Case Presentation: A 58-year old female with history of breast cancer and uterine fibroid, presented to the ED with worsening right leg pain and swelling associated with red skin discoloration and blanching skin. There was no history of fever, dyspnea, coughs, chest pain, hemoptysis, diaphoresis, palpitations, oral contraceptives or tobacco use. She has family history [...]

Case Presentation: A 68 year old man with history of polyarteritis nodosa on azathioprine/prednisone presented with four months of headache, hearing loss, and encephalopathy. Work-up included CT and MRI head/neck which revealed an ill-defined soft tissue mass within the posterior nasopharynx, extending into adjacent bony structures with areas of focal lytic destruction, concerning for malignancy. [...]

Case Presentation: The patient is a 65-year-old Vietnamese male presenting with fever, chills, night sweats and fatigue for one week. He also reports a dry cough with dark urine but denies recent weight loss, abdominal pain, nausea, vomiting and diarrhea. He denies recent travel history and has had no sick contacts. Patient last visited Vietnam [...]

Case Presentation: 53-year-old man with history of alcohol abuse, cirrhosis (with preserved liver function) presented with complaints of bilateral hand tremors and hallucinations for one day. He was unable to provide history due to confusion. Computed tomography scan of the brain revealed microvascular ischemic changes and an old lacunar infarct. Patient was delirious and actively [...]

Case Presentation: A 64 year-old Caucasian man with a history of atrial-flutter and hypertension presented with nasal congestion, eye redness, headaches, and progressive hearing loss over 8 months. His longstanding partial left-sided hearing loss progressed to complete hearing loss. In addition, he developed a new right-sided hearing loss. He also complained of right-sided Bell’s Palsy, [...]

Case Presentation: 56-year-old female presented to ED with a two-week history of fever, chills, headache, intermittent nausea and vomiting, mild abdominal pain. Her comorbidities included Diabetes mellitus, Morbid obesity, and Hypertension. She had mild leukocytosis on complete blood count and had physical examination significant for bilateral rhonchi in chest auscultation. She was admitted under the [...]

Case Presentation: Our patient is an 88-year-old female who presented with abdominal pain, nausea, and vomiting. Her medical comorbidities included hypertension, diabetes, CAD, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation, hypothyroidism and a history of cerebrovascular accident without any residual deficits. Her prescription regimen included amlodipine, furosemide, isosorbide mononitrate, levothyroxine, metformin, omeprazole and [...]

Case Presentation: A 78-year-old man with history of severe obesity, prostate cancer and urethral strictures requiring chronic indwelling Foley catheter, presented to the emergency room with decreased urine output. He also reported worsening scrotal pain and swelling. He had presented 9 days prior with scrotal pain and swelling after his Foley catheter fell out. He [...]

Case Presentation: A 52 year-old woman with a two-month history of metastatic clear cell renal cell carcinoma presented to the emergency department from oncology clinic with one week of malaise and nausea. She also reported subacute onset of dizziness and fever. She received her second cycle of palliative immunotherapy with ipilimumab/nivolumab 14 days prior to [...]

Case Presentation: A 50-year-old Hispanic female with a history of obsessive-compulsive disorder and anemia presented to the emergency department with complaints of dyspnea after a syncopal episode. Patient also noted a 30 pound weight loss and non-healing wound ulcers of all four extremities over 3 months. On presentation, patient’s vitals were notable for BP=105/65, HR=120, [...]