Case Presentation: We present a 68 year-old man, with a history of benign prostatic hypertrophy, who presented with several months of progressive personality changes and mild gait changes. His wife noticed he had become more introverted, and his gait had become more ataxic with prolonged ambulation. He also started having subtle memory problems. On physical, [...]

Case Presentation: Talaromycosis (formerly known as Penicilliosis) is a rare fungal disease that predominantly affects immunocompromised patients, such as those with HIV and low CD4 cell counts, from endemic regions (e.g., Southeast Asia). There have been a limited number of cases reported worldwide, with a travel-related exposure. We present a case of an immunocompetent patient [...]

Case Presentation: We present a 40 year-women with a past medical history of untreated latent TB who presented to an outside hospital with progressive edema, ascites and was subsequently found to have diffuse lymphadenopathy with a benign biopsy, monoclonal gammopathy and a PET scan showing sclerotic lesions. She was transferred to our hospital for concern [...]

Case Presentation: A 46 year old male patient with history of Hodgkin’s lymphoma in remission, and hypercoagulable state, status post IVC-F placement in 2005 and anticoagulation. He presented with hypotension and dizziness. He has been suffering from dizziness for several months but it has been getting progressively worse, to a level that he is unable [...]

Case Presentation: A 56-year-old male with WHO Group I/III pulmonary hypertension (PH), Gold Stage III COPD, and right ventricular failure presented with several weeks of gradually worsening dyspnea. One month prior, he was hospitalized for an acute exacerbation of PH and was discharged on an increased dose of ambrisentan after excluding intra-atrial shunting. On the [...]

Case Presentation: A 70-year-old male with a medical history significant for transurethral resection of bladder tumor and lung adenocarcinoma presented with diaphoresis and subjective fever 4 days after undergoing an uncomplicated aortic extension cuff placement for an abdominal aortic aneurysm. The patient was hemodynamically stable. Labs notable for leukocytosis of 18.4X10E9 cells/liter. CT abdomen demonstrated [...]

Case Presentation: A 20 year-old, asymptomatic Caucasian man presented to the Emergency Department while vacationing in New Orleans. His home physician instructed him to self-present to the nearest hospital after receiving the patient’s Holter monitor data, which noted third-degree AV block and heart rate nadir of 21. The patient was wearing a Holter monitor due [...]

Case Presentation: A 21 year old male college student with a history of depression presented to the Emergency Department with cola colored urine. He exercises 3-4 times per week and hydrates well while exercising. He denied illicit drug, tobacco, alcohol or energy drink use. Recently, he had seen a psychiatrist for increased depressive symptoms and [...]

Case Presentation: A 67-year-old female with a past medical history of hypertension, hyperlipidemia, and systemic lupus erythematosus (SLE) complicated by lupus nephritis requiring a living unrelated donor renal transplant in 1994 and currently on tacrolimus, mycophenolate mofetil (MMF), and prednisone, presented to the Emergency Department with non-bloody, watery diarrhea and weight loss for 3 months. [...]

Case Presentation: A 59-year-old female presented to the emergency department with a 5-day history of cough, chest pain, shortness of breath, and fever. She also reported nausea, vomiting, right upper quadrant abdominal pain and arthralgia. She denied any headaches. Past medical history was remarkable for gallstones. On physical exam, she appeared in moderate distress, was [...]