Case Presentation: A 77 y/o male with a past medical history of metastatic renal cell carcinoma to lungs, hypertension, and chronic renal disease presented to the hospital for an elective CT-guided needle biopsy of a left upper lobe lung nodule. Post biopsy he developed an acute onset of right-sided weakness, difficulty speaking, and altered mental […]

Case Presentation: A 51-year-old man with history of psoriasis presented to the emergency department for abdominal discomfort and distention for 2 weeks, associated with fever, weight loss, night sweats, non-productive cough, and shortness of breath. He previously lived in Mexico and was treated in the past for latent tuberculosis (TB) with 6 months of isoniazid. […]

Case Presentation: A 30-year-old male with no significant past medical history presented with one year of progressive vision loss. He saw an ophthalmologist one month after the initial onset and described it as a “dark curtain” progressing from his central vision. He was diagnosed with decreased visual acuity bilaterally. He was prompted to go to […]

Case Presentation: A 91-year-old male with history of coronary artery disease & heart failure with reduced ejection fraction presented with unresponsiveness. The patient collapsed onto the floor when he came into the kitchen for dinner. His wife could not feel a pulse, so she called emergency medical services (EMS) and started CPR. When EMS arrived, […]

Case Presentation: A 76-year-old female with a history of hypertension, BMI 48 kg/m2, hypothyroidism, and metastatic melanoma presented with a 2-week history of progressive myalgia, weakness, and dyspnea 3 weeks after the first infusion of nivolumab and relatlimab.In July 2019, she was diagnosed with stage IIB (cT4a, cN0, cM0) melanoma of the left leg (4.2 […]

Case Presentation: A 60-year-old female with poorly controlled type 2 diabetes mellitus (A1c 11.8%) on insulin and previous stress cardiomyopathy during an episode of DKA with subsequently recovered systolic function presented with chest pain, nausea and vomiting following four days of cough and sore throat. On arrival, laboratory findings included: glucose 634 mg/dL, beta hydroxybutyrate […]

Case Presentation: We present a case of a 49-year-old male with a history of hereditary thrombocytosis who presented to the Emergency Department with a 4-day history of intermittent fevers, headache, nausea, abdominal pain and one episode of emesis. The patient recently returned from travel to Yemen. He was not taking anti-malarial prophylaxis. Initial vital signs […]

Case Presentation: A 12-year-old girl presented to her pediatrician with 1.5 weeks of constant, non-exertional, nighttime chest pain and dyspnea. Initial chest x-ray was negative, electrocardiogram (EKG) showed sinus tachycardia and ST changes prompting urgent referral to a cardiology clinic, where repeat EKG showed persistent sinus tachycardia, diffuse ST elevations, and reciprocal PR depression consistent […]

Case Presentation: A 28-year-old male who immigrated from Guatemala six years ago with untreated HIV presented with 3 weeks of fatigue, headache, and night sweats. He was initially diagnosed with HIV three years earlier, but just began ART one week prior to his presentation, after being seen at a community clinic. He was started on […]

Case Presentation: 64-year-old healthy male was admitted for fever, chills, generalized fatigue and jaundice. Physical exam showed scleral icterus. Lab data showed white cell count of 8.2 k/μL, hemoglobin 15.2 g/dL, and platelets 26,000 cells/μL. Patient also had abnormal LFTs with AST 458 U/l, ALT 227 U/l, Bilirubin 8.3 mg/dl and ALP 160 U/l. Patient […]