Case Presentation: Spontaneous renal artery dissection (SRAD) is a rare disorder that has been reported to occur in middle-aged men. It often presents similar to nephrolithiasis, making it’s presentation non-specific and easily missed. Including SRAD in the differential for renal colic type-pain is important to decrease morbidity and improve the chance of renal recovery. Discussion: [...]

Case Presentation: Vaping-induced organ injuries are increasingly seen in the clinical setting, as the use of vaporizers to smoke tobacco and marijuana has risen almost 150% in the past several years [1]. Cardiotoxicity from vaporizer use has not been reported, and thus the incidence of this phenomenon is unknown. Regular assessment of cardiac function may [...]

Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics [...]

Case Presentation: A 69 year old male with a medical history of oxygen dependent COPD, diabetes and hypertension presented with one week history of worsening shortness of breath and non-productive cough. Review of systems was positive for subjective fevers and negative for weight changes and hemoptysis. He had no recent travel history. The patient was [...]

Case Presentation: Darier disease (keratosis follicularis) is a rare autosomal dominant genodermatosis due to ATP2A2 gene mutation. Presentation includes a characteristic eruption in seborrheic regions exacerbated by sun exposure, heat, and secondary infection. The disease runs a remittent course beginning in puberty. Darier disease is associated with neuropsychiatric disorders including intellectual disability, seizures, mood disorders [...]

Case Presentation: A 27-year-old male immigrant male from Guatemala presented with complaint of right-sided scrotal pain, swelling, and fever of 1 month. No reports of weight loss. Physical exam revealed right scrotal swelling, induration with the tenderness of the right testis and epididymis. Lab workup showed normal CBC, CMP. Urine culture, blood culture, chlamydia, and [...]

Case Presentation: Tetanus, a life threatening neurological disorder involving muscle spasms caused by Clostridium tetani, is now a rare disease, with an annual incidence of 0.10 cases/million population. We present a case of fulminant tetanus requiring ventilatory support in an unimmunized patient.A 20-year-old unvaccinated female with active intravenous drug use presented with difficulty swallowing, inability [...]

Case Presentation: 65 year old man with history of end stage renal disease, ischemic cardiomyopathy, paroxysmal atrial fibrillation, diabetes presented with complaints of rash in his bilateral legs for four days. Few days later, he noticed petechial rash involving bilateral ankles and feet that started on the left side and did spread to involve bilateral [...]

Case Presentation: Lymphangioleiomyomatosis (LAM) is a rare multisystemic disease of uncertain etiology that can have a dramatic presentation with spontaneous pneumothorax. We describe the management of a case of LAM in a healthy individual in the setting of a community hospital.A 44-year-old female with a history of smoking and vaping presented with acute onset shortness [...]

Case Presentation: A 34-year-old male with history of complicated otitis media with bilateral facial palsy presented to the emergency department (ED) with a 1-week history of dry cough, bilateral eye redness and epistaxis. The patient had recurrent episodes of bilateral purulent otitis media over the past 4 months, failing treatment with anti-histamines and antibiotics, and [...]