Case Presentation: A 31-year-old female with no significant past medical history presented to the emergency department (ED) for evaluation of bilateral lower extremity pain. The patient reported that about 2 weeks ago, the pain started in the left lower extremity. At that time she was evaluated in ED and duplex ultrasound was negative for DVT. […]

Case Presentation: A healthy 29 y/o male with mild COVID 19 illness three weeks prior presented to the emergency department with one week of fevers, chest pain and shortness of breath. Patient denied recent travel, sick contacts, and was not on any medications.On presentation he was febrile to 103oF and persistently hypotensive after fluid resuscitation. […]

Case Presentation: A 65-year-old female with a past medical history of hypertension, hyperlipidemia, coronary artery disease, and tobacco abuse was admitted to the hospital for worsening shortness of breath and cough. The patient was initially admitted to the hospital for cough and shortness of breath. CT chest revealed multifocal pneumonia and the patient was started […]

Case Presentation: A 48-year-old female with no significant past medical history was initially hospitalized for community-acquired pneumonia and subsequently developed hematemesis, melena along with fever and night sweats. Other presenting symptoms included productive cough, worsening dyspnea, and 80-pound unintentional weight loss in 3 months. She denied travel/occupation history. Further workup showed WBC 46.6×103/uL, Hemoglobin 8.3 […]

Case Presentation: An 82-year-old female with diastolic heart failure presented with one-month worsening dyspnea on exertion and a week of scant hemoptysis and fatigue. She denied tuberculosis risk factors, night sweats, fevers, or skin, joint, or urinary changes. She was fully vaccinated against COVID-19. Her medications included aspirin and hydralazine. Her past medical, surgical, and […]

Case Presentation: A 41-year-old male with a history of metastatic squamous cell lung cancer presented with anorexia and fatigue to the emergency department. The patient was diagnosed with metastatic squamous cell lung carcinoma one year prior and was started on Paclitaxel/Carboplatin and Nivolumab/Ipilimumab treatments. Prior to the current presentation, the patient had been experiencing palpitations […]

Case Presentation: 70-year-old Caucasian lady with medical history of dyslipidemia, lumbar degenerative disease presented to the emergency department after being referred by her primary care physician (PCP) with a complaint of generalized weakness for about two years which worsened over the past six months. She initially had weakness in her lower limbs and had difficulty […]

Case Presentation: We present the case of a 59 year-old male with a history of Castleman’s Disease, anemia, hypothyroidism, hypertension, CKD3 and neurogenic bladder who presented to the Emergency Department (ED) from the Hematology clinic for abnormal labs, thrombocytopenia and acute kidney injury. In the ED patient was febrile and hypotensive. He received empiric antimicrobials […]

Case Presentation: A 62-year-old woman with a history of chronic kidney disease (stage 5) and acquired hypothyroidism secondary to radioactive iodine therapy for multinodular goiter presented with subacute slowed mentation, difficulty concentrating, slurred speech, visual hallucinations, and fatigue. Review of systems revealed cold intolerance, constipation, and dry skin. She was adherent to her daily levothyroxine. […]

Case Presentation: A 70-year-old female with a past medical history of diabetes mellitus type 2, hyperlipidemia, hypothyroidism and GERD presented to emergency department with complaints of weakness and myalgia. The patient reported that she was having trouble dressing and walking upstairs for 2 weeks. She stated that 2 weeks ago she felt weak and fell […]