Case Presentation: A 74-year-old female, with no significant past medical or travel history, developed sepsis 2 days after undergoing debulking surgery for stage IIIc ovarian carcinoma. Blood cultures were positive for gram-negative bacilli and the organisms identified as Enterobacter spp. with blaIMP MBL (Verigene). Antimicrobial susceptibility testing demonstrated high-level resistance to all penicillins, ureidopenicillins, cephalosporins, [...]

Case Presentation: A 59-year-old woman presented with acute worsening of chronic abdominal pain and nausea. Her past medical history included a stable type-B aortic dissection. Over the previous year, she had multiple hospitalizations for postprandial abdominal pain associated with nausea and vomiting. The pain had been increasing in severity and had led to a 10-pound [...]

Case Presentation: 78 year old woman with persistent non valvular atrial fibrillation was admitted with palpitation and dyspnea. She was in atrial fibrillation with rapid ventricular rate. Given symptomatic atrial fibrillation after rate control, decision was made for transesophageal echocardiogram (TEE) and elective direct current cardioversion (DCCV). She was successfully converted to sinus rhythm with [...]

Case Presentation: A 55 years old females with history of 5-6 months of chronic Right sided Pain and tenderness when shampooing or combing her hair. The pain started as intermittent, but has become constant, associated with Jaw Claudication. She mentioned the pain radiates to her neck and back and reported having episodes of blurry vision [...]

Case Presentation: A 35-year-old black male presented to the emergency department (ED) with acute onset diffuse abdominal pain, along with nausea and vomiting. Review of systems was positive for polyuria and polydipsia. The examination was unremarkable apart from a sizeable fungating lesion of the left lower extremity by the ankle measuring 12 x 8 cm. [...]

Case Presentation: A 40-year-old white male who had noticed a nodule over the extensor surface of his right forearm, which then grew to a size of 3 cm tumor and ulcerated over six months. At one point, he was assumed to have an infection and treated with antibiotics with no improvement. Around the same time, [...]

Case Presentation: A 24-year-old black male with a history of generalized epilepsy first diagnosed one year ago presented to the Emergency Department (ED) after one episode of a witnessed generalized tonic-clonic seizure. Upon arrival at the ED, he was at his baseline mental state. However, just moments later, he had another refractory generalized tonic-clonic seizure [...]

Case Presentation: A 75 year old woman with past medical history of hypothyroidism presented with weakness and the sensation of “large folds of skin” on the bottom of her feet. Pertinent physical exam findings included conjunctival pallor, nonspecific diffuse abdominal tenderness, and hyperpigmented macules of the dorsal finger tips and soles, which were also new [...]

Case Presentation: 60-year-old African American male with history of polyarticular tophaceous gout, chronic back pain related to DDD, HTN, CKD stage III, HIV on HAART, COPD presented with worsening back pain of 1-week duration associated with progressive lower extremity weakness and inability to walk. Low back pain was noted as sharp, stabbing in nature radiating [...]

Case Presentation: A 68- year-old Hispanic male with past medical history of hypertension, hyperlipidemia and gout presented with intermittent paresthesia and weakness in bilateral fingers and toes along with mild headaches and fatigue for the past two months. Additionally, the patient notes to have new short-term memory deficits where he often forgets his thoughts mid-conversation. [...]