Case Presentation: A 58-year-old female presented to the emergency department with severe acute abdominal and bilateral flank pain. Medical comorbidities included hypertension and obesity.On arrival, she was hemodynamically stable and labs were notable for an elevated D-dimer. Due to concern for pulmonary embolism (PE), a heparin infusion was started. Soon afterwards, she developed acute hypotension. [...]

Case Presentation: A 37-year-old female with systemic lupus erythematosus (SLE), noncompliant with mycophenolate mofetil (MMF) and hydroxychloroquine, complicated by Class V membranous lupus nephritis and cirrhosis due to autoimmune hepatitis, presented with generalized weakness and altered mentation. This followed a recent admission for methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia and acute kidney failure requiring hemodialysis (HD), [...]

Case Presentation: A 77-year-old man presented with altered consciousness. His medical history included type 2 diabetes mellitus, hypertension, and complete atrioventricular block managed with a pacemaker. Three months earlier, corticosteroid therapy was initiated for acute lung injury of unknown etiology, with symptom improvement followed by dose tapering. He had no history of tuberculosis, mycobacterial infections, [...]

Case Presentation: A 29-year-old male with no medical history presented with abdominal pain and diarrhea after a trip to Key West. He described 2 days of constant epigastric pressure and cramping with no relation to food intake or bowel movements, along with 1 night of black, watery diarrhea. He denied fever, weight loss, night sweats, [...]

Case Presentation: Mr. D is a 60-year-old male building superintendent with a history of asthma and moderate alcohol use disorder who presented with six days of fatigue. Later, he developed headache, substernal pleuritic chest pain, epigastric and RUQ abdominal pain, nausea, vomiting, and weight loss of around 20 pounds in a week. The patient reported [...]

Case Presentation: A 41-year-old male with a recently diagnosed left iliac soft tissue mass presents to our institution complaining of severe pain in his lower back and left hip limiting his ability to walk. The patient denied any recent fevers or chills, night sweats, allergies, or a family history of malignancies. The pelvic MRI on [...]

Case Presentation: A 73-year-old male presented to the Emergency Department for a 2-month history of progressive dyspnea on exertion, orthopnea, and bilateral lower extremity edema on a background of long-standing COPD with active tobacco use. Exam was relevant for sarcopenia, mild tachypnea, decreased breath sounds in the bases, no wheezing or JVD, 2-3 + bilateral [...]

Case Presentation: A 67 year old patient (she/her) with mitral valve prolapse was admitted in mid-August for acute hypoxic respiratory failure. She was at baseline health until 14 days prior to admission, when she developed fever, malaise, and generalized weakness. Outpatient bloodwork revealed new pancytopenia (WBC 3.9 x 10^9/L, Plt 66 x 10^9/L, Hgb 11.2 [...]

Case Presentation: A 75-year-old man with a past history of diverticulitis was admitted five days prior for a small bowel obstruction (SBO). At the time of admission, he had a sore throat and nasal congestion, and a respiratory pathogen panel was positive for RSV. On admission, a nasogastric tube (NG) was placed for decompression with [...]

Case Presentation: A 59-year-old female with prior pulmonary embolus and breast cancer presented for outpatient retinal detachment repair. In PACU, O2 saturations were 80%, and she was admitted for further workup. She reported 2 weeks of dyspnea on exertion with productive cough, but denied fever, congestion, chest pain, hemoptysis, dyspnea at rest, weight changes, lower [...]