Case Presentation: A 40-year-old man with untreated HIV presented with two weeks of worsening nausea, headache and diplopia. In addition, the patient had some confusion limiting his ability to recall pertinent medical history other than several years ago he was treated for a fungal brain infection. He denied any fevers, weight changes, abdominal pain, or [...]

Case Presentation: A 71-year-old man with type 2 diabetes mellitus, hypertension, coronary artery disease, and peripheral arterial disease presented with worsening bilateral lower extremity pain which started two days prior to admission. Physical exam revealed cold and pale lower extremities, tenderness, and absence of pulses on both lower limbs but no edema or ulceration. Range [...]

Case Presentation: A 45-year-old man with a history of widely metastatic myoepithelial carcinoma and deep venous thrombosis on therapeutic anticoagulation with enoxaparin initially presented with diffuse abdominal and left buttock pain. Of note, a review of prior imaging revealed known metastases in the lungs, peritoneum, bilateral gluteus muscles, and mitral valve chordae/anterior mitral valve leaflet. [...]

Case Presentation: A 59-year-old lady with history of paraplegia presented with acute onset of encephalopathy that started three days ago. On admission, she was repeating many words and not following any commands. Her neurologic exam was limited due to paraplegia of her lower extremities. In the hospital, infectious and metabolic causes were ruled out. CT [...]

Case Presentation: A 69 year old man with history of Stage IV Mantle cell lymphoma on maintenance Rituximab presented to the emergency department with acute confusion and expressive aphasia. Patient was at his behavioral and functional baseline prior to this episode and there had not been any recent illnesses, medication changes or inciting events. Initial [...]

Case Presentation: 71 year old man with known medical history of atrial fibrillation (on Rivaroxaban), severe chronic obstructive pulmonary disease, diabetes mellitus, history of perforated diverticulitis with surgery and colostomy one year ago complicated with recurrent methicillin-resistant Staphylococcus aureus (MRSA) infections and prolonged hospitalizations, including MRSA pneumonia and respiratory failure one month ago, presented to [...]

Case Presentation: A 55-year-old female with history of hypertension, fibromyalgia, systemic lupus erythematosus, radiculopathy, anxiety disorder, and childhood varicella presented to an outside hospital for new onset altered mental status. She was diagnosed with acute non-hemorrhagic stroke of the right occipital lobe and anterior right frontal lobe without known cause or findings suggestive of vasculitis [...]

Case Presentation: A 27 y.o. male with a history of pre-B cell ALL in complete remission on maintenance therapy with vincristine, 6-mercaptopurine, methotrexate, and receiving intrathecal methotrexate for CNS prophylaxis presented with a 2 week history of fevers, productive cough, night sweats, and fatigue. He had no recent exposure to children or sick contacts. Physical [...]

Case Presentation: An 89-year-old year old woman with a history of type II diabetes mellitus, insulin-naïve and well-controlled on a regimen of metformin, sitagliptin, and dapagliflozin, presented with 3 days of nausea, vomiting, and poor intake of food and liquids. She had recently been prescribed cephalexin for a suspected UTI. She reported a subacute history [...]

Case Presentation: Radiation associated cardiac disease (RACD) is an important adverse effect which may not present until years to decades following therapy. Presentations include arrhythmias, acute coronary syndromes, heart failure and valvular pathologies, as seen in this presentation. A 50-year-old female with past medical history of breast cancer treated with chemo-radiation eight years prior presented [...]