Case Presentation: A 52-year-old woman brought by family to the emergency department with worsening confusion over 24 hours. There were no associated symptoms and history negative for fever, headache, sore throat, cough, abdominal pain, diarrhea, travel, sick contacts, tick or mosquito bite, alcoholism or drug abuse. Family did report well controlled hypothyroidism, and influenza vaccination [...]

Case Presentation: A 50-year-old man with known liver cirrhosis secondary to schistosomiasis transferred to our facility for the management of large gastric fundus varices seen on CT abdomen and pelvis. Esophagogastroduodenoscopy (EGD) showed grade I esophageal varices and isolated large gastric fundal varix without bleeding and signs of portal hypertensive gastropathy. Patient was not deemed [...]

Case Presentation: JD is a 23 yo AA M with no prior PMH presented with fevers, rash, myalgias, chills, nausea and vomiting. The rash began three days prior to admission, began over the palms and spread to the forearms, chest and back. A couple of weeks ago, JD started selling his plasma, prior to that [...]

Case Presentation: AS is a 39-year-old female with a history of menorrhagia and iron deficiency anemia presenting with stomach cramps. She had a couple of days of nausea, non-bilious, emesis and stomach cramps not associated with menstrual cycles. AS was not experiencing dry mouth, dysphagia or decreased tear production. There was no family history of [...]

Case Presentation: A 37-year old woman with a past medical history of opioid use disorder (OUD) and hepatitis C was admitted to a tertiary care center for management of septic shock from necrotizing soft tissue infection secondary to injection drug use, requiring multiple operations with subsequent skin grafting. She reported using multiple grams of intravenous [...]

Case Presentation: A 53-year-old female with a history of hypertension presented with encephalopathy. 2 days prior, her family noticed that she was making bizarre statements that did not correlate with reality. Notably, she had a positive COVID-19 test 3 weeks prior. Social history was significant for consumption of 100-125 ounces of beer per day and [...]

Case Presentation: A 37 year old male with a history of asthma presented with a three day history of acute onset left upper quadrant (LUQ) abdominal pain, worse after meals and associated with nausea. He had no history of cholelithiasis, alcohol abuse or trauma. Vital signs on admission were in normal range. Exam revealed LUQ [...]

Case Presentation: A 44 year old man with a history of alcohol abuse presented with one week of right upper quadrant (RUQ) pain, nausea, jaundice, fevers, lethargy and anorexia in the summer time after two weeks of binge drinking. Physical examination was notable for tachycardia, scleral icterus and RUQ tenderness. Pertinent labs included elevated AST:ALT [...]

Case Presentation: A 59-year-old male with a history of Factor V Leiden and BPH presented with three weeks of worsening left flank pain accompanied by intermittent fevers and fatigue. He also endorsed a history of persistent fevers a few months ago which resolved without treatment. The patient immigrated 30 years ago from rural Italy, and [...]

Case Presentation: This is a 37-year-old Cambodian male with a past medical history of chronic untreated hypertension and recent methamphetamine use presents with acute onset “tearing” chest pain. Physical exam was remarkable for tachycardia and tachypnea with increased work of breathing. In addition, the patient appeared in severe distress. CT examination showed that he had [...]