Case Presentation: A 20-year-old female with no past medical history presented to a rural hospital with shortness of breath, sepsis, and a several-day history of right-sided throat pain 2 weeks after a dental procedure. Chest x-ray demonstrated bilateral lung opacifications and blood cultures were positive for Streptococcus constellatus. She was started on broad-spectrum antibiotics and [...]

Case Presentation: A 73-year-old woman with past medical history of hypertension, deep venous thrombosis and chronic kidney disease presented with nausea, vomiting, abdominal distension, weight loss and progressive deconditioning. Physical exam showed temporal wasting, abdominal distension with fluid wave, upper extremity sarcopenia, 3+ bilateral lower extremity edema, and generalized weakness impairing ability to walk. Creatinine [...]

Case Presentation: A 45-year-old male with no significant past medical history and on no medications presented to the Emergency Department with two-day history of an acute onset of intermittent non-radiating diffuse abdominal pain and hematuria. Two weeks prior, he tested positive for SARS-CoV-2 and was on self-quarantine at home. He had been feeling better until [...]

Case Presentation: Mr. O is a 28 year old Navy cadet with no significant past medical history who presented to the Emergency Department with three days of malaise, nausea, polyuria, and polydipsia in the setting of recent steroids for a new rash. On presentation, Mr. O’s glucose returned at 624 mg/dL, pH was 7.28 and [...]

Case Presentation: A 60-year-old man with type 2 diabetes presented with dyspnea and chest pain for 5 days during the COVID-19 pandemic. He arrived in acute hypoxic respiratory failure, with an oxygen saturation of 45% on room air. Physical exam revealed coarse lung sounds bilaterally and accessory muscle use. Initial labs were notable for leukocytosis [...]

Case Presentation: A 38-year-old female presented to the emergency department with sudden-onset sharp right-sided chest pain and shortness of breath, associated with exertion at work. Notable medical history included recurrent episodes of brief dyspnea starting one day before her menstrual period and subsiding 1-2 days later. At the time of admission, the patient was on [...]

Case Presentation: A 28 year old pregnant female G1P0 (31 weeks) presented with shortness of breath and fever. She was Covid-19 positive by PCR. We present a case of a pregnant woman with Covid-19. On admission she was hypoxic with oxygen saturation of 94% on 6 liters oxygen. Pulse 120-130, Temp 101 F. PE was [...]

Case Presentation: A 65-year-old businessman with no significant past medical history presented with 2 weeks of epigastric and right upper quadrant (RUQ) abdominal pain. He also noticed the darkening of the urine and pale stools. He had scleral icterus, and abdominal examination revealed no tenderness to palpation. Laboratory tests were notable for total bilirubin 14.8 [...]

Case Presentation: A 20-year-old man with a history of type 1 diabetes mellitus presented with five days of sore throat and intermittent fever. Two days prior to presentation, he was evaluated with findings including tachycardia with a heart rate of 124, fever to 38.7 degrees C, and an exam notable for tonsillar & oropharyngeal exudate [...]

Case Presentation: Ms. Y is a 40-year-old female with a remote history of iron deficient anemia who presented with one month of progressive shortness of breath, palpitations, fatigue. She was found to have a severe anemia, with a hemoglobin of 3.9 during routine outpatient lab work. She intentionally lost 80 lbs over the past 2 [...]