Case Presentation: An 84-year-old male with a PMH of CAD, atrial fibrillation and BPH presented to the ED due to night time vision loss and jaundice. Patient stated one month prior to presentation he noticed difficulty with vision at night while driving. One week prior to presentation, patient’s family noticed new-onset jaundice. Upon presentation, patient [...]

Case Presentation: A 60-year-old male with history of diabetes mellitus, right foot osteomyelitis, psoriasis, and multiple medication allergies (including vancomycin, levofloxacin, daptomycin, ertapenem, ampicillin-sulbactam, and infliximab) presented to the hospital with complaint of jaundice, abdominal pain, and vomiting. He had been diagnosed one week prior with methicillin sensitive Staphylococcus aureus septic arthritis and was being [...]

Case Presentation: A 20 year-old female presented to the emergency department with a one-week history of fever, neck swelling, and sore throat. A rapid streptococcal antigen screen was negative, and she was diagnosed with viral upper respiratory tract infection and discharged home from the ED. She followed up with her primary care provider and physical [...]

Case Presentation: A 46 year old African American woman presented with one week of worsening hearing loss along with 3 days of vision changes, confusion, visual hallucinations, and difficulty ambulating. She had history of invasive ductal cell carcinoma status-post mastectomy and chemotherapy. Additional history included hemorrhoids for which she underwent hemorrhoidectomy due to excessive bleeding [...]

Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing [...]

Case Presentation: 26-year-old woman presents with abdominal pain for one day. She developed sudden, sharp and constant abdominal pain in the right upper quadrant and epigastric area. The pain is associated with subjective fevers, nausea and non-bilious, non-bloody vomiting. Pain is worse with deep breathing and movement. She denies weight loss, no diarrhea or constipation, [...]

Case Presentation: A 68-year-old previously healthy woman was presented to our hospital with acute low back pain that was not triggered by any trauma. Magnetic resonance imaging (MRI) revealed a lumbar compression fracture, and she was admitted to the orthopedic department. Two days later, she developed orthopnea and hypotension, and therefore the orthopedician consulted with [...]

Case Presentation: Gallstone ileus is an infrequent cause of bowel obstruction where a gallstone is impacted in the ileum after passing through a fistula between the gallbladder and the gastrointestinal tract. Bouveret syndrome is a rare variant of gallstone ileus where a gallstone passes through a cholecysto-duodenal fistula leading to gastric outlet obstruction. We present [...]

Case Presentation: A 72-year-old Hispanic male with an unconfirmed history of alcohol-related cirrhosis presented to the hospital for rectal bleeding and dark stool for two days. Vitals included a heart rate of 90-120 bpm, blood pressure 90-140 over 50-60 mm Hg. A left thyroid nodule was appreciated on physical exam. His pertinent labs included TSH, [...]

Case Presentation: 58 year-old woman with history of chronic kidney disease, insulin dependent diabetes mellitus, and hypertension presented with three weeks of worsening generalized weakness. She denied recent vomiting, diarrhea, or polyuria. Laboratories revealed severe hypokalemia with potassium of 2.3 mEq/L, sodium of 141 mEq/L, magnesium of 1.5 mEq/L, glucose of 129 mEq/L, creatinine of [...]