Case Presentation: Introduction:Odynophagia can occur from a variety of conditions, most commonly from pharyngitis or esophagitis. Retropharyngeal or deep neck space infections need to be considered when odynophagia is accompanied with decreased ability to move the neck, fevers, and/or elevated white blood cell counts. Here, we present a case of an uncommon condition mimicking a [...]

Case Presentation: A 31-year-old woman with anxiety presented with progressively worsening shortness of breath and dry cough for one month. She had no joint complaints, rash, weakness, neuropathic symptoms, or history of thrombosis in the past. Upon presentation, she was found to be afebrile, hypertensive to 140/90 mm Hg, not tachycardic, tachypneic to 22, and [...]

Case Presentation: A 68 year-old female with history of abdominal hysterectomy complicated by post-operative lower extremity deep vein thrombosis (DVT) and prophylactic inferior vena cava (IVC) filter placed prior to past knee replacement surgery now presenting to the hospital with severe right lower extremity pain and swelling impairing her ability to ambulate. On physical exam, [...]

Case Presentation: Case Presentation: A 75-year-old female with a history of chronic lymphocytic leukemia, hypertension, coronary artery disease and chronic kidney disease presented with confusion that progressed to mutism, apraxia, right sided weakness and spasticity within 3 weeks. On exam, she was drowsy but arousable to voice, inconsistently following simple commands and mute. The right [...]

Case Presentation: A 20-year-old female with a history of mild intermittent asthma and seasonal allergies presented to the Emergency Department with two months of pleuritic chest pain, fevers, weight loss, and hoarseness along with one day of right ear erythema and swelling. Her symptoms had improved with steroids but returned with weaning. A previous extensive [...]

Case Presentation: A 49-year-old male with a history of type 1 diabetes mellitus, end stage renal disease, status post pancreas-kidney transplant maintained on tacrolimus and mycophenolate mofetil, who presented with a three-day history of fever, tension like headache, nausea, and non-bloody emesis. He denied exposures to pets, including cats. Laboratory values were significant for elevated [...]

Case Presentation: A 61-year-old woman with a remote history of provoked pulmonary embolism presented to the emergency department with persistent, substernal chest pain associated with nausea and dyspnea. Vital signs revealed a heart rate of 137, blood pressure of 182/94, and hypoxia requiring 4L oxygen. On exam, she appeared uncomfortable and cardiac exam was notable [...]

Case Presentation: A 24-year-old man with a history of relapsing juvenile dermatomyositis inactive for five years presented with one week of anosmia, dysgeusia, and rash. He also had fatigue and myalgias but no fevers, cough, or dyspnea. His exam was notable for a diffuse maculopapular rash with occasional crusted papules on the proximal upper and [...]

Case Presentation: A 65 year old male with a history of mitral valve replacement, chronic obstructive pulmonary disease and chronic kidney disease presented with progressive skin lesions. He reported the onset of lesions, which he described as “small pimples”, on his hands approximately 4 weeks prior to presentation. They were initially limited to his hands [...]

Case Presentation: A 75-year-old female with a past medical history of severe aortic stenosis, paroxysmal atrial fibrillation, hypertension, hyperlipidemia, chronic obstructive pulmonary disease, and morbid obesity presented to the emergency room with dyspnea. She was an active smoker with a 27 pack-year history. Echocardiography revealed a mean transvalvular pressure gradient of 36.1 mmHg and an [...]