Case Presentation: A 50-year-old Latin-American woman with a history of hyperthyroidism presented to the ED with migrating polyarthralgias and fever for several days. 3 months prior, patient began experiencing stiffness, joint pains, fatigue, and palpitations. She was ultimately diagnosed with hyperthyroidism and started on Methimazole 1 month prior to current presentation. Patient presented to the [...]

Case Presentation: A 20-year-old male with no known medical conditions presented to the emergency department with acute right-sided chest pain and shortness of breath, which began abruptly while he was playing video games at home.  He described the pain as sharp, radiating to the back, 7/10 in severity, and worse with coughing and inspiration. He [...]

Case Presentation: A 67-year-old female presented with three days of fever, chills, and generalized weakness. She also had myalgia, epigastric pain, darker urine. She reported no recent travel but reported spending time outside gardening and walking/hiking in the woods with dogs, although she did not recallany tick bites. She had a fever of 104 °F, [...]

Case Presentation: A 48-year-old female with AIDS, HFrEF, asthma, and hypertension presented with weight loss, fatigue, chills, abdominal pain, vomiting, left neck swelling, and purulent mouth drainage over the last 2-3 weeks. She was febrile to 102.9 F, hypotensive (85/64), tachycardic, tachypneic, and had firm, mobile, 2-3 cm cervical lymph nodes and enlarged tonsils. Labs [...]

Case Presentation: A 54-year-old woman presented with nausea, generalized weakness, fatigue, and progressive dyspnea following treatment for sinusitis. CBC revealed a leukocyte count of 135 K/µL with anemia and thrombocytopenia. She received 3 rounds of leukapheresis for hyperviscosity and started hydroxyurea 500 mg q6h. Repeat CBC showed a leukocyte count of 39.8 K/µL (80% blasts), [...]

Case Presentation: A 54-year-old male with no significant past medical history or foreign travel history presented to the clinic with a diffuse, pruritic rash. Patient is a wild boar hunter who handled fresh armadillo carcasses without the use of gloves. Patient was born in Pennsylvania and moved to Florida at 6 months of age, no [...]

Case Presentation: A 68-year-old male with a medical history of gastrointestinal stromal tumor (GIST) on Imatinib and paroxysmal atrial fibrillation on Apixaban presented with a 4-week history of progressive dyspnea. He had outpatient evaluation for these symptoms previously at which time COVID-19 testing was negative and chest radiography findings were consistent with pneumonia. He was [...]

Case Presentation: Spontaneous coronary artery disease (SCAD)—an uncommon cause of coronary syndrome and sudden cardiac death—has been studied and described in greater detail in recent years. However, it still represents a diagnostic challenge with a high degree of uncertainty for proper management.A 37-year-old Hispanic female presented to the emergency department at another facility for sudden [...]

Case Presentation: A 50-year-old male healthcare worker with a past history of splenectomy secondary to EBV complications, mild persistent asthma, and type 2 diabetes mellitus presented to the emergency department with acute hypoxic respiratory failure secondary to COVID-19 pneumonia. He quickly progressed to septic shock with worsening hypotension, tachycardia, lactic acidosis, increasing oxygen demands, and [...]

Case Presentation: A 63-year-old African American man with no past medical history, originally from the rural Pacific Coast in Colombia, South America, presented with two months of diffuse abdominal pain, intermittent diarrhea and dry cough. Other symptoms included low-grade fever and a 40-pound weight loss. He denied any rashes. Physical exam revealed a cachectic patient [...]