Case Presentation: This is a 52 year old Hispanic male with a history of bioprosthetic aortic valve replacement four years prior who presented with chest pain and abdominal pain. The patient was recently treated for aortic valve endocarditis with long-term intravenous antibiotic therapy lasting six weeks. The patient admitted to a one month history of [...]

Case Presentation: A 40-year-old healthy woman, presented with two weeks of cough, nasal congestion, sore throat, intermittent fevers, fatigue, and myalgia but no weakness. She tested positive for the SARS-Cov-2. Physical exam showed no neurologic deficit. Two weeks later, respiratory symptoms were improving but she developed sudden, leg pain, numbness, and weakness. She described it [...]

Case Presentation: This is a 50-year-old woman with a history of Rheumatoid Arthritis on Rituxan and methylprednisolone, COVID-19, MGUS, and recent admissions for bacterial pneumonia and fever of unknown origin who presented with fevers, rigors, and dizziness. Of note, she had tested positive for COVID-19 on 4/2020 via a nasopharyngeal swab, and states fevers began [...]

Case Presentation: A 51-year-old Hispanic male with Type 2 diabetes mellitus and dyslipidemia was admitted from the ED for evaluation of recurrent fevers, multiple joint pains, and tachycardia. Physical exam findings included cachectic appearance and right inguinal lymphadenopathy. Initial laboratory testing was significant for a WBC of 23,300 (80.2% neutrophils, 13.3% lymphocytes), Hb of 11.1, [...]

Case Presentation: A 63-year-old Hispanic male with relapsed refractory IgD-kappa plasma cell myeloma on 5th line salvage chemotherapy and remote high-grade invasive papillary urothelial carcinoma / prostatic adenocarcinoma status post cystoprostatectomy three years prior was admitted to the hospital for evaluation of a fall and sepsis secondary to cellulitis. The patient reported that he noticed [...]

Case Presentation: A 21-year-old Hispanic male with recently diagnosed Acquired Immunodeficiency Syndrome (AIDS) was admitted to the hospital for evaluation of persistent periorbital edema, lower extremity edema, and worsening rash. He was diagnosed with AIDS about three months prior and had been on combination dolutegravir/lamivudine since diagnosis. His most recent CD4 count two weeks ago [...]

Case Presentation: A 75-year-old gentleman with a medical history significant for tonsillar squamous cell carcinoma status post resection and a previous smoker who was undergoing surveillance CT chest/neck, showed a new 1.5 cm left hilar lymph node (LHLN) (Image 1) and recurrent cytologically negative right pleural effusion. He denied any interval respiratory symptoms. PET Scan [...]

Case Presentation: We present a case of a 20-year old male with past medical history of polysubstance abuse and major depressive disorder who was found unresponsive by his roommate in the morning after black tar heroin use. Roommate injected Narcan without effect and called EMS. Roommate reported both the patient and himself were chronic heroin [...]

Case Presentation: A 75-year old female with controlled Type 2 Diabetes Mellitus and Stage 3 Chronic Kidney Disease was admitted to our hospital for anginal symptoms secondary to hypertensive emergency and subsequently diagnosed with NSTEMI. Blood pressure was 206/90 on admission and labs significant for troponin of 0.043 ng/mL that downtrended afterwards. Her symptoms resolved [...]

Case Presentation: A 25-year-old African American female with a history of SLE and seizure disorder presented with generalized weakness, fever, odynophagia and loss of appetite for one day. At presentation her vital signs were T 101.5 °F, HR 126/min, BP of 90/56 and O2Sat 99% on room air. Initial laboratory results revealed WBC of 7.7 [...]