Case Presentation: A 45yo soldier with a h/o visceral leishmaniasis (VL) and sarcoma of the thigh s/p excision presented with 2 weeks of lymphadenopathy (LAD), fevers, joint swelling, arthralgias, abdominal pain, and weight loss. Since his surgery for sarcoma 6 years prior, he had imaging to monitor for worsening LAD. Multiple lymph node biopsies were [...]

Case Presentation: A 44-year-old man with no past medical history presented to the ED with 3 days of severe epigastric abdominal pain with associated nausea and vomiting. He also endorsed polyuria for 3 days and denied significant alcohol use. His lipase was elevated at 469 U/L, establishing the diagnosis of pancreatitis, which was confirmed by [...]

Case Presentation: A 34 year old man with no known medical illnesses presented with a three-day history of progressively worsening acute-onset left inguinal swelling. The swelling was associated with a pain severity score of 10/10. He denied any nausea, vomiting, diarrhea, constipation, abdominal pain or decreased/absent flatus. Social history was significant for alcohol use and [...]

Case Presentation: A 67-year-old male with a past medical history of COPD and atrial fibrillation was admitted for acute hypoxic respiratory failure. The patient was discovered to have community-acquired pneumonia along with blood cultures positive for Group A Streptococcus and Enterococcus faecalis. A transthoracic echocardiogram (TTE) was negative for vegetations. The patient received IV penicillin [...]

Case Presentation: A 70-year-old male with a history of hypertension and alcohol use disorder was referred to our ED for persistently elevated lipase. Two weeks prior he was admitted to an outside hospital for alcohol induced pancreatitis. On presentation, he reported bilateral ankle pain. Vitals were unremarkable. Physical examination was significant for bilateral erythematous, edematous [...]

Case Presentation: A 71-year-old woman with a past medical history of hypertension, hyperlipidemia, and osteoarthritis presented with four days of fevers, intermittent confusion, subjective weakness, and pain in the neck and left shoulder. On examination, she exhibited tenderness to palpation of the neck with significantly limited rotational range of motion. The left shoulder was also [...]

Case Presentation: An 81-year-old woman with a history of hypertrophic cardiomyopathy (HCM) and prior gastrointestinal (GI) bleeding of unknown origin in 2017 presented with lightheadedness and anemia after undergoing an ERCP the day before. She had multiple episodes of maroon-colored stool and melena while in the ED and was transfused one unit of packed red [...]

Case Presentation: A 62-year-old female with a past medical history of depression, obesity status postbariatric surgery, non-cardiac syncope and recurrent sinusitis presented to her primary care physicianfor further workup of her syncope. During this visit she was also complaining of continued left frontaland maxillary sinus pain for the past four weeks. She had recently completed [...]

Case Presentation: 21F PMH asthma initially presented to the ED with low grade fevers and URI symptoms. She was 29 weeks pregnant at the time. In the ED she was worked up and found to be Influenza positive with a consolidation suspicious for CAP. Pt initially admitted to the ICU for presumed sepsis secondary to [...]

Case Presentation: 44 yr old black male presented to ED with weakness, generalized bone pain, and swollen jaw bilaterally. Subsequently found to have a calcium level of > 19 and shortly admitted thereafter. 2 weeks prior he had battled acute COVID-19 with relatively minimal symptoms. Once in the hospital started on therapy with aggressive fluid [...]