Case Presentation: This is a 43‐year‐old white man who suffered blunt abdominal wall trauma from a collision with a teammate during a Softball game. The patient initially presented to the emergency department 1 day after the injury and was diagnosed with a nondisplaced anterior left fourth rib fracture. Five days later, the patient returned to [...]

Case Presentation: A 15‐year‐old male presented after 4 days with painful oral lesions preceded by nonspecific URI symptoms. Lesions were described as blisters on the lips and ulcers in the oral mucosa. The patient received oral azithromycin as an outpatient without improvement. The oral lesions spread, and he developed painful blistering lesions at the urethral [...]

Case Presentation: Case 1 is a 57‐year‐old African American female patient with morbid obesity, type 2 DM, HTN. and CKD stage 3 who was admitted for DKA. She had undergone Roux‐en‐Y gastric bypass surgery 2 months prior complicated by intractable vomiting requiring repealed hospitalizations accompanied by weight loss > 50 pounds. Upper endoscopy revealed a [...]

Case Presentation: A 32‐year‐old African American male with sickle cell trait and congenital nephrogenic diabetes insipidus without previous sickle cell‐related complications traveled to Bogota, Columbia, located 8661 feet above sea level. On arrival to Bogotá, he experienced severe left‐sided abdominal pain radiating to his left shoulder with associated vomiting. Evaluation was sought at a Columbian [...]

Case Presentation: A 54‐year‐old woman with no past medical history presented with a 2‐month history of increasing fatigue, fever, and loss of appetite. She denied any other symptoms. She was pale and febrile (101.7°F) and had ecchymosis over her arms, but the physical exam was otherwise normal. Labs revealed Hb 8.3, WBC 0.65 with 76% [...]

Case Presentation: A 73‐year‐old male with HTN presented with 1 month of bilateral UE throbbing pain in his upper arms followed by his hands. This was associated with swelling ascending up from his hands to forearms. This limited bilateral arm elevation and fist formation. He denied any fevers, rash, weight loss, leg symptoms, neck pain, [...]

Case Presentation: A 20‐year‐old healthy female presented with history of dizziness for 1 year, with recent increase in frequency and duration. She had no vertigo and no aggravating or relieving factors. She denied any hearing loss, Tinnitus, palpitations, unsteady gait, vomiting, headache, double vision, visual loss, slurred speech, paresthesias of the face or body, weakness, [...]

Case Presentation: Mr. B is a 68‐year‐old man with a history of melanoma and histoplasmosis infection who presented with an enlarged, painful left inguinal lymph node. This dramatically increased in size over 2 months, prompting emergency department evaluation. The patient had spent a significant amount of time in Brazil during the past 5 years and [...]

Case Presentation: A 57‐year‐old while female presented with 9 weeks of diarrhea and abdominal pain. She characterized her stools as large volume and nonbloody. She had noticed an associated 20‐pound weight loss. She denied recent antibiotics, travel, camping, or ingestion of undercooked or raw foods. She is a lifetime nondrinker. On exam, she was tachycardic [...]

Case Presentation: This is a 2‐year‐old female who presented in status epilepticus with a fever. She had no previous history of seizures. She was stabilized and loaded with AEDs, and treated with empiric antibiotic therapy for presumed meningitis. She was started on empiric acyclovir after lumbar puncture. The acyclovir was discontinued when the HSV PCR [...]