Case Presentation: We present the case of a 65-year-old male with no previous smoking or supplemental oxygen history who presented to the emergency department after routine clinic visit that was ultimately found to have cryptogenic organizing pneumonia from Influenza type B. Past medical history was insignificant except for recent hospital admission the week prior that [...]

Case Presentation: We present the case of a 62-year-old Caucasian female with angioedema suspected to be secondary to Olmesartan use, which was relieved with tranexamic acid. Of note, this was the third time she had presented to the hospital with angioedema symptoms within in the past 6 months. Before this period, she states she had [...]

Case Presentation: A 54 y/o lady with a past medical history of HCV cirrhosis s/p Harvoni treated 5 years ago, IVDU now on methadone who presented to the ER with a lower extremity rash that started two days ago. They were multiple tender nonblanching, red to purple petechial and purpuric lesions on the bilateral lower [...]

Case Presentation: A 28-year-old female with a known history of seropositive rheumatoid arthritis presents with a non-healing ulcer on her right ankle. She received local wound care and antibiotics for three months prior to this admission. She also complained of increasing pain and stiffness in the small joints of hands and feet as well as [...]

Case Presentation: A 63-year-old female with past medical history significant for myasthenia gravis managed with azathioprine (AZA) presented with recurrent fevers, shortness of breath, malaise and night sweats for one week after attending a funeral in Pennsylvania. She denied any sick contacts, hiking, animal exposure, tick bites, or rashes. She was seen outpatient and her [...]

Case Presentation: A 59-year-old female with a history of type 2 diabetes, hypertension, dyslipidemia, bipolar disorder, and daily alcohol use, presented with acute onset epigastric abdominal pain radiating to the back, nausea and vomiting. Physical examination was notable only for epigastric tenderness. Pertinent labs include neutrophilic leukocytosis, elevated lipase (2353 units/L) and lactic acidosis (2.4 [...]

Case Presentation: A 44-year-old African-American male with past medical history of hypertension, asthma and obesity, presented to the emergency room with acute onset, constant, severe lower abdominal pain of two days duration which was throbbing and aching in quality without any radiation. He also endorsed nausea & loose stools. Of note, his hypertension was newly [...]

Case Presentation: Dejerine-Roussy syndrome is a rare condition usually caused by ischemic or hemorrhagic strokes involving the thalamus. Patients develop dysesthesia or allodynia, weeks to months after the initial stroke. We present a case of central thalamic pain in a patient who presented with a middle cerebral artery (MCA) infarct with thalamic involvement. A 77 [...]

Case Presentation: A 61-year-old female with history notable for Crohn´s disease in remission presents with dysphagia associated with an unintentional 16kg weight loss over six weeks. Review of symptoms is notable for chronic diarrhea which stopped 3 days prior to admission and acute dysuria and polyuria. She is afebrile and hemodynamically stable. Initial laboratory studies [...]

Case Presentation: Exogenous lipoid pneumonia (ELP) is an unusual respiratory disease caused by inflammation from a foreign body reaction to inhaled lipid particles. Here we present a case of this illness in the absence of a history of vaping, and we show how diagnosis can be delayed while searching for more common respiratory disorders. Discussion: [...]