Case Presentation: A 59-year-old male with a past medical history of end-stage renal disease on hemodialysis, hypertension, diabetes mellitus, and a recent diagnosis of multi-microorganism osteomyelitis due to diabetic foot ulcer on intravenous vancomycin and ertapenem for the past 2 weeks presented to the hospital for visual and auditory hallucinations. The symptoms started shortly after [...]

Case Presentation: A 47-year-old female with a history of kidney transplant on immunosuppressive medications presented with worsening confusion and dysarthria for two days. She also reported headache, intermittent fever, and shortness of breath for one month before her presentation. On presentation, her temperature was 103 F, heart rate was 131 b/m, with normal blood pressure [...]

Case Presentation: SH is a 61-year-old male with history of recurrent giardia who presented to the Emergency Department for evaluation of generalized weakness and weight loss in the setting of chronic. Over the past 4 years, he has had recurrent giardia infection despite multiple antiprotozoal agents. Upon presentation, he reported 7 watery, foul-smelling, copious episodes [...]

Case Presentation: 51yoM with no significant medical history presents to ED for evaluation of progressive bilaterally injected, painful conjunctiva of 1 months duration, nonproductive cough and pleuritic chest pain of 1 week’s duration. He was recently treated with moxifloxacin for conjunctivitis without improvement in symptoms. After treatment, he developed nonproductive cough associated with pleurisy and [...]

Case Presentation: A 25-year-old man with a past medical history of Ulcerative Colitis (on mesalamine and non-compliant with steroid suppositories) presented as a transfer from an outside hospital (OSH) with fevers, left sided chest soreness, abdominal pain, and bloody diarrhea for 1 week. CT chest, abdomen, pelvis from OSH revealed diffuse colitis as well as [...]

Case Presentation: An 84-year old male with a past medical history of coronary artery bypass graft (3 vessel) 19 years ago, surgical aortic valve replacement (trifecta bioprothesis) 5 years prior, atrial fibrillation on anticoagulation, COPD, Heart failure with preserved ejection fraction, presented to the emergency department complaining of 1 month of shortness of breath and [...]

Case Presentation: A 27-year-old male with a history of HIV, well-controlled on HAART, presented with persistent hematochezia, rectal pain, and constipation for a month. His history was notable for unprotected anal receptive intercourse. Patient was reportedly seen at multiple other hospitals and received empiric treatments for gonorrhea, chlamydia & syphilis without relief. He was compliant [...]

Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of [...]

Case Presentation: A 73-year-old male with a medical history of hypertension presented with vomiting of 5 days. Vomitus was non-bloody, non-bilious in nature and was associated with headache. The headache was sudden in onset, bifrontal, 8/10 on a numerical rating pain scale.Initial vitals were remarkable for BP of 68/54 mm Hg which improved to 94/55 [...]

Case Presentation: A 65-year-old male with a past medical history significant for hypertension initially presented with episodes of double vision, fatigue and dysphagia. Physical exam was remarkable for right-sided ptosis which improved with the ice pack test. Serology was positive for anti-acetylcholine receptor antibodies. Further workup revealed a decremental response to slow (2Hz) repetitive nerve [...]