Case Presentation: A 44 year-old African-American man presented to his primary care physician with a five day history of neck swelling and pain associated with chills, night sweats and weight loss. Three days prior to presentation, he was evaluated at a nearby emergency department and prescribed amoxicillin-clavulanic acid without improvement. Physical and laboratory examinations were […]

Case Presentation: A 32 year old male with past medical history of tobacco and alcohol abuse presented with fever, dyspnea, night sweats, cough with green sputum, occasional hemoptysis and left sided chest pain for eight days. He also endorsed a ten pound weight loss during this time. Of note patient also had a history of […]

Case Presentation: A 74-year-old woman presents to the ED with acute on chronic right upper quadrant pain that awoke her from a dead sleep. She reported struggling with intermittent abdominal pain, nausea, and vomiting over the past several months, but not previously this severe. Patient denied fevers or chills. Labs were remarkable for leukocytosis, transaminitis, […]

Case Presentation: This is the case of a 69 year old woman with a history of diabetes and peripheral arterial disease who presented with eye pain for two days prior to admission. Of note, she was recently admitted to the hospital for a left foot infection requiring amputation; her hospital course was complicated by MRSA […]

Case Presentation: A 61 year old female presented to the ED with rapidly progressing lower extremity weakness, gait abnormalities, and urinary incontinence. Her neurologic exam was pertinent for bilateral lower extremity motor deficits, diminished reflexes, and weakened rectal tone. MRI spine without contrast showed no cord compression prompting further evaluation with LP. CSF showed elevated […]

Case Presentation: A 24 year old pregnant woman presented at 32w1d with three days of fevers, chills and fatigue. Her pregnancy had been complicated by asthma, obesity, pyelonephritis, and a recent gonorrhea infection. Her vital signs on presentation revealed a temperature of 39.5°C, heart rate of 150, blood pressure of 101/67, respiratory rate of 44, […]

Case Presentation: A 67-year-old Fijean woman presented to the emergency department with three weeks of fevers, chills, weakness, watery non-bloody diarrhea, and unintentional 15lb weight loss. She had no recent travel, sick contacts, changes in dietary habits, antibiotic use, or initiation of new medications. Physical exam was significant for epigastric tenderness and hepatomegaly. Her laboratory […]

Case Presentation: A 69-year-old patient was referred to us by his PCP for subacute onset of confusion. Two months prior to presentation he was diagnosed with Focal segmental glomerulonephritis and had been on immunosuppressive therapy with Mycophenolate mofetil and Prednisone. He subsequently developed productive cough, and shortness of breath and was found to have a […]

Case Presentation: A 58-year-old woman with a past medical history notable for thyroid cancer status-post thyroidectomy complicated by hypoparathyrodism presented with muscle spasms in her hands and feet for two days. Four days prior to admission she reported bloating and heartburn for which she reports taking an unknown quantity of lansoprazole and an H2 blocker. […]

Case Presentation: An 18 years old female with no significant medical history was initially admitted to an outside hospital for urinary tract infection with sepsis. She subsequently developed abdominal pain and elevated liver enzymes prompting transfer to our institution. Physical examination consistent with right upper quadrant pain but remainder was unremarkable. Laboratory testing revealed a […]