Case Presentation: A 70‐year‐old right‐handed white man with a medical history significant for but not limited to coronary artery disease and hypertension presented to the emergency department with acute left‐sided hemiplegia, facial droop, and slurred speech. The National Institute of Health Stroke Scale (NIHSS) at the time of presentation was 14, which progressed to 18 […]

Case Presentation: A 20‐year‐old white man was admitted with a 2‐week history of intermittent right flank pain. Abdominal CT showed a 2‐mm nonobstructing stone in the lower pole of the left kidney and a 3‐mm obstructing stone in the right distal ureter that was later extracted. During urology follow‐up, blood work revealed bicarbonate of 20.3 […]

Case Presentation: A 29‐year‐old African American man with no significant medical history presented with generalized fatigue, unintentional 25‐pound weight loss, and arthralgias. Physical examination was unremarkable. Blood work revealed creatinine 2.31 mg/dL, bicarbonate 25.2 mmol/L, glucose 94 mg/dL, and calcium 9 mg/dL. Baseline creatinine was not known. Liver function tests were normal except for an elevated alkaline phosphatase […]

Case Presentation: A 22‐year‐old woman presented to the emergency department with fever and a rash. Daily fevers had been occurring for 1 month, for which she took cephalexin and high doses of ibuprofen. She had diffuse arthralgias and a 10‐pound unintentional weight loss. She had nausea and vomiting and a rash of 2 days’ duration. […]

Case Presentation: A18‐year‐old healthy female presented to her primary care physician in early April with isolated right calf pain. Her initial workup included an ANA, D‐dimer, Epsteinn‐Barr virus, erythrocyte sedimentation rate (ESR), creatine kinase, and creatinine, all of which were within normal limits. An MRI of the brain and spines and ultrasound of lower extremities […]

Case Presentation: A 23‐year‐old man with untreated acquired immune deficiency syndrome (AIDS) presented with headache and new‐onset generalized seizure. He had recently been hospitalized at a local community hospital for confusion and behavior changes where he was thought to have viral meningitis. Shortly after discharge from that facility, he had a generalized tonic‐clonic seizure and […]

Case Presentation: A 14‐year‐old African American girl with no medical history presented to the emergency room (ER) with acute diffuse abdominal pain associated with nausea and vomiting. The workup included basic laboratory evaluation and abdominal radiography, which were all negative. She improved with ondansetron and was discharged from the ER. Approximately 1 week after the […]

Case Presentation: A 60‐year‐old man with type 2 diabetes and hypertension was admitted for low‐grade fever and worsening rash. The patient was on intravenous vancomycin (1 g daily) for 4 weeks for right knee joint methicillin‐resistant Staphylococcus aureus (MRSA) infection. Rash appeared 2 days after starting vancomycin, initially on the face and then gradually spreading to […]

Case Presentation: A 35‐year‐old man was admitted with right upper quadrant pain, nausea, vomiting, and obstipation. He had had 9 presentations with 4 admissions for the same in the preceding 3 months. Recent history included numerous admissions to other local facilities with similar symptoms, resulting in extensive workups including exploratory laparotomy. History included chronic pancreatitis […]

Case Presentation: A 71‐year‐old woman with hypertension presented from an outside hospital for a second opinion. Five months prior to admission she discovered that she had factor V Leiden and developed a deep vein thrombosis of the lower extremity 2 months later. She was started on Love‐nox and Coumadin and developed a blue toe. One […]