Case Presentation: A 24-year-old man presented with MRSA osteomyelitis of his right tibia two months after suffering an open fracture during a helicopter crash into a mountain. He was started on intravenous vancomycin. The patient did well for thirteen days however then started to have recurrent fever spikes up to 104.9 °F with concurrent sinus [...]

Case Presentation: A 60-year-old African woman presented to the emergency department with three days of abdominal pain, nausea, and vomiting. She had recently returned from a ten-month trip through rural Ethiopia where she consumed unpasteurized milk and well water with exposure to goats, cats, and livestock. Her medical history was otherwise unremarkable. On exam, she [...]

Case Presentation: We present a case of a 26-year-old male with a past medical history of hyperthyroidism who presented with altered mental status after being found at a store with bizarre behavior. On arrival, he was awake, alert with tangential speech. The patient was slow and deliberate in responding to questions. He complained of poor [...]

Case Presentation: We report a case of 24-year-old male with past medical history significant for bicuspid aortic valve, epistaxis who comes to emergency department because of feeling lightheaded, generalized weakness and episode of syncope 2 weeks ago. The patient delayed seeking medical care as he had an exam the next day after he had syncope. [...]

Case Presentation: A 26-year-old woman presented following accidental ingestion and aspiration of lighter fluid during a fire-breathing performance. She noted difficulty breathing, significant oral pain, and a burning sensation in her throat and chest.Initial vitals were notable for tachycardia to 110s, tachypnea to mid-20s, and oxygen saturation of 100% on non-rebreather mask. She appeared anxious [...]

Case Presentation: A 64-year-old male with a past medical history of coronary artery disease and hypertension presented with a one-month history of progressive exertional shortness of breath and chest pain. During this same period he also complained of persistently black but formed stools. Other than a daily baby aspirin, he did not use any Non-Steroidal [...]

Case Presentation: Patient is a 76 year-old male with a significant background of ischemic heart disease with reduced ejection fraction, pyloric and duodenal ulcers, and chronic kidney disease attributed to chronic glomerulonephritis (not biopsy-proven). He presented with hematemesis and melena. Esophagogastroduodenoscopy revealed multiple gastric ulcers that were negative for Helicobacter pylori. Histology from the gastric [...]

Case Presentation: Patient is a 29 year old female with no significant past medical history who presented to our hospital with an unintentional 60 pound weight loss over 3 months and 4 days of palpitations, shortness of breath, leg swelling, and orthopnea. Physical exam revealed 4+ pitting edema, tachycardia (130 beats/minutes) and jugular venous distention [...]

Case Presentation: A 62-year-old Caucasian male presented to the hospital with complaints of fever, cough for 1 week. The patient was diaphoretic and also complained of malaise. He was admitted after a failed course of oral antibiotics due to suspected pneumonia. The patient denied any chest pain, dyspnea, or sputum production with the cough. Physical [...]

Case Presentation: A 55 year old Caucasian male presented to the emergency department with two weeks of palpitations and chest pain. He experienced intermittent chest pressure and palpitations that were worse while lying down. He denied recent change in weight, skin changes, or SOB. He had a 45 pack-year smoking history, having quit two years [...]