Case Presentation: A 45-year-old female presented with fever, chills, bilateral flank pain radiating anteriorly and intermittent right upper quadrant pain prior to arrival. Medical history included hypertension, stage 3a chronic kidney disease, obesity, uterine fibroids, and treated Helicobacter pylori infection. Her vitals were as follows: 98.6 °F, heart rate 126 beats/minute, respiratory rate 20 breaths/minute, [...]

Case Presentation: A 69-year-old male with hypertension and chronic hip osteoarthritis (OA) was presented to the ED with worsening hip pain, lower back pain, and recurrent falls after he slipped in the shower and fell on his buttocks and back 3 weeks ago. CT of the lumbar spine and pelvis showed severe spinal stenosis in [...]

Case Presentation: A 63-year-old male with a past medical history of type 2 diabetes mellitus, paroxysmal atrial fibrillation, ESRD on HD, and acute myeloblastic leukemia (AML) (diagnosed in 2015) in remission s/p allogeneic MRD PBSCT (4/16) was admitted for generalized weakness and confusion. His hospitalization was complicated by worsening pancytopenia (Hgb 7.8 g/dL, WBC 3.2 [...]

Case Presentation: A 43-year-old woman with uncontrolled type II diabetes mellitus, hypertension, CKD stage 3, and prior history of pyelonephritis complicated by E. coli bacteremia, presented with vomiting, anorexia, fever, chills, and mild abdominal discomfort. Exam was notable for normal vital signs, mild diffuse abdominal tenderness, and no costovertebral angle tenderness. Laboratory studies showed a [...]

Case Presentation: An 18-year-old male with a history of Hepatitis B presented to the ED with 1 month of low-grade fevers, bilateral lower extremity arthralgias (knees, hips, lumbar spine), and 5 days of rectal bleeding. Originally from Guinea, he recently emigrated from Nicaragua. He reported 9/10 joint pain, which started in the left foot and [...]

Case Presentation: A 93-year-old female with a history of stroke, hypertension, moderate aortic stenosis (AS) and peripheral vascular disease presented with four days of right lower extremity pain. She had recently been seen in vascular clinic for difficulty walking and associated pain, which was attributed to chronic venous insufficiency. In the emergency department, examination revealed [...]

Case Presentation: A 56-year-old female with a history of cervical cancer in remission, post-chemotherapy and total hysterectomy, and insulin-dependent diabetes mellitus, was admitted for worsening chronic lower back pain, which had intensified over the past two weeks. She denied paresthesia or weakness. On examination, she was diaphoretic, shivering, and afebrile, with a blood pressure of [...]

Case Presentation: Stercoral colitis (SC) is an uncommon yet life-threatening inflammatory condition caused by fecal impaction in the colon, leading to increased intraluminal pressure, ischemia, and inflammation. If untreated, complications such as necrosis, perforation, and sepsis can result in mortality rates as high as 63%. Clostridium species, particularly C. perfringens and C. ramosum, are rare [...]

Case Presentation: A 44 year-old male with a history of gout presented with bilateral hand swelling, muscle weakness, fatigue, rash, and shortness of breath. The symptoms have progressed for the last 6 months to the point of inability to walk more than a block and needing assistance getting up despite a course of standard gout [...]

Case Presentation: We report a case of a 73-year-old male with a history of occupational exposure to particulates generated from tungsten carbide grinding for eighteen years. Initially, he presented with complaints of progressive exertional dyspnea, chronic cough, and occasional chest tightness over the past two years. He did not endorse any smoking history, exposure to [...]