Case Presentation: An 88-year-old African American male with past medical history of chronic kidney disease stage IV, hypertension, atrial fibrillation, and gout presented to Methodist Dallas Medical Center emergency room on 5/13/2015 with acute onset right hemiparesis, numbness, right sided facial droop and slurred speech. Patients last known normal was 1.5 hours prior to arrival [...]

Case Presentation: A 73 year-old African-American female with history Rai Stage 3 Chronic Lymphocytic Leukemia (CLL), not on any treatment was admitted with sepsis secondary to cellulitis of right leg. On the seventh day of hospitalization she became acutely dyspneic. On evaluation, blood pressure was 100/70 mmHg, heart rate 110 beats/min, respiratory rate 21 per [...]

Case Presentation: A 26 year old man with past medical history of obstructive sleep apnea and oxycodone abuse presented to the emergency department after cardiac arrest. According to family members, the patient was seen ingesting an unknown quantity of ibogaine at home with the main purpose of treating his opioid addiction. Shortly after ingestion, the [...]

Case Presentation: We present the case of a 57-year-old male with gouty arthritis who presented with a diffuse body rash. The rash initially began as red spots on his face, which then became confluent and developed into diffuse erythema. Within a day, the rash spread to the rest of his body. He also reported associated [...]

Case Presentation:  A 57 year old African woman presented with a 2-week history of fever, cough, and dyspnea. She had no sick contacts, chest pain, hemoptysis or weight loss and was HIV negative. Past medical history was unremarkable. On physical examination, temperature was 100.3 F and RR was 19. Auscultatory chest findings were positive for [...]

Case Presentation: An 84-year-old Caucasian female presented with 3 days of profuse, watery diarrhea and right knee pain. She had been hospitalized for bronchitis a few weeks ago, treated with amoxicillin-clavulanic acid and discharged. There was no history of trauma or travel. Her past medical history included CKD stage IIIa and diverticulosis. She was afebrile [...]

Case Presentation:   An 87-year-old female presented to the emergency department (ED) complaining of chest PAIN (CP).  Her PMH includes hypothyroidism and rosacea. While shopping, patient developed sudden onset crushing central CP that prevented her from ambulating. Initially, she attributed the pain to her hiatal hernia. However, the pain persisted with radiation to the jaw [...]

Case Presentation: Our patient is a 35 years old Mexican male with a history of HIV infection. He is compliant with anti-retroviral therapy and also has a history of alcohol abuse. He presented to the ED with acute onset of headache and confusion associated with vomiting for 6 hours.  On admission, he was unable to [...]

Case Presentation: A 51 year old woman with lichen planus presented with dysphagia to solids and liquids, excess oral secretions, and globus sensation for three days. Her history included hypothyroidism, GERD, and episodic dysphagia for two years. Surgical history included a prior endoscopy revealing nonspecific esophagitis. The patient had no toxic habits and family history [...]

Case Presentation: A fifty-nine year old female presented with a nine-day history of low-grade fevers, headache, myalgia, weakness, and waxing and waning confusion.  Collateral history from family described intermittent psychotic symptoms including auditory and visual hallucinations, as well as short-term memory deficits. Review of systems was otherwise negative. Patient had no significant past medical or [...]