Case Presentation: A 55 year old non obese African American male with the past medical history of HIV on tenofovir/emtricitabine/efavirenz and HCV genotype 1 infection who was being treated with ledipasvir/sofosbuvir came in with complaints of increased urinary frequency, nocturia, increased thirst and fatigue of 2 weeks duration. He denied any fever, chills, dysuria, abdominal […]

Case Presentation: A 52-year-old male, active hiker presented to the emergency department with fever, chills and palpitations for one week. He had noticed a 20 cm rash in his groin for 6 weeks. On examination, his vital signs were within normal limits and there was a faint, left groin rash which was about 10 cm […]

Case Presentation: A 80-year-old female with a past medical history of diabetes mellitus, hypertension and coronary artery disease status post stenting 4 years ago presented with coffee ground emesis, epigastric pain, dysphagia and melena. On examination, her vital signs showed a heart rate of 92 beats/minute and blood pressure of 89/55 mm Hg. Her abdomen […]

Case Presentation: A 61-year-old male with past medical history of hypertension, hyperlipidemia and coronary artery disease presented with sustained tachycardia. His history was remarkable for ST segment elevation myocardial infarction (MI) and had a stent placed in right coronary artery (RCA) 1 month ago. He was non-compliant with antiplatelet therapy and his RCA re-occluded within […]

Case Presentation: A 48 year-old woman presented to the emergency room with dizziness following five episodes of black stool. She had otherwise been well and denied prior episodes. Her admission labs were notable for hemoglobin of 6.2 g/dL, white blood cell count of 24,000/uL, and platelets of 1.4 million/uL. On chart review, the patient had […]

Case Presentation: A 25 year-old male with no significant past medical history presented to the emergency department after he woke up with sudden onset weakness in his bilateral thighs and arms. He had history of heat intolerance, palpitations, dysphagia and weight loss of 40 pounds over last 3 months but denied any changes in skin, […]

Case Presentation: A 36 year-old female with history of bulimia nervosa, bipolar disorder and borderline personality disorder presented to the emergency department after she woke up with painful spasm of bilateral hands. She had been vomiting multiple times daily for the past few days but denied any paresthesia, numbness, weakness, tingling, diarrhea, laxative or diuretic […]

Case Presentation: A 55-year-old previously healthy Caucasian male was transferred from a regional hospital after one week stay for worsening ileus in the setting of gall stone related acute pancreatitis. Vital signs were remarkable for tachycardia and tachypnea. Physical examination revealed a firm, distended and diffusely tender abdomen with hypoactive bowel sounds. Labs showed WBC […]

Case Presentation: A 52-year-old African American male with a history of Diabetes Mellitus Type 2, Hypertension, and Hyperlipidemia presented to the Emergency Department with complaints of dizziness and fluctuating level of consciousness. He was on a business trip and has not been eating well and taking his insulin regularly. Vital signs on admission showed tachycardia. […]

Case Presentation: A 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient lives mainly in Texas, but goes to Mexico during winter time for a couple of months. He denied tobacco abuse, […]