Case Presentation: A 47-year-old male with a past medical history of Bell’s palsy, hypertension, end-stage renal disease on hemodialysis, papillary thyroid cancer s/p thyroidectomy, and post-surgical hypothyroidism presented with new-onset left sided ptosis, mydriasis and retro-orbital pain. Approximately, three weeks ago he experienced similar symptoms without corresponding headache that self-resolved. The review of systems was […]

Case Presentation: A 24-year-old female with a history of IV drug abuse and MRSA tricuspid native valve endocarditis was treated for lobar pneumonia 4 months prior to readmission for non-bloody cough and pleuritic chest pain. Recurrence of lobar pneumonia was suspected but workup instead revealed Mycobacterium abscessus bacteremia. She denies any fevers, chills, nausea, vomiting, […]

Case Presentation: A 58 year old previously healthy Nigerian female presented with a 6-week history of high-grade fevers, weakness, malaise, and a 10-pound weight loss. On physical exam she was found to have tachycardia, hypotension, fever (Temperature 103F), altered mental status and peripheral pitting edema. Her hospital course was complicated by hypotension and acute kidney […]

Case Presentation: A 50 year-old gentleman with seronegative rheumatoid arthritis on leflunamide presented with foreign body sensation, irritation, pain and photophobia in bilateral eyes which acutely worsened to bilateral vision loss. Funduscopic and slit-lamp examination showed crusting, moderate erythema, and edema of both eyes. Further detailed exam showed mucoid discharge, bilateral corneal infiltrates, corneal neovascularization, […]

Case Presentation: A 61 year-old-female presented to an outside institution with worsening exertional dyspnea, chest pressure, and fatigue. Echocardiogram revealed a large pericardial effusion bordering on tamponade which was drained with great improvement of symptoms. CT Chest/Abdomen/Pelvis revealed perirenal soft tissue invasion, which was biopsied. Patient was then referred to our institution for further management; […]

Case Presentation: A 59 year old man presented to the ER with shortness of breath, non-productive cough and fever of 103○F. He was also being followed for an enlarging left tricep mass that has grown significantly in size for the past 2 months, currently at 11cm in diameter. CBC now revealed a WBC count of […]

Case Presentation: A 44 year-old female with a history of essential hypertension presented with one month of progressive chest pain, dyspnea and fevers. These symptoms were associated with a dry cough, sore throat and symmetric joint pains with swelling and morning stiffness of the hands and wrists. Her chest pain was left sided and knife-like, […]

Case Presentation: We report a case of a 38-year-old African American male with history of dysphagia who presented with complaint of acute chest pain. He described it as pressure like mid-sternal chest pain, radiating to his left arm associated with palpitations, worse on exertion and diaphoresis. On presentation, he was found to have atrial fibrillation […]

Case Presentation: 74 year old Armenian female with no past medical history presented to the ED twice for community acquired pneumonia, with a right lower lung infiltrate/atelectasis on chest x-ray. Serology labs include WBC 11 with 25% bands, ALP 141 and conjugated bilirubin 0.7. Upon her third visit, she began to have persistent fevers and […]

Case Presentation: A 22-year-old African-American man with no medical history presented to the emergency department after an episode of sudden onset palpitations and left sided chest pressure lasting an hour. He endorsed radiation of his discomfort to his jaw and left arm as well as accompanying diaphoresis, shortness of breath and pre-syncope. Physical examination was […]