Case Presentation: A 67-year-old female with hypertension, hyperlipidemia, diabetes, chronic kidney disease, sarcoidosis in remission, and rheumatic fever in childhood, presented to emergency department (ED) with right ear fullness and bloody discharge. During ED evaluation, she was found to have junctional rhythm at 50 beats per minute without evident P-wave, prompting admission for observation and [...]

Case Presentation: A 23-year-old man with no past medical history presented with 3-days of severe abdominal pain, nausea, vomiting and alternating episodes of constipation and watery diarrhea. He reported 2-year history of intermittent episodes of dark and blood-streaked bowel movements. He had no tobacco smoking, alcohol or recreational drug use history. Vital signs revealed temperature [...]

Case Presentation: A 57-year-old male with history of C5-6 spinal cord injury (SCI) presented with recurrent episodes of sweating, flushing, headache, and hypertensive episodes over the past week, with concern for autonomic dysreflexia (AD). The patient is tetraplegic following traumatic SCI 38 years ago associated with remote episodic AD due to neurogenic bladder and adynamic [...]

Case Presentation: A 56-year-old male with a past medical history significant for hypertension and hyperlipidemia presented to the emergency department with progressively worsening dry cough, shortness of breath, and non-exertional pleuritic chest pain associated with chills, nausea, vomiting, diarrhea, and generalized bodyache for 2 weeks, worsened over last 24 hours. On evaluation, was found to [...]

Case Presentation: A 65-year-old female with a history significant for persistent atrial fibrillation, on apixaban, aortic and mitral bioprosthetic valve replacement, dual-chamber permanent pacemaker (PPM) implantation for heart block 2 weeks prior presented with worsening shortness of breath, dry cough, and generalized weakness for 4 days. Initially, she was found to be hemodynamically stable. Labs [...]

Case Presentation: A 56 year-old man with schizoaffective and antisocial personality disorders was admitted from the county jail witha 4-day history of fever, hemoptysis, severe headaches, hematuria, diffuse myalgias,and bloody diarrhea. Officers reported the patient frequently flooded his cell and ingested toilet water. A CXR revealed L>R bibasilar infiltrates, and a diagnosis of Legionellapneumonia was [...]

Case Presentation: A 74 year-old man with coronary artery disease and hypertension, who was two weeks post-admission for cholangitis with biliary-tube placement and ATN, re-presented to our institution with weakness, subacute progressive abdominal distension, and diffuse abdominal pain in the setting of serosanguineous biliary tube output. He was febrile with a leukocytosis and started on [...]

Case Presentation: A 77-year-old female with a history of hypertension and osteoporosis presented to the emergency department with dizziness, fatigue, decreased oral intake, and weakness for a few weeks. She also reported blurry vision and paresthesias in her lower extremities. Physical examination including a neurological examination was normal. Laboratory tests revealed a severe macrocytic anemia [...]

Case Presentation: A 28-year-old man with a history of non-seminomatous testicular cancer presents after four cycles of chemotherapy that included bleomycin with three weeks of dyspnea and pleuritic chest pain, worse for the previous week. He reports his chest pain began after his third cycle of chemotherapy. With each cycle of chemotherapy, he experiences several [...]

Case Presentation: The patient is a 58-year-old African-American male with no known past medical history. He presented to the emergency room complaining of shortness of breath. He had been at home taking care of his parents, who were both COVID-19 positive, for the past four weeks. He reported that he has been feeling unwell since [...]