Case Presentation: Case I:A 45-year-old male with a past medical history of vaping marijuana and nicotine presented with a four-day history of progressive dyspnea associated with cough, fevers, fatigue, weight loss, and diarrhea. He was found to be hypoxic to 72% oxygen saturation with a new 15-liter (L) oxygen requirement and febrile to 38.5 Celsius. [...]

Case Presentation: A 79-year-old male with a past medical history of non-small cell lung cancer and squamous cell carcinoma of the left tonsil presented with right hip pain for the past couple of months. The pain had been progressively increasing and was associated with swelling around the joint. The patient had a bilateral hip replacement [...]

Case Presentation: A 54-year-old female presented with abdominal pain and bloody diarrhea for three weeks associated with fever, chills, nausea and multiple bouts of vomiting. On exam, she was hemodynamically stable and had left lower quadrant abdominal tenderness. Laboratory studies were significant for a left shift with a normal white blood cell count. Her chest [...]

Case Presentation: A 58-year-old male presented to the hospital with several days of fatigue and shortness of breath. His vitals were initially stable, and labs showed a hemoglobin of 4.2 (normal 13.5—17.5), white blood cell count WBC 20.1 (4.5—11.0), and platelet count 43 (160—420), BNP 617 (0—900 pg/ml). He received one unit of packed red [...]

Case Presentation: A sixty two year old woman with good baseline functional status, with medical history of: asthma, active tobacco smoking, and estrogen replacement therapy for menopausal symptoms. She presented with acute onset difficulty speaking starting one day prior. On examination she exhibited obvious expressive aphasia with severe word finding difficulties. The ability to understand [...]

Case Presentation: A 43-year-old African-American female with a history of multiple sclerosis complicated by paraplegia, neurogenic bladder, and seizures presented to the hospital with a syncopal episode and was found to have a hemoglobin of 2.9 (12.0 to 16.0 gm/dL) with red blood cell count RBC 0.96 (4.00 – 5.20×10^6/uL), lactate dehydrogenase 639 (

Case Presentation: A 40 year old female with a medical history of pancreatitis and gastroesophageal reflux initially presented with cough and viral cold symptoms. She was initially febrile to 102 F, with labs significant for WBC 3,900 (normal 4,500-11,000 WBC/uL), hemoglobin 9.1 (12.0-15.5 g/dL), and platelet count 35,000 (150,000-450,000 /uL). She quickly deteriorated with new [...]

Case Presentation: A 54-year old male with dementia and chronic kidney disease presented to the emergency room with bilateral lower extremity swelling and blistering in lower legs and calves for several weeks duration. His initial vitals were within normal limits. Examination revealed multiple tense fluid filled bullae in medial lower leg to the foot on [...]

Case Presentation: A 27-year-old homeless African American man with Brugada syndrome, post automatic implantable cardioverter-defibrillator (AICD), initially presented to the hospital for acute onset of chest pain and cough for three days. Initial vitals were unremarkable; exam showed normal heart and lung sounds. EKG showed normal sinus rhythm with no signs of ischemia. AICD interrogated [...]

Case Presentation: A 27-year-old female with a history of PTSD, anxiety, and tobacco use initially presented to the emergency department with the worst headache of her life. Labs were significant for white blood cell count of 18.8 (normal 4.3 – 10.8 x 109 cells/L), troponin of 2.91 (