Case Presentation: A 65-year-old Japanese man presented with a 5-month history of bilateral leg edema. He visited his family doctor 3 months ago and started taking furosemide, but the symptom didn’t improve. His past medical history included chronic atrial fibrillation. He reported malaise, constipation and weight gain but denied fever or night sweats. On admission, [...]

Case Presentation: The patient is a 51 year old female with a past medical history of asthma, who presented with worsening, constant, right-sided frontal headaches for 1 month. Her headaches were associated with periorbital swelling and tenderness to palpation and swelling of her right scalp near a scar from a trauma 28 years ago. A [...]

Case Presentation: A 34-year-old man with history of injection (IV) heroin misuse, anxiety, and homelessness presents with dyspnea and pleuritic chest pain. He was recently hospitalized with Methicillin-Sensitive Staph Aureus (MSSA) tricuspid valve (TV) endocarditis complicated by acute heart failure and septic pulmonary emboli but left against medical advice. On admission he was afebrile, tachycardic [...]

Case Presentation: A 39-years-old male with a history of hypertension presented with a one-month history of worsening shortness of breath associated with orthopnea, paroxysmal nocturnal dyspnea, and leg swelling. He denied fevers or chills, but he did report night sweats. On the day of hospitalization, he developed significant shortness of breath at rest associated with [...]

Case Presentation: A 54 year-old previously healthy man presented to the ED with two weeks of cough productive of “grey-green” mucus and slowly worsening dyspnea on exertion. His symptoms were accompanied by low-grade fevers, fatigue, poor appetite, and lightheadedness upon standing. His spouse was recently ill with symptoms of an upper respiratory infection. Review of [...]

Case Presentation: A 41-year-old man presented with months of a dry cough, non-bloody diarrhea, and an unintentional 20-lb weight loss, as well as one day of a severe headache. His history was notable for injection drug use, homelessness, and HIV infection for which he was not taking any medications. Initial vitals were temperature 38.3°C, blood [...]

Case Presentation: A 66-year-old woman presented as a hospital transfer for further evaluation of 1 week of abdominal pain and jaundice and several months of a worsening dry cough and dyspnea. These were respectively attributed to acute cholecystitis status post unsuccessful ERCP and pulmonary edema. She had no fever, orthopnea, or edema. Her past medical [...]

Case Presentation: A 66-year-old man with atopic dermatitis (managed with topical triamcinolone) presented with three weeks of a diffuse pruritic eczematous rash, anorexia, and a 15-lb weight loss. Vital signs were normal, but he was cachectic (BMI 15) with palpable inguinal lymphadenopathy and erythroderma affecting over 90% of his body. He was admitted for inability [...]

Case Presentation: A 69-year-old man with a past medical history of symptomatic sick sinus syndrome with a permanent pacemaker (PPM), as well as benign prostatic hyperplasia (BPH), initially presented to the hospital with substernal chest pain after lifting boxes. A complete cardiac evaluation, including ischemic work-up and transthoracic echocardiography, was conducted without evidence of active [...]

Case Presentation: A 26-year-old woman with a history of peripartum deep vein thrombosis (DVT) on rivaroxaban presented to the ED with generalized rash, subjective fevers and epigastric abdominal pain for 2 days duration. Of note, she had recently been transitioned from anticoagulation with enoxaparin to rivaroxaban 2 weeks prior to presentation and took no other [...]