Case Presentation: 23-year-old female was admitted with thunderclap headaches of 2 days. She had a history of quadriplegia and autonomic dysreflexia from a remote cervical spinal cord injury and has been on midodrine for 2 years. She also reported blockage of the urinary catheter and experienced recurrent headaches when she attempted to flush the catheter. There [...]

Case Presentation: A 69 year-old man presented after experiencing fatigue and fever for two days. He complained of accompanying dyspnea with decreased exercise tolerance and new four-pillow orthopnea. He had a history of myocardial infarction, coronary artery disease status-post multi-vessel coronary artery bypass graft, heart failure with reduced ejection fraction with an implantable cardioverter defibrillator [...]

Case Presentation: A thirty-one-year-old man presented to the ED complaining of right-sided facial droop of one-day duration. He also complained of left-sided facial numbness and tingling, right lower extremity shooting pain for one week, night sweats, 50-60 pound weight loss, fatigue for a few months. He denied vision changes, headache, focal weakness elsewhere on his [...]

Case Presentation: Background: Patients with catheter-associated UTI may have flank pain, suprapubic or costovertebral tenderness. The purple color of urine in patients with a UTI is due to metabolic products of biochemical reactions formed by bacterial enzymes in the urine.Case Presentation: An 84-year-old man with a past medical history of metastatic prostate cancer complicated by [...]

Case Presentation: 41 y.o male with no past medical history presented with shortness of breath at rest. On presentation, he was febrile, tachycardic to 130’s/min and tachypneic to 32 breaths/min and saturating at 99% on room air. On auscultation, he had absent left-sided breath sounds. Chest X-ray demonstrated opacification of left hemithorax and CT chest [...]

Case Presentation: Hyperkalemia is common in patients with hematological malignancies due to tumor lysis syndrome (TLS). Hyperkalemia can be further complicated by presence of pseudo-hyperkalemia in these patients. Accurate potassium measurement is critical as over-correction in the setting of hyperkalemia can lead to iatrogenic hypokalemia. A 38-year-old male presented to the Emergency Department for fatigue, [...]

Case Presentation: A 21 year-old male with history of untreated Hepatitis C and intravenous drug use presented with acute right-sided weakness, fevers and altered mental status. Exam was significant for word-finding difficulty, asymmetric pupils, and 4/5 right-sided upper extremity and facial weakness. Labs were remarkable for leukocytosis. Brain MRI demonstrated expansile process involving the left [...]

Case Presentation: A 39-year-old Zimbabwean male with a past medical history of hepatic schistosomiasis complicated by cirrhosis and pancytopenia presented to the ED with 7 days of abdominal pain and generalized weakness. The patient exhibited similar symptoms 8 months prior and had taken furosemide and spironolactone ever since, with no other home medications. Physical exam [...]

Case Presentation: Inflammatory bowel disease (IBD) is a chronic disease affecting the gastrointestinal (GI) tract consisting of Crohn’s disease (CD) and ulcerative colitis (UC). Patients typically have GI symptoms such as abdominal pain, rectal bleeding, and weight loss. However, the extra-intestinal presentation of IBD is not an uncommon occurrence. Here, we describe a case of [...]

Case Presentation: A 38-year-old woman with ESRD from lupus nephritis and deceased-donor kidney transplant 6 months ago, chronic Hepatitis B, and prior tuberculosis, presented with 2 months of abdominal pain. She endorsed progressive epigastric pain, bilious emesis after meals, abdominal bloating, intermittent diarrhea, and weight loss of 30 lbs in 6 months, only tolerating a [...]