Case Presentation: The patient is a 69 year old female with a past medical history of trigeminal neuralgia and hypertension who presented with complaints of 5 days of tremors, dizziness and right-sided facial pain. She was recently diagnosed with trigeminal neuralgia and was placed on a regimen of carbamazepine and gabapentin. Shortly after starting these [...]

Case Presentation: Mr. B.R. is a 60 year-old man with a past medical history of coronary artery disease and alcoholic cirrhosis who presented with acute onset abdominal and bilateral lower extremity rash. The rash became increasingly erythematous, pruritic and painful within the course of a few days. Patient denied having fever, chills, or body aches. [...]

Case Presentation: A 22-year-old previously healthy male presented to the Emergency Department (ED) with sudden-onset, excruciating headache in bandlike distribution beginning 2 days prior, associated with nausea and photophobia. The patient experienced mild improvement temporarily with over-the-counter ibuprofen. Social history was significant for daily marijuana use. Non-contrast head CT showed a small amount of subarachnoid [...]

Case Presentation: A 23-year-old- female with a past medical history of neuromyelitis optica on rituximab and hydronephrosis was found to have a culture-negative renal abscess. She had first presented 4 months prior at 26 weeks of pregnancy with complaints of a painful mass in her urethra, and right hydronephrosis was seen on CT. Prior to [...]

Case Presentation: 68-year-old white female presented with upper respiratory tract symptoms which progressed to cough in 4 days and she was found to have a right lower lobe pneumonia. Her sputum culture revealed MSSA (Methicillin Susceptible Staphylococcus Aureus) and she was treated with ceftriaxone and azithromycin. But her pneumonia worsened and she developed parapneumonic effusion, [...]

Case Presentation: 67 year old caucasian male with history of right sided hemicolectomy, schizoaffective disorder on clozapine presented with severe epigastric abdominal pain and nausea for 4 hours. He was hemodynamically stable on presentation and physical exam revealed distended abdomen with diffuse tenderness. Initial blood work including CBC, CMP, TSH, lactate was within normal limits. [...]

Case Presentation: A 70 year male presented to the emergency department with complaints of worsening fatigue, abdominal distension, abdominal pain, dyspnea, and increased lower extremity edema. He had been diagnosed with pancreatic cancer 3 months ago and recently started on chemotherapy. An abdominal CT scan revealed massive ascites and multiple liver abscesses essentially replacing the [...]

Case Presentation: 18-year-old female presented with one week of fever, left flank pain, and sore throat. On arrival she was febrile, tachycardic, hypotensive, and tachypneic. Physical exam was notable for left flank tenderness, labial and buccal ulcerations. Labs were significant for positive urinalysis, leukocytosis, blood cultures with gram negative bacteria, and recent negative streptococcus rapid [...]

Case Presentation: A 24-year-old previously healthy man initially presented with 2 weeks of fevers, headaches and neck pain. He also reported recent, transient swelling and redness of the right ear, a resolved erythematous rash of all extremities and ongoing, intermittent testicular pain. Work-up revealed elevated ESR and CRP, but normal brain MRI, CSF analysis and [...]

Case Presentation: 87-year-old female presented with chronic low back pain for one month and a new onset fever for 2 days. Patient denied recent travel history, sick contact, chest pain, shortness of breath, urinary symptoms, abdominal pain, diarrhea, or weight loss. She denied lower extremity weakness, sensory abnormality, urinary or bowel incontinence, gait disturbance or [...]