Case Presentation: A 40-year-old woman with a history of asthma presented with progressive shortness of breath and acute onset chest pain. Following a severe asthma exacerbation, she reported increasing dyspnea on exertion that slowly worsened over the subsequent 2 weeks, which she attributed to her asthma. On the day of presentation, she reported mild, asthma [...]

Case Presentation: A 28-year-old male with a recently diagnosed HIV infection presented to the hospital with dyspnea, pleuritic chest pain and fatigue for 4 days. Six weeks prior, he was found to have HIV infection with a CD4+ cell count of 17 cells/ul and an HIV viral load of 41,399 copies/mL. He was prescribed antiretroviral [...]

Case Presentation: A 90 year old female with invasive ductal carcinoma of the breast previously treated with lumpectomy and whole breast radiotherapy, currently on hormonal therapy presented to the hospital with 3 days of confusion, slurred speech, generalized weakness and erythema of the right chest and right lower extremity. Patient denied recent changes in skin [...]

Case Presentation: 43-year-old patient with Down syndrome, intellectual disability and unrepaired atrioventricular canal defect with Eisenmenger syndrome presented with coffee ground emesis and worsening respiratory status. Home medications included metoprolol and folic acid. Patient lived in a foster home and an accurate history was not available. On examination BP was 88/60 mm hg, HR was [...]

Case Presentation: A 66-year-old female with a history of Cerebrovascular accident, diabetes, hypertension, chronic kidney disease, and osteoarthritis, presents to the hospital for worsening acute neck pain which had woken her up in the night a week prior. She had had minimal to no relief with Tylenol or Flexeril and her neck pain had continued [...]

Case Presentation: A 34-year-old African American female with no significant past medical history presented to the emergency room complaining of intermittent palpitations associated with dizziness and dyspnea on exertion for six weeks. She had similar symptoms a year prior, which had resulted in a syncopal episode, however work up at that time was insignificant. Three [...]

Case Presentation: Learning Objectives: – To recognize ehrlichioisis as a possible cause of aseptic meningitis – To understand activities that increase the risk of tick-borne diseasesCase Presentation:A 69-year-old Black man presented to a Louisiana hospital with a two-day history of falls, intermittent disorientation, lower extremity weakness and pain, and urinary retention. He denied skin changes, [...]

Case Presentation: Hemosuccus pancreaticus, a rare cause of gastrointestinal (GI) bleeding, is defined as bleeding through the pancreatic duct into the ampulla of Vater. Bleeding usually occurs due to a ruptured pseudoaneurysm, and can be fatal, as it can be easily missed. Here we discuss a case that was discovered in time for appropriate intervention. [...]

Case Presentation: A 77 year old male with history significant for mitral valve prolapse presented with constitutional symptoms and leukocytosis for the duration of several weeks. Upon hospital presentation, blood pressure was 90/50 millimeters of mercury (mmHg). Physical exam revealed a systolic murmur. Electrocardiogram revealed sinus rhythm, normal rate, and normal intervals. Most salient laboratory [...]

Case Presentation: A 44-year-old female with history of a seizure disorder presented with status epilepticus. She had four witnessed seizures with generalized convulsions at home and two more en route to the hospital with EMS, for which she received two doses of 5mg of midazolam. Upon arriving to the ED, she had two to three [...]