Case Presentation: A 67‐year‐old man presented to his doctor with 3 months of poor appetite, weight loss, and persistent nonbloody diarrhea. He complained of fatigue and intermittent chest pain with a chronic nonproductive cough. He denied fevers, chills, or night sweats. He denied any allergies. He took no medications. He had a remote smoking history [...]

Case Presentation: A 60‐year‐old, previously healthy woman presented with intermittent right‐sided numbness. She also had a lump on the left parietal scalp for a year with no symptoms. This was assessed outpatient and was adjudged to require no intervention. Physical exam showed a left parietal 5 × 5 cm soft fluctuant mass. She had no focal [...]

Case Presentation: A 70‐year old woman had 2 episodes of intracranial bleed over 6 months and was referred to hematology to rule out bleeding diathesis. Neurological exam showed a mild right‐sided facial palsy. Blood pressure, platelet count, bleeding time, PT, PTT, factor VIII activity, and von Willebrand's factor were within normal limits. The patient had [...]

Case Presentation: Case 1 is a 62‐year‐old woman with a history of end‐stage renal disease and poorly controlled diabetes mellitus who presented with confusion, fever, and an abscess on the posteromedial aspect of the left thigh. The abscess was drained in the operating room. The surrounding skin and underlying fascia were found to be necrotic. [...]

Case Presentation: The patient is a 16‐year‐old male who was transferred to a tertiary‐care center after being evaluated in a local emergency department (ED) for acute onset of confusion and agitation. He was restrained by law enforcement and brought to the local ED by ambulance. Prior to the presentation he had a 2‐day history of [...]

Case Presentation: An 81‐year‐old woman comes to the emergency department with acute‐onset shortness of breath and left‐sided, nonradiating chest pain. A month prior, she had a dual‐chamber pacemaker implantation for a diagnosis of sick sinus syndrome. There were no subsequent complications related to the procedure, except for a small pericardial effusion on the following echocardiogram. [...]

Case Presentation: A 50‐year‐old renal transplant patient presented to the emergency room with mild respiratory symptoms. Medications included sirolimus, cyclosporine, and prednisone. Vital signs were temperature 37.9°C, pulse 98/minute, blood pressure 109/64 mm Hg, respiratory rate 24/minute, and O2 saturation 88% on room air. Lung exam revealed diffuse bilateral crackles and wheezing. Blood work revealed severe [...]

Case Presentation: A 75‐year‐old woman presented with a 3‐week history of visual hallucinations and fomication. She reported seeing insects, cars, and snakes in her house and acknowledged the hallucinations were inappropriate. She reported anxiety secondary to the hallucinations for the past 3 days. She had a blood pressure of 162/96. Pupils were nonreactive to light [...]

Case Presentation: A 66‐year‐old woman presented with vomiting, bilateral leg pain, and a fall. Over the past 6 months, the patient had complained of an unsteady gait, intermittent shooting pains from the knees to the thighs, polyuria, and generalized fatigue. Eighteen months prior, a bone marrow biopsy (BMBx) performed because of thrombocytopenia revealed caseating and [...]

Case Presentation: A 19‐year‐old man presented with 1 day of pain and numbness in his left arm accompanied by left‐sided facial numbness. The patient reported chest pain, neck pain, nausea, and a dry cough as well. He denied fever, chills, night sweats, or headache. The patient was a landscaper who had recently arrived from Mexico. [...]