Case Presentation: A 22yo woman with no PMH presented with 2 days of right axillary swelling. She endorsed a 5lb unintentional weight loss and a vague 2 year history of night sweats, but no fevers. She denied paraffin wax use. She works on a farm with rabbits, goats, and cats and reported tick exposures.Her exam [...]

Case Presentation: This is the case of a 77-year-old male who was treated for endocarditis that seeded from a chronic upper extremity wound. The patient had a history of chronic atrial fibrillation and was status post placement of an AICD pacemaker. He initially presented to a community hospital with altered mental status and was found [...]

Case Presentation: A 32-year-old African American male with no past history presented to our hospital with paresthesias, joint pain, and leg swelling of a few weeks’ duration. On examination, fever, tachycardia, maculopapular rash involving both arms, swelling & tenderness in bilateral knee & ankle joints, and pitting edema in bilateral lower extremities were noted. Testing [...]

Case Presentation: Diabetic myonecrosis is a rare and under-recognized disorder observed in poorly controlled long-standing diabetes mellitus (1). Typical presentation includes acute pain and swelling of the affected muscle group in the absence of local injury due to spontaneous ischemic necrosis of the skeletal muscles. We present a case of a 48-year old female with [...]

Case Presentation: A 102-year-old male with a past medical history of coronary artery disease(CAD), transient ischemic attack(TIA) ,well controlled hypertension(HTN), presented to emergency department(ED) with aphaisa and left facial droop of two hours duration. His symptoms were resolved by the time he presented to the ED. Surgical, social, and family histories were unremarkable.Physical Examination was [...]

Case Presentation: A 66-year-old female with metastatic small cell lung cancer involving brain, liver, and bones was admitted via ED with generalized weakness, mild confusion, and decreased oral intake for 3 days. She was initiated on immunotherapy with immune checkpoint inhibitors, ipilimumab (human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody) and nivolumab (a programmed death receptor-1 [...]

Case Presentation: A 52-year-old man with HIV on HAART (CD4 count of 644) and recently treated early latent syphilis, was admitted for abdominal pain and hematochezia of 2 days duration. On exam, he had normal vital signs and diffuse tenderness to palpation but no rigidity or guarding. Labs were notable for hemoglobin drop to 11 [...]

Case Presentation: The patient is a 57-year-old male with a past medical history of coronary artery disease complicated by ventricular fibrillation cardiac arrest and heart failure with reduced ejection fraction, status post implantable cardioverter defibrillator (ICD) placement, as well as recently relapsed intravenous heroin use disorder. He was admitted for replacement of his ICD battery [...]

Case Presentation: A 34 year-old female with a history of anxiety and depression initially presented to an outside hospital and then was transferred to our facility for jaundice. She had given birth 2 months prior to presentation to a healthy child; however, the pregnancy was complicated by severe preeclampsia. On exam, she had a high-normal [...]

Case Presentation: 64-year-old female with a past medical history of cerebral palsy presented with recurrent fever. One week earlier, she had been hospitalized for sialadenitis and pneumonia and completed a 10 day course of antibiotics. Family reported recurrent fevers (Tm 102F) after discharge with associated mucosal ulcerations and chronic intermittent joint pain. She did not [...]