Case Presentation: A 22 year-old female from Guyana with no past medical history presented with shortness of breath, pleuritic chest pain, and dry cough x 5 months. She was treated for community-acquired pneumonia 6 months earlier, though her symptoms persisted. She had an exercise tolerance limited to one block, subjective fevers, malaise, and unintentional weight [...]

Case Presentation: A 30-year-old female with medical history of constipation with chronic laxative use presented with complaints of peripheral edema and weight gain. Patient had been using stimulant laxatives for 4 years but stopped 1-week prior to presentation due to painless bright-red blood per rectum. She initially presented to the emergency department 7 days after [...]

Case Presentation: A 64 year old female with history of insulin dependent type II DM presented with complaints of 6 weeks of involuntary right sided movements. She reported it as twitching/dancing of her right arm and leg accompanied by abnormal facial and tongue movements, as well as difficulty walking and maintaining her balance. Her symptoms [...]

Case Presentation: Superior mesenteric artery syndrome is a rare condition characterized by symptoms resulting from vascular compression or obstruction of third part of duodenum in the angle between the aorta and the superior mesenteric artery. It has an estimated 0.013–0.3% prevalence (1) Discussion: A 30-year-old woman presented to the emergency department with epigastric abdominal pain, [...]

Case Presentation: A 54-year-old woman presented with severe neck pain and high fevers starting three weeks after spending a weekend in Burlington, Wisconsin. She had a wide breadth of symptoms including Bell’s palsy, shooting leg pain, arm weakness, tinnitus, jaw tightness, feeling like she had “sand in her eye,” and episodes of mental lucidity with [...]

Case Presentation: A 20-year-old man with untreated HIV was admitted due to severe thrombocytopenia. He reported diarrhea, episodes of epistaxis and hemoptysis, night sweats and weight loss for past 3 months. Physical exam was significant for scattered, brown papules and plaques on all extremities. CD4 count was > 400 cells/mm3. CT scan of chest showed [...]

Case Presentation: A 50-year-old female with no known past medical history presented with a thunderclap headache (TCH). CT head without contrast and CT angiogram of the head were unremarkable. MRI brain findings were consistent with Reversible Cerebral Vasoconstriction Syndrome (RCVS). She was started on Verapamil 80 mg PO Q8H and Acetaminophen 1g IV Q6H with [...]

Case Presentation: A 53 year-old female with poorly differentiated gastric adenocarcinoma metastatic to the lungs was hospitalized with repeated vomiting for almost two months. She reported vomiting with every meal but without abdominal pain. IV ondansetron, metoclopramide, and prochlorperazine provided only minimal improvement in the hospital. Esophagogastroduodenoscopy showed gastric body obstruction due to a large [...]

Case Presentation: An 84-year-old female with a history of obesity, diabetes, and hypertension presented with 18 months of left knee pain and swelling resulting in progressive functional decline such that she was unable to ambulate. She reported no history of trauma. She had been admitted to another hospital 3 weeks prior and discharged with oral [...]

Case Presentation: AS is 36-year-old woman with methamphetamine and opioid use disorder (OUD) hospitalized with endocarditis who is evaluated by the Addiction Consult Service (ACS), and started on sublingual Buprenorphine/naloxone (Bup/nx) for treatment of OUD. Urine drug screens continue to be inappropriately positive for methamphetamine inpatient. Extended Release Buprenorphine (Bup-XR) is discussed and with her [...]