Case Presentation: A 38‐year‐old right‐handed male presented with a chief complaint of slurred speech and difficulty ambulating. He had similar symptoms the previous day which resolved spontaneously over a few hours. On admission, all other review of systems were negative and he had no known vascular risk factors. On presentation, physical exam was notable for [...]

Case Presentation: A 66‐year‐old male with a PMH of Charcot‐Marie‐Tooth disease and asbestosis presented with a 7‐day history of bilateral leg swelling with a painful rash. The patient also gave a history of having an upper respiratory infection 1 week prior that was treated with Augmentin. Three days later patient developed a painful rash on [...]

Case Presentation: A 37‐year‐old nonsmoking female with a history of Raynaud symptoms presented to our hospital with 3 months of fatigue, progressive shortness of breath, and a painful, pruritic rash over her trunk and proximal extremities. An outside facility diagnosed mononucleosis (monospot + and transaminitis), but her symptoms persisted, with 2 weeks of recent fever, arthralgias, and [...]

Case Presentation: A 84‐year‐old male with a history of seizure disorder and in persistent vegetative state presented with recurrent UTI. Ultrasound of testis, performed in view of scrotal swelling, revealed marked bilateral scrotal edema with subcutaneous emphysema. Urology was consulted for Fournier's gangrene, but patient's family, including his legal guardian, refused surgery and opted for [...]

Case Presentation: A 37‐year‐old nondiabetic Hispanic male with past medical history of seizure disorder and intravenous drug abuse (IVDA) was brought to the hospital with altered mental status. For the past 2 days, he had fluctuating somnolence, auditory hallucination, and unsteady gait. On examination, the patient was afebrile, aphasic, and drowsy and had needle track [...]

Case Presentation: A 57‐year‐old female with history of stage IVB diffuse large B‐cell lymphoma presented to the emergency department 11 weeks postchemotherapy with altered mental status. Symptoms included confusion, “staring“ episodes, imbalance, and loss of appetite, progressively worsening over 1 week. Jerking episodes of the entire body, low‐grade fevers, and urinary incontinence were also noted. [...]

Case Presentation: A 43‐year‐old female with a history of epilepsy presented after a witnessed seizure. The patient had been seizure free for more than 15 years and had been taking her medications as prescribed. In the emergency room, the patient experienced 2 generalized tonic clonic seizures, which were treated with lorazepam and fosphenytoin. She denied [...]

Case Presentation: A 24‐year‐old white man presented with a 1‐month history of progressively worsening headache and blurred vision. He also reported a 27‐kg weight loss and persistent diarrhea with hematochezia in the previous 6 months since his diagnosis of ulcerative colitis. Ulcerative colitis (UC) was refractory to therapy with corticosteroids and 6‐mercaptopurine (6‐MP). He appeared [...]

Case Presentation: A 55‐year‐old male with a history of ulcerative colitis (UC) presented with left‐sided abdominal pain associated with nausea and vomiting. He denied associated diarrhea, hematochezia, melena, fevers or chills. His UC was well controlled on a regimen of mesalamine, azathioprine, and infliximab infusion every 8 weeks. On presentation, vital signs were stable, but [...]

Case Presentation: A previously healthy 57‐year‐old African American man was admitted to the hospital with pain in the left hip and the epigastrium. He admitted to a 30‐pound weight loss over the preceding 6 months. Physical examination was notable for tenderness to palpation in the epigastric area. There was no rebound or guarding. The rest [...]