Case Presentation: Few spider bites are medically significant. A 24-year-old African American woman presented with malaise, fever, nausea, and myalgias. She reported a sharp pain on her lower back the night prior that at first felt like burning before progressing to pain. Her initial vitals were T 101, HR 120, BP 141/117. Physical exam revealed [...]

Case Presentation: A 61-year-old woman with past medical history of coronary artery disease, hypertension, hyperlipidemia, and a 46 pack-year history of smoking presented with gradually worsening shortness of breath and cough with white sputum production.The patient had multiple admissions in the last three months with similar presentation. In the first visit, CT chest showed bilateral [...]

Case Presentation: An 81-year old healthy male from Upstate New York without significant past medical history presented as a transfer from an outside hospital with a 5-6 day history of fevers, malaise, vague abdominal pain, and worsening confusion. There was no travel outside of the local area in the previous six months. The patient was [...]

Case Presentation: A 52-year-old African American male with a past medical history of gastric ulcer presented to the emergency department with progressively worsening exertional dyspnea and fatigue over the past two months. Physical examination was significant for a heart rate of 105 bpm and icteric sclera. Pinprick and vibratory sensations over bilateral lower extremity were [...]

Case Presentation: An 82-year-old female with past medical history of paroxysmal atrial fibrillation, hypertension, CKD stage 3, and recurrent Pseudomonas aeruginosa urinary tract infection was admitted to a cardiology inpatient service for generalized weakness and atrial fibrillation with rapid ventricular response.Her recurrent UTIs had been occurring monthly for the past year. She was noted to [...]

Case Presentation: A 70-year-old woman was admitted to our medical center with a 2-month history of abdominal discomfort, anorexia and fatigue. Past medical history was notable for hyperlipidemia. Five weeks prior to admission, the patient presented to her primary provider with similar complaints and was found to have significantly elevated liver enzymes, as shown in [...]

Case Presentation: A 62yo female with history of Combined Variable Immunodeficiency (CVID), Cirrhosis and Immune Mediated Colitis presented to the hospital with a 7-10 days history of confusion, ataxia, polyuria, and polydipsia. Her medications included Budesonide (9mg po once daily). Patient had no history of diabetes, and non-fasting blood glucose where in normal range 3 [...]

Case Presentation: 72 yo male with history of cerebral artery aneurysm, COPD, and Stage 3 CKD presented to the hospital for elective angiography of a cerebral aneurysm. He developed PEA arrest in the preprocedural setting and ROSC was achieved after 5 minutes of CPR. Patients condition improved initially but prior to planned discharge he developed [...]

Case Presentation: The patient is a previously healthy 23 year old African American female who presented to the hospital with sudden onset lethargy, abdominal pain and profound anemia. Imaging identified hemoperitoneum secondary to hemorrhagic ovarian cyst rupture and given her severe presentation she required salpingoophorectomy. In addition to bicytopenia with a hemoglobin of 4.8 and [...]

Case Presentation: Our patient was a 46-year-old man who presented with two days of malaise, headache, fever and productive cough. He denied chest pain, shortness of breath, exposure to sick contacts or recent travel. He has a past medical history of Celiac disease with associated dermatitis herpetiformis treated with dapsone and betamethasone cream for several [...]