Case Presentation: 85-year-old woman with a past medical history of hypertension, severe peripheral vascular disease, atrial fibrillation on Coumadin was hospitalized to have lower extremity above knee amputation for long standing infection of the left lower extremity. Patient was started on cefepime and linezolid for her left lower extremity wound (cultures growing pseudomonas, vancomycin resistant […]

Case Presentation: A 36 year old African-American gentleman with a history of asthma presented to the Emergency Department with dizziness, numbness of both lower extremities, gait imbalance, bowel and bladder incontinence which had been worsening since the last 2 months. MRI thoracic spine revealed Focus of abnormal T2 signal within the upper thoracic spinal cord […]

Case Presentation: A 70 year old female with past medical history of COPD on 2 liters oxygen at baseline presented with acute hypoxic respiratory failure due to COPD exacerbation secondary to metapneumovirus infection. Her hospitalization was prolonged from Methicillin sensitive Staphylococcus aureus pneumonia which required prolonged intubation, antibiotics and finally a tracheostomy. She was noted […]

Case Presentation: A 79-year-old woman with hypertension and rheumatoid arthritis presented with generalized fatigue and decline in her functional status over 6 months. Her symptoms progressed in the month preceding admission to nausea, vomiting, right upper quadrant pain, and intolerance to solids and liquids for several days. An outpatient abdominal ultrasound revealed only hepatic steatosis. […]

Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 […]

Case Presentation: Headache is one of the most common complaint of patients, yet over 65% of patients with tension-type headaches don’t present to their primary care doctor. When it’s not just a typical headache is when it’s imperative to make the diagnosis early to prevent detrimental complications. A 46-year-old-male presented with a chief complaint of […]

Case Presentation: A 69-year-old male with prostate cancer in remission developed diplopia 2 weeks prior to presentation. Workup at the referring hospital included a normal ophthalmologic exam and an MRI brain with possible mastoiditis and/or otitis media. A course of unknown oral antibiotics was completed. He had no improvement of his diplopia and progressed to […]

Case Presentation: 33-year-old male with metastatic germ cell testicular cancer to the lungs initially presented with worsening headaches. Imaging showed significant disease progression with new intracranial metastases in the right parietal and occipital lobes. He underwent autologous stem cell transplant complicated by pancytopenia. Three days later developed sudden onset typical chest pain at rest associated […]

Case Presentation: A 32-year-old female with a history of recent uncomplicated vaginal delivery (3 weeks prior, G7P6A1) was brought in following cardiac arrest. She had been running errands with family when she developed seizure-like activity prior to arresting. Cardiopulmonary resuscitation was not initiated until emergency medical services arrived 15 minutes after the event. Patient arrived […]

Case Presentation: Demanding prompt evaluation, carotid-cavernous sinus fistula (CCF) is a rare etiology of the “red eye.” Despite the risk for vision loss, this diagnosis can be missed due to its subtle and nonspecific presentation. We present the case of progressively worsening conjunctivitis and exophthalmos in an elderly woman following a fall who was found […]