32‐year‐old Korean man presented to the emergency room with 4 hours of progressive weakness of his upper and lower extremities following an elective cervical epidural steroid injection done 12 hours earlier. He denied pain at the injection site, fever, sensory changes, or alteration in his bowel and bladder habits. Prior history was [...]

Case Presentation: A 27‐day‐old Asian female infant was admitted for a fever of 102°F and a subsequent neonatal sepsis workup. A CBC with differential, blood, urine, and CSF cultures was performed. She was started on ampicillin and cefotaxime. All labs and cultures were normal. On hospital day 2 she developed a maculopapular rash over her [...]

Case Presentation: A healthy 47‐year‐old man presented with pain and swelling of multiple joints. Four months prior to admission he had a sinus infection, for which he was treated with trimethoprim‐sulfamethoxazole (Bactrim). After 7 days of treatment his sinus symptoms had improved, but he developed new fever, chills, and nausea. Bactrim was discontinued, and the [...]

Case Presentation: This is an 18‐year‐old white man with no prior medical history who had been taking the acne treatment isotretinoin for several months before deciding to start power lifting to build muscle mass. He had worked out for vigorously for 3 days in a row, following which he started feeling myalgias in the upper [...]

Case Presentation: Choriocarcinoma accounts for 1% of testicular carcinomas. Choriocarcinoma primarily spreads hematogeneously into viscera and lungs and involves retroperitoneal lymph nodes and liver. Human chorionic gonadotropin (HCG)‐induced hyperthyroidism in germ‐cell cancers is rare, and only a limited number of reports exist in the literature. Hyperthyroidism resulting from molar pregnancies, hyperemesis gravidarum, and choriocarcinoma is [...]

Case Presentation: A 48‐year‐old man was hospitalized with fatigue, dyspnea, mild confusion, and faint lower extremity petechiae that followed an upper respiratory infection. At admission, his blood pressure was normal, and his temperature was 100.8°F. Laboratory data were notable for a platelet count of 7000/μL, hemoglobin of 6.8 g %, reticulocytes of 17%, D‐dimer < 40, creatinine [...]

Case Presentation: This is a 55‐year‐old woman who presented to our facility with worsening dyspnea and a productive cough. She was hospitalized more than 4 times recently for the same symptoms and was managed as a COPD exacerbation, but her symptoms were partially refractory to therapy. She had a history of hypertension on lisinopril 10 [...]

Case Presentation: A 37‐year‐old man with a significant family history of systemic lupus erythematosus presented with cellulitis and bilateral chronic leg ulcers. While hospitalized, he became hemodynamically unstable and was diagnosed with deep venous thromboses of the legs bilaterally and pulmonary embolism with severe right ventricular strain and pulmonary hypertension. He was intubated and treated [...]