Case Presentation: A 47‐year‐old male white male with no significant past medical history presented with sudden onset of severe shortness of breath, diaphoresis, global amnesia, and weakness and paresthesia of the left upper extremity, which occurred half an hour prior to presentation. A stroke alert was called, and the patient was evaluated for possible thrombolytic [...]

Case Presentation: A 72‐year‐old man with coronary artery disease, atrial fibrillation, hypertension, gout, and obstructive sleep apnea presented to the hospital with progressively worsening dysphagia to soft foods and liquids for a few days. He had begun to experience dysphagia 5 years ago and had restricted his diet to mainly soft foods and liquids. Esophagogastroduodenoscopy [...]

Case Presentation: A 47‐year‐old Taiwanese male without significant past medical history presented with complaints of dizziness, decreased urination, and diarrhea. On exam he was noted to be markedly orthostatic. The abdomen was slightly distended. After voiding, Foley catheterization returned approximately 1 L of residual urine. Laboratory evaluation was remarkable for hyponatremia. The patient was admitted [...]

Case Presentation: A 64‐year‐old male without a significant past medical history presented with a complaint of rectal pain. The pain was worse with bowel movements, and as a result the patient reported a fear of eating. The patient denied any associated nausea, vomiting, fevers, chills, melena, or bright red blood per rectum. He did report [...]

Case Presentation: A 54‐year‐old man with HIV presented with 2 weeks of flulike illness and 1 day of fever, dyspnea, and pleuritic chest pain. He had a recent CD4 count of 385/mm3, an undetectable viral load, and no history of opportunistic infections, alcohol abuse, or association with health care. On exam he was febrile, tachycardic, [...]

Case Presentation: A 57‐year‐old man presented to the ED with a 5‐month history of persistent fever and weight loss. His past medical history was notable for pulmonary TB, which was partially treated with para‐aminosalicylic acid. Social and travel history were unremarkable. His history of present illness goes back 6 months prior when he noted unremitting [...]

Case Presentation: A 34‐year‐old man with end‐stage renal disease on hemodialysis and cirrhosis presented with 2 months of progressive abdominal distension and diffuse pain. He denied fever and had an otherwise negative review of symptoms. He was found to have new‐onset ascites with a senjm‐ascites albumin gradient (SAAG) of 0.7 g/dL and presumed spontaneous bacterial [...]

Case Presentation: A 76‐year‐old man presented with 10 days of persistent hematuria and lower abdominal pain. He also complained of fatigue and dyspnea on exertion. He denied dysuria, flank pain, or recent trauma. His vital signs were normal with the exception of tachypnea. He had conjunctival pallor; the cardiac and pulmonary examinations were normal, and [...]

Case Presentation: The patient is a 66‐year‐old man who was at work discussing a project with his colleagues when he had a sudden feeling of warmth and weakness come up from his legs toward his head He then felt lightheaded and passed out His coworkers activated EMS. EMS personnel noted a heart rate in the [...]

Case Presentation: A 56‐year‐old woman presented with 2 days of shortness of breath, cough, and fatigue. She denied sick contacts, chest pain, orthopnea, or extremity swelling. Her only change in daily routine was spending the weekend cleaning. She was febrile and breathing 32x per minute with a SaO2 of 84% on room air. She had [...]