Case Presentation: A 44 year-old man with history of anemia and HIV on antiretroviral therapy (ART) with CD4 359 presented with a 3-month history of progressive bilateral lower extremity swelling, increasing abdominal girth, and scrotal edema. He reported a 20-pound unintentional weight loss over the last year, associated with progressive fatigue and drenching night sweats [...]

Case Presentation: Case 1 is a 55 year-old healthy man who was brought to the ER after co-workers witnessed him slump down while seated and lose consciousness for 30 seconds. The patient recalled feeling “uneasy” prior to the episode. There were no tonic-clonic movements or loss of bowel or bladder function. Upon awakening, the patient [...]

Case Presentation: A 60-year-old African American male with a history of recently diagnosed focal segmental glomerulosclerosis on prednisone 60 mg daily, HTN, and diabetes mellitus type II, complicated by steroid-induced hyperglycemia, presented with one week of progressive dyspnea on exertion, nonproductive cough, and subjective fevers. Physical exam was notable for bibasilar rales and left lower [...]

Case Presentation: A 53 year-old male with history of HTN, DMII, HLD presented with typical chest pain and dyspnea. EKG revealed diffuse ST depressions and troponin returned elevated, consistent with diagnosis of NSTEMI. Therapeutic heparin & aspirin were administered for management of ACS.  Cardiac catheterization demonstrated critical left main disease and diffuse non-obstructive disease in [...]

Case Presentation: A 63 year-old male with history of Diabetes Mellitus Type 2 (DMT2) presented with diffuse swelling and dyspnea on exertion for 1 month. Outpatient labs showed progression of CKD from Stage II to Stage IV over the last 4 months. Paradoxically, the patient also noted an unintentional weight loss preceding the new swelling. [...]

Case Presentation: FM is a 44 yo black female with a history of mixed connective tissue disorder who presented to the emergency room with worsening pain in her left wrist, facial swelling and worsening ulcers and rash on her face.  The rash on her ears and face started 2 days prior.  She had been off [...]

Case Presentation: A 66 year old Hispanic Female with hypertension, diabetes, and autoimmune hemolytic anemia (AIHA) was admitted with thrombocytopenia and acute kidney injury (AKI). Initial workup was negative for immune thrombocytopenia purpura (ITP) and thrombotic thrombocytopenia purpura (TTP). Progressive cytopenia triggered a search for systemic lupus erythematosus (SLE), myelodysplastic syndrome, and reactivation of AIHA [...]

Case Presentation: Spirochetemia—the presence of spirochetes in the blood commonly arises from infections caused by Borrelia, Leptospira, or Treponema genera. Infections with Borrelia or Leptospiral genera require a higher index of suspicion as the symptoms as well as laboratory testing are often nonspecific. Relapsing fever in particular can be missed if the patient presents during [...]

Case Presentation: An 88-year-old man presented with progressively worsening shortness of breath and fever. He has a history of Stage IV squamous cell carcinoma of the lung, status post external beam and stereotactic body radiation therapy. Four months prior to presentation, he was found to have a left-sided malignant pleural effusion. He was readmitted two [...]

Case Presentation: A 96 year old woman with history of hypertension, hypothyroidism, cerebral vascular accident, senile nuclear sclerosis with low vision of the left eye, central retinal artery occlusion of the right eye, and primary open angle glaucoma of bilateral eyes, was admitted for evaluation of new onset visual hallucinations. She reported seeing “beautiful flowers, [...]