Case Presentation: A 57 year old male with history of benign prostatic hyperplasia status post transurethral resection of the prostate and type 2 diabetes mellitus presented with acute onset of confusion and agitation that began 1 day prior to admission. 1 week ago, he underwent TURP for BPH and urinary retention at an outside hospital; [...]

Case Presentation: A 52 year-old homeless man presented to the ED with knee pain after a mechanical fall. X-ray confirmed a depressed, lateral tibial plateau fracture. He was discharged with a knee brace and a referral to orthopedic surgery. Because of continued knee pain, he returned to the same ED two days later and went [...]

Case Presentation:  A 32-year-old man with human immunodeficiency virus (HIV) presented with a painful and swollen right ankle. The patient had been well until 6 weeks ago when he developed a sprain followed by worsening pain and swelling of his ankle. His CD4+ T-lymphocyte count was 169 cells/mm3 with a viral load of 3770 copies/mL. [...]

Case Presentation: Syncope has many varied etiologies, ranging from cardiogenic to neurologic phenomena. We present a case of a gastrointestinal (GI) tumor causing anemia and subsequent syncope in a patient with no clinical evidence of GI bleeding. A 79-year-old Filipino female with sick sinus syndrome status-post pacemaker placement, atrial fibrillation on anticoagulation, history of a stroke with [...]

Case Presentation: Pneumonia in an immunocompromised individual has a broad differential; the initial work-up and selection of antimicrobials can be challenging. We present a case of concomitant pulmonary nocardiosis and Pneumocystis jirovecii pneumonia (PJP). A 60-year-old male with hepatitis C infection status-post treatment with a negative viral load and chronic kidney disease (CKD) due to [...]

Case Presentation: A 40-year-old male with a past medical history significant for right sided infective endocarditis and permanent pacemaker, status post removal due to infection, presented with complaints of fevers, chills, and hemoptysis for about two weeks. Hemoptysis was described as initially streaks in sputum to frank blood clots more recently. The patient denied any recent intravenous [...]

Case Presentation: 84 yo M with a history of CAD with HFrEF presented for a routine BiV AICD upgrade whose course was complicated by VT storm requiring amiodarone and lidocaine before conversion back to his outpatient medication mexiletine. Postoperatively, the patient developed a morbilliform rash, which was attributed to an antibiotic allergy as the patient [...]

Case Presentation: A 94-year-old Female with chronic kidney disease (stage 4), recurrent urinary tract infections (UTIs), and hypertension presented with a 3 day history of worsening general weakness, left thigh soreness, and a left thigh hematoma which was noted by the home health aide. The patient had a hospitalization 1 month prior in which she [...]

Case Presentation: This is a case of a 67-year-old male with history of strokes in 2012 & 2014 with residual right (R) sided upper and lower extremity weakness, blindness, and hearing loss, Coronary Artery Disease status post (s/p) Myocardial Infarction (MI) and Congestive Heart Failure s/p AICD, atrial fibrillation (AF) on coumadin, hypertension, hyperlipidemia, chronic [...]

Case Presentation: An 88 year old man with a history of severe aortic stenosis with transcatheter aortic valve replacement and unprovoked pulmonary embolism (on lifetime warfarin) presented with four days of lethargy and weakness. He denied any fevers, chills, abdominal pain, diarrhea, or urinary symptoms. He was compliant with scheduled dental cleanings and took prophylactic [...]