Case Presentation: A 46-year-old man presented with 1 week of fevers, chills, fatigue, myalgias, cough, hemoptysis, nausea, vomiting, diarrhea, and confusion. One month prior to presentation the patient started a new job performing sanitation and sewage work in basements. On presentation, he was afebrile, with pulse 98 and blood pressure 98/71. Exam was notable for [...]

Case Presentation: A previously healthy 20-year-old presented with 5 days of fevers and diffuse abdominal pain. Her exam was notable for tachycardia to 118/min, fever of 103F with marked abdominal tenderness. Her laboratory results were significant for leukopenia (3.7 K/uL), anemia (9.2 g/dL), elevated D-dimer to 2.98 ug/ml, CRP of 56.33 mg/L, and troponin of [...]

Case Presentation: A 20-year-old male presented with low back pain, lower extremity weakness, and bladder incontinence and was subsequently found to have cord compression due to lytic lesions found in his cervical, thoracic, lumbar, and sacral spine. The pathology from the sacral biopsy revealed ALK positive LBCL. The biopsy was positive for plasma cell markers [...]

Case Presentation: A 35-year-old man was hospitalized with worsening shortness of breath, exercise intolerance and productive cough of two months duration. He also complained of blood in his sputum from 24 hours. He denied fever, chills, night sweats, or weight loss. Past history of asthma was noted. He had no history of tobacco, alcohol or [...]

Case Presentation: A 48-year-old female presented with a 1-day history of exertional, non-positional, mid-sternal, severe chest pain associated with nausea, palpitations and dyspnea. She denied orthopnea, ankle swelling, cough, wheeze, coryza, fever, chills, or recent ill contacts. Past medical history: asthma, vertebral artery dissection, hypothyroidism, migraines, and severe acute respiratory syndrome coronavirus 2 (COVID-19) infection [...]

Case Presentation: A 22-year-old man with recent diagnosis of COVID-19 after developing shortness of breath was admitted to our hospital on day 5 of symptoms with acute worsening of dyspnea and new onset chest pain. On admission, he was tachycardic to the 120s, febrile to 38.6°C and hypotensive with systolic pressures in the 80s. On [...]

Case Presentation: A 71 year old man with a past medical history of end-stage renal disease on hemodialysis, hyperlipidemia, and diabetes mellitus presented with 5 days of weakness, dry cough, and dyspnea after missing multiple dialysis sessions. His vitals were stable and his exam was notable only for trace lower extremity edema. Notable labs included [...]

Case Presentation: A 45-year-old African American male without significant past medical history presented with a worsening left groin wound. He reported a slow growing, left thigh mass present for the past two years. Exam findings showed multiple areas of necrotic tissue with ulcerated lesions containing foul smelling purulent drainage, with associated left inguinal lymphadenopathy. CT [...]

Case Presentation: Pulmonary hypertension (PH) affects 1% of the global population, including 10% of people over 65 and ~50% of people with Congestive Heart Failure (CHF). Pulmonary hypertension (PH) is classified into 5 clinical subgroups: pulmonary arterial hypertension (PAH), PH due to left-sided heart disease, PH due to chronic lung disease, PH due to chronic [...]

Case Presentation: A 60-year-old male with a history of hypertension, diabetes, and hypercholesterolemia presented to the emergency department for worsening shortness of breath. Subjective and objective data lead to the preliminary diagnosis of bilateral pneumonia, COVID-19 positive, and soon thereafter developed acute hypoxic respiratory failure. This patient had a prolonged ICU course complicated by septic [...]