Case Presentation: A 54-year-old male was admitted for six weeks of progressive lower extremity weakness and bowel and bladder incontinence. Work-up revealed an epidural abscess at T12-S1 with severe spinal stenosis at L1 and L2. He was started in empiric vancomycin and ceftriaxone before undergoing a T12-L5 hemilaminectomy and abscess drainage. During the surgery, absorbable [...]

Case Presentation: 87-year-old man with a past medical history of wild type ATTR cardiac amyloidosis and atrial fibrillation, presented with a progressive right lower extremity ulcer. The wound initially started as a “pinhole” after dropping a toothpaste cap on the calf and progressed in the next three months despite multiple courses of antibiotics and wound [...]

Case Presentation: An 81-year-old female with history of hypertension and hip osteoarthritis presented from rehabilitation facility with worsening right hip pain, back pain and lower abdominal pain. Laboratory work-up at the facility revealed several derangements, including elevated leukocytes. Patient was afebrile with tachycardia of 106. Pertinent examination findings included tender flexion at the right hip [...]

Case Presentation: An 80-year-old female smoker with no known medical history presented to the emergency department after being accidentally pepper-sprayed in her face by her grandson. She reported discomfort in her eyes and throat but denied visual changes, chest pain or dyspnea. Physical exam revealed hypertension, tachycardia, and conjunctival injection. She was discharged home after [...]

Case Presentation: A 33-year-old female was initially admitted to the ICU for septic shock secondary to complicated Pseudomonas aeruginosa urinary tract infection and methicillin-sensitive Staphylococcus aureus bacteremia. CT of the abdomen showed fluid in the left paracolic gutter. Aspiration and culture of the fluid was positive for Staph aureus and attributed to seeding from bacteremia. [...]

Case Presentation: A 73-year-old male with chronic kidney disease stage 4 from polycystic kidney disease, diabetes, and hypertension presented 2 days after having a peritoneal dialysis catheter placed complaining of dysphagia, dyspnea, abdominal pain, and worsening lower extremity edema. He was not known to have any prior heart or lung disease. His baseline creatinine was [...]

Case Presentation: A 44-year old Chin-Mizo speaking male with a history of stage IV non-small cell lung cancer presented to the Emergency Department with acute-onset hematuria and painless right testicular swelling. Physical examination revealed an enlarged right hemi-scrotal mass and painful nodular skin lesion on right posterior calf. A transverse ultrasound image of the scrotum [...]

Case Presentation: A 78 year old male with a past medical history of recurrent pleural effusion and COPD who presented with dyspnea and lower extremity edema. Vitals on presentation were as follows: pulse 86 bpm, blood pressure 96/50 mmHg, 93% on room air. Physical exam revealed 2+ pitting edema in bilateral lower extremities, lungs clear [...]

Case Presentation: A 65–year–old woman with squamous cell lung cancer was brought to the emergency department for altered mental status and dizziness. Her heart rate was 119 bpm and her blood pressure was 112/78 mmHg. Her ionized calcium was 1.64 mmol/L. Her PTHrP was elevated at 4.8 pmol/L. On day 2 of admission, after zoledronate, [...]

Case Presentation: A 42-year-old male with past medical history of morbid obesity and methamphetamine abuse presented to the ED with a chief complaint of the right hand and arm weakness, tremors, numbness, and tingling. Three days prior to the admission, the patient reported awakening nausea and vomiting. The following day, the patient stated his right [...]