Case Presentation: A 29-year-old African American man presented as a transfer from an outside hospital for uncontrolled diabetic ketoacidosis. Two months prior to admission he was diagnosed with ketosis prone type 2 diabetes mellitus. On presentation he had a BMI 22.6, a rash around his nose, acanthosis nigricans under his arms, Raynaud’s phenomenon and intermittent […]

Case Presentation: Case 1- 83 year old male with past medical history of knee surgeries and lumbar laminectomy presented with acute onset of fever, confusion and left lower extremity weakness for the past three days. Physical examination confirmed the same. He was started on empiric antibiotics for epidural abscess. MRI brain and spine, ECHO and EEG […]

Case Presentation: A 52-year-old man originally from West Africa presented with two episodes of hematemesis over one day and with intermittent diffuse abdominal pain and fatigue over one week. He is a known HIV/AIDS patient with poor compliance along with a history of chronic Hepatitis B cirrhosis and moderate-sized varices, H. pylori with non-compliance with […]

Case Presentation: A 72 year old female with history of chronic atrial fibrillation not on anticoagulation was brought to the emergency department (ED) after she was found gasping for breath. She was found to have undetectable blood pressure by Emergency Medical System and the electrocardiogram revealed atrial fibrillation with rapid ventricular response (RVR). Multiple attempts […]

Case Presentation: A 41- year old female with history of hypertension was admitted to our hospital with complaints of intermittent diffuse abdominal pain, diarrhea, and generalized rash. Vital signs were normal. Physical examination was notable for diffuse maculopapular rash. Laboratory investigations showed pancytopenia and acute renal failure. Further investigations were positive for a speckled pattern ANA, […]

Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems was negative. Vitals signs were normal. Abdominal exam was remarkable for distension and left lower quadrant tenderness with no rebound […]

Case Presentation: A 38-year-old man with a history of intravenous drug use presented with right-sided head swelling for three weeks. A 4 cm nodule was noted over the right temple. A new diagnosis of HIV was made with a CD4 count of 86/microL. Head CT demonstrated a round lesion in size adjacent to the right […]

Case Presentation: Syphilis is known as the “Great Imitator” for good reason. With its insidious onset and nonspecific presentation, it is often mistaken for other diagnoses or overlooked altogether. Here, we describe a case of an isolated facial nerve palsy as a rare manifestation of neurosyphilis. A 53-year-old man presented to urgent care with acute-onset […]

Case Presentation: A 59-year-old woman with a history of ductal carcinoma in situ status post mastectomy presented with dizziness exacerbated by change of head position. Patient endorsed a history of intermittent dizziness in the past few weeks, which caused her to fall on her right hip on three occasions. Hip radiograph showed no evidence of […]

Case Presentation: A 22-year-old male with no PMH or FH of autoimmune diseases and no substance use history presented with several days of worsening dyspnea, pleuritic chest pain, cough and hemoptysis. On evaluation, his vital signs were T 98.3oF, BP 103/64 mmHg, HR 86/min, RR 21/min, SpO2 93%. Physical exam was notable for auscultation of […]