Case Presentation: A 66-year-old male with history of Diabetes Mellitus Type 2, benign prostatic hyperplasia status-post transurethral resection of the prostate, anxiety, rhinorrhea with recent nasal endoscopy, and chronic natural killer lymphocytosis (NKL) who presented with three days of fever, chills, body aches, joint pain, headaches, and myalgias. On admission patient had fever, tachycardia, hypotension, [...]

Case Presentation: A 64-year-old woman with end-stage renal disease (ESRD) on peritoneal dialysis (PD) presented with altered mental status. She reported “seeing monsters when I close my eyes,” “bouncing off the walls like I was drunk,” and slurring her speech at home. Her family added that she was highly functional at baseline, lived independently and [...]

Case Presentation: A 44-year-old Hmong female presented to the Emergency Department with cough and shortness of breath. The cough started three weeks prior to presentation and produced yellow-green sputum. She also experienced fevers and chest pain during this time. One week prior, her PCP recommended a cough medicine with no improvement of symptoms. She denied [...]

Case Presentation: A 52-year-old male with type-2 diabetes mellitus, hypertension, and tobacco use presented to the emergency department due to chest pain radiating to the left shoulder that began 24-hours prior. Upon arrival, he was afebrile, heart rate was 71 bpm, blood pressure was elevated to 193/117 mm Hg and had a normal oxygen saturation [...]

Case Presentation: A 35 year old female with asthma, endometriosis and three prior right sided pneumothoraces presented to the emergency department with dyspnea and chest pain without recent trauma, and was again admitted with right sided pneumothorax. Her exam was notable for thin, young adult female, non-smoker, with decreased breath sounds on the right. Her [...]

Case Presentation: A 29-year-old female with history of systemic lupus erythematous (SLE), hypertension, and cirrhosis presented to the ED with altered mental status and generalized weakness for 3 days. Physical exam revealed tachycardia, abdominal distension and tenderness, and weakness of her lower extremities. Labs showed WBC 17.2, total bilirubin 19.8, AST 106, ALT 19, and [...]

Case Presentation: A 70-year-old male with a history of type 2 diabetes mellitus complicated by neurogenic bladder with indwelling catheter and severe peripheral vascular disease status post bilateral below knee amputations (BKAs) presented with watery diarrhea and nausea for 1 day. Both amputations were in the preceding four months. He required multiple rounds of antibiotics [...]

Case Presentation: A 36-year-old male with a history of IV drug use presented with right upper extremity (RUE) pain that started after he used IV methamphetamine. Physical exam revealed tachycardia and erythema, edema, and blistering of the RUE. Labs showed WBC 26.7, sodium 129, and lactic acid 3.1. CT RUE revealed moderate soft tissue edema [...]

Case Presentation: A 76-year-old man presented with two weeks of dyspnea on exertion and left lower extremity pain and swelling. He reported associated orthopnea, paroxysmal nocturnal dyspnea, and weight gain. He had COPD and OSA. He was diagnosed eight weeks prior to presentation with suspected hypereosinophilic syndrome after an admission with left pleural effusion. Thoracentesis [...]

Case Presentation: 37 year-old male with a medical history significant for intravenous drug usage presented with three years of progressive generalized symptoms including weight loss, fevers, and shortness of breath. The patient started to experience worsening fatigue, drenching night sweats and an unintentional weight loss exceeding 20 pounds over several months leading to admission. Upon [...]