Case Presentation: A 45-year-old female with PMH of hypertension presented with 3-days of worsening shortness of breath, general malaise and increasing home oxygen (O2) requirements. She was recently discharged from an outside hospital with home O2 and oral antibiotics for pneumonia. The patient was admitted for acute hypoxemic respiratory failure presumed secondary to hospital-acquired pneumonia. […]

Case Presentation: A 29-year-old female with history of hypothyroidism, Bipolar affective disorder, tobacco use disorder and old head trauma with face reconstruction in 2004 who presented with a first-time seizure. She was trying to quit smoking and was on bupropion to help quitting. She continued bupropion for about one month but was unable to quit […]

Case Presentation: Objectives 1. Recognize delayed post infectious vasculitis as a rare complication of bacterial meningitis 2. Recognize the use of corticosteroids for treatment of post infectious vasculitis Case Description A 63-year-old man with a one-week history of cough presented with somnolence and a temperature of 102.1°F. The neurological examination showed disorientation and a stiff […]

Case Presentation: A 70-year-old male who presented to us with worsening dyspnea on exertion and non-productive cough. Review of systems was negative. Vitals were unremarkable; physical examination was significant for bilateral basilar rales which were corroborated by his chest x-ray that revealed bilateral pleural effusions. Laboratory findings were notable for normocytic anemia and elevated liver […]

Case Presentation: A 32-year-old African American male past medical history significant for recently diagnosed Guillain-Barre syndrome (GBS) was admitted for recurrent mechanical falls at home. One week prior to his admission, he was treated for GBS with high dose Intravenous Immunoglobulin (0.4 g/kg/day) for 5 consecutive days and subsequently discharged home where he stayed for […]

Case Presentation: An 87-year-old female with a history of bilateral knee osteoarthritis presented to the emergency room with complaints of intermittent fever ongoing at home for two weeks. She recently had a Lipogems injection procedure done to her right knee. She denied any history of recent travel, tick bites or sick contacts. Physical exam was […]

Case Presentation: A 75-year-old Caucasian female with a history of hyperlipidemia treated with statin presented to the emergency room for generalized weakness. She became completely bedbound over the course of 5 days. Examination showed symmetric muscle weakness with power 2/5 at proximal muscles but normal strength in distal muscles. Deep tendon reflexes were decreased. She […]

Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history of hematemesis associated with midsternal chest pain. He reported taking a nifedipine tablet, which felt like it was “stuck in […]

Case Presentation: A 25 year-old white man with no significant past medical history presented with gradually progressive dyspnea on exertion and dry cough for approximately two months. He was treated for community-acquired pneumonia with various oral antibiotics and corticosteroids without resolution of symptoms. Importantly, during a particularly severe coughing spell, he noted sharp right-sided chest […]

Case Presentation: Patient is a 45-year-old female who presented to the ED for a 5 day history of abdominal pain, shortness of breath, inspiratory chest pain, and anemia (Hgb 6.2) discovered at an Urgent Care Center. She has no medical history, takes no medications, and does not use alcohol, tobacco, or drugs. She reports that […]