Case Presentation: Our patient is a 90-year-old Caucasian female with atrial fibrillation, peripheral vascular disease, and hypertension was admitted to the hospital due to shortness of breath for one day and myalgias for the past three days. Her chest x-ray done on presentation was consistent with multifocal pneumonia, and on further testing, she was subsequently [...]

Case Presentation: This is a 65 y.o. male with PMHx significant for Monoclonal Gammopathy of Undetermined Significance (with prior negative skeletal survey and negative bone marrow biopsy), CKD stage III who presented with chief complaint of lethargy, bilateral extremity weakness, and dysarthria. Patient stated that he has been experiencing such symptoms for the past year, [...]

Case Presentation: A 81 year-old Caucasian male presented to the emergency department with fever and altered mental status for two days. Further chart review revealed history of nausea, vomiting, myalgias, abdominal pain, and unintentional 35 pound weight loss over the six months prior. At the time of admission the patient was lethargic, febrile and tachycardic. [...]

Case Presentation: A 51-year-old man was brought in by family for confusion and unsteady gait for a few days. Medical history was significant for alcoholic cirrhosis and prior (2018) cardioembolic strokes with no deficits. Social history was pertinent for drinking multiple beers daily for years. In ED, patient was oriented to name only, tachycardic otherwise [...]

Case Presentation: A 70-year-old male with a past medical history of hypertension and diabetes was sent to the emergency room by primary care physician because of persistent hypokalemia while taking oral potassium supplements. Patient reported generalized weakness, low back pain, thirty-pound weight loss and poor appetite for a few months. He smokes one packet of [...]

Case Presentation: A 78-year-old African American female with a history of hypertension, coronary artery disease, heart failure with reduced ejection fraction, chronic kidney disease (CKD) stage 4, and systemic sarcoidosis in remission, presented for an acute change in mental status with delusions, and memory loss for 1 week. She had a history of dysphagia with [...]

Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats [...]

Case Presentation: A 29-year-old woman presents with fever and malaise after recently traveling abroad. Her history is notable for right ovarian cystectomy the prior year for a dermoid cyst with the postoperative course complicated by septic shock, respiratory failure requiring intubation, tracheostomy, and renal failure requiring temporary dialysis. She was eventually decannulated and her renal [...]

Case Presentation: A 46-year-old male from Nigeria with no medical history presented to the emergency department (ED) with 5 days of dark urine, decreased oral intake, weakness, and abdominal pain. On exam, the patient was tachycardic, jaundiced, and had normal oxygen saturation. Labs revealed a leukocytosis, acute kidney injury (AKI), and a precipitous drop in [...]

Case Presentation: A 47 year old white male with alcoholism and cirrhosis was admitted to the ICU after being found altered in his bedroom in a pool of blood draining from his nose. A rhino rocket was inserted into the patient’s right nostril to stop the bleed and labs and imaging were obtained. Labs revealed [...]