Case Presentation: A 19-year-old male with type 1 diabetes mellitus, congenital retinal dystrophy, and a family history of sensorineural hearing loss (SNL) presented with 2 weeks of fatigue and dyspnea. On arrival, the patient was tachycardic at 115 beats per minute and physical exam was notable for pallor. He was found to have a white […]

Case Presentation: A 61-year-old male with history of hypertension, asthma, and morbid obesity presented with left arm, chest, and face numbness, back pain, and shortness of breath at rest. He denied weakness with the numbness. His symptoms were akin to “being kicked by an elephant.” These symptoms had been worsening for one week prior to […]

Case Presentation: A previously healthy 20 year old female presented to the emergency department for change in mental status. Five days prior to presentation, the patient was diagnosed at a local urgent care facility with Infectious Mononucleosis and discharged with a course of Prednisone 20 mg. Per family, since starting steroid therapy she began developing […]

Case Presentation: A 49-year-old Caucasian woman presented to the emergency department with fever, shortness of breath, chest pain, and abdominal pain. She had a five-to-six-month history of intermittent bilateral arthralgias in her knees, shoulders, and wrists. Physical exam was remarkable for a positive Murphy sign. Chest CT, and CXR showed an enlarged cardiac silhouette, with […]

Case Presentation: Reports of COVID-19 Associated Pulmonary Aspergillosis (CAPA) have increased. Most cases are in persons older than 65 years of age, who are mechanically ventilated, have chronic lung disease, and/or are immunocompromised. Aspergillus can lead to infections such as chronic pulmonary aspergillosis, allergic bronchopulmonary aspergillosis, and invasive pulmonary aspergillosis (IPA). IPA has the highest […]

Case Presentation: A 22-year-old female with history of anxiety presented to the emergency room with chest pain described as someone “sitting on her chest” since morning. Symptoms began three days ago as sore throat, nonproductive cough, subjective fever, and chills. She was evaluated at an urgent care and had negative strep test but was given […]

Case Presentation: 28-year-old female with past medical history of bipolar disorder, schizoaffective disorder, cannabis use disorder who presented to ED with altered mental status and bizarre behaviors along with multiple vomiting episodes at home. On physical examination patient was found to be in confused state with difficulty in following commands, internally distracted though no gross […]

Case Presentation: Monkeypox is an emerging viral infection outside of its endemic regions in west and central Africa that has become an epidemic worldwide. It is important for hospitalists to be aware of the symptoms and treatment options available for management of this disease.This is a case of a 32-year-old gentleman with a history of […]

Case Presentation: A 41 year old female with a history of Hypertension, Hyperlipidemia, Morbid obesity, and Prediabetes presented with a six week history of daily, frontal, pressure-like, positional headaches exacerbated by standing with associated nausea and vomiting. Patient’s medication list included Metformin, Semaglutide, Losartan, and Fexofenadine. Given minimal resolution with over the counter analgesics Magnetic […]

Case Presentation: Patient is a 47-year-old female with a past medical history of uncontrolled type 2 diabetes, hypertension, and stage 3 chronic kidney disease. She was admitted to the hospital on 10/14/22 with intractable nausea/vomiting (N/V) and diarrhea. She had been in and out of the hospital for the past few months with these symptoms. […]