Case Presentation: A 32-year old woman at 17 weeks gestation presented with subacute headaches, parotid swelling, oral and perioral paresthesias, dysgeusia, and bilateral jaw pain. Her headaches began 3 months prior to presentation followed by left facial droop. She received prednisone and valacyclovir for presumed Bell’s palsy with resolution of symptoms. The headaches recurred and [...]

Case Presentation: A 24-year-old Hispanic female with a past medical history of diabetes mellitus and hyperthyroidism presented with slurred speech for one day that was associated with left-sided upper and lower extremity weakness. She did not use tobacco, alcohol, or illicit drugs. She had sinus tachycardia at 170 beats per minute and was febrile with [...]

Case Presentation: An 85-year-old gentleman who was started on intra-vesical BCG therapy for Tis staged bladder cancer presented to the hospital with excruciating asymmetric polyarticular joint pain.He previously completed induction therapy successfully, during which he had developed cystitis. Subsequently, the patient received 3 doses of maintenance therapy, and on day 5 after his last dose [...]

Case Presentation: A 43- year- old healthy man presented to the emergency department with chills, arm pain, swelling, and redness after sustaining a puncture wound from a dead catfish. Vital signs included temperature 38.2 C, HR 116, BP 87/55. He had left medial wrist and forearm erythema, swelling and induration surrounding a small puncture wound [...]

Case Presentation: JT is a 26-year-old incarcerated male with no past medical history that presented to the hospital from a prison unit in Southwest Texas. He endorsed a 1-week history of dry cough, fever of 103F, chills, joint pain, and a painful rash on his legs. He denied any recent sick contacts, IV drug use, [...]

Case Presentation: This is a case of a 53 year old female with past medical history of hypertension, anxiety and gastric bypass surgery in 2001. She presented to the hospital acutely ill, complaining of inability to ambulate along with leg weakness that had started two years ago and was associated with progressive numbness and tingling. [...]

Case Presentation: As physicians, we frequently engage patients and families in goals of care discussions in the context of advanced serious illnesses. These discussions can be challenging for numerous reasons. We present an atypical case of a woman, who experienced acute onset of confusion, numbness, pre-syncope, chest pain, and abdominal pain, after initiating a discussion [...]

Case Presentation: A 72-year-old male with a past medical history of osteoarthritis presented to the emergency department with complaints of fever and chills for 3 days. She received glucocorticoid injection for left knee pain a few days prior to presentation. Her initial vitals were a heart rate of 122 bpm, blood pressure was 147/77 mmHg, [...]

Case Presentation: 25-year-old male with a past medical history of von Willebrand disease, thrombocytosis presented to an outside hospital (OSH) with acute onset chest pain. An EKG there showed ST-segment elevation in anterior leads after which he was emergently taken to the cardiac catheterization laboratory. He was found to have an left anterior descending (LAD) [...]

Case Presentation: A 31-year-old man presented to the ED with one week of worsening cough, headaches, and abdominal pain. Initial laboratory evaluation revealed a total bilirubin level of 15.6 mg/dL, ALP 181 U/L, ALT 518 U/L, AST 829 U/L. Lipase and GGT were within normal range. Chest x-ray and abdominal ultrasound showed no abnormalities. He [...]