Case Presentation: A 41-year-old male with well-controlled stage I HIV on Biktarvy, seizure disorder, and untreated hepatitis C presented with worsening painful itchy rash for one week. The rash began perianal and spread to his trunk, extremities, face, and scalp. He reported purulent rectal drainage with painful lumps in his inguinal and cervical areas. He […]

Case Presentation: A 61-year-old female with a complex psychiatric history presented with gait instability after accidental head trauma, which was initially diagnosed as post-concussive syndrome. Over the next month, the patient began to exhibit progressively erratic behavior with angry outbursts, visual hallucinations, tangential speech, poor sleep, and decreased appetite. Initial serum electrolyte and other blood […]

Case Presentation: A 50-year-old female with history of prior tobacco use, fibromyalgia, presented to the pulmonary clinic for evaluation of pleural based lung masses seen on an outpatient CT abdomen. Her past medical history was notable for splenectomy after a motor vehicle accident in her early 20s. Other injuries at that time included a pelvic […]

Case Presentation: 47-year-old man, with history of traumatic brain injury, seizure disorder, gastroesophageal reflux disease with Barrett’s esophagus, brought in by his mother with slurred speech and unsteady gait. His vitals, labs and imaging were unremarkable, and his symptoms resolved with fluids, within hours in the ED. He was admitted to the hospital for further […]

Case Presentation: A 79-year-old man with a past medical history of hypertension and hyperlipemia presented with abdominal pain and fever for two weeks. On physical examination, the temperature was 37.4 C (99.3F), heart rate was 78 beats per minute, respiratory rate was 16 per minute, and blood pressure was 176/81. There was tenderness in the […]

Case Presentation: This is a case report of a patient with severe peripheral arterial disease (PAD) who had several finger-stick capillary blood glucose readings demonstrating hypoglycemia refractory to treatment. The patient’s lack of symptoms prompted an investigation for pseudohypoglycemia which was confirmed with simultaneous point of care (POC) and peripheral venous glucose draws which demonstrated […]

Case Presentation: A 43-year-old male presented with a 2-day history of complete loss of vision. Past medical history included alcohol use disorder. He was initially alert but became severely agitated requiring multiple doses of benzodiazepines intravenously (IV). He was afebrile and tachycardic 121. He had a moon face, centripetal obesity with purple striae, a buffalo […]

Case Presentation: A 68-year-old patient with history of type 2 diabetes (A1c 9.5%) was admitted to the podiatry service following a partial fifth ray resection for osteomyelitis. Bone cultures grew MRSA and ID recommended 6 weeks of IV daptomycin due to an allergy to vancomycin. His post-op course was complicated by multiple days of recurrent […]

Case Presentation: 75 y/o F with metastatic anal cancer to lungs status post right lung lobectomy on leucovorin, oxaplatin and fluorouracil every 2 weeks, HTN and SLE presents with a 3-day history of weakness, sore throat, and mouth sores. Pt was in the Dominican Republic for 10 days and upon return, endorsed fatigue and sore […]

Case Presentation: A 34-year-old male with a history of opioid use disorder (OUD) was admitted after being found down secondary to heroin overdose. He was given 4 mg naloxone in the field with improvement in Glasgow Coma Score from 3 to 12. After naloxone administration, he was tachycardic, tachypneic, hypertensive, and agitated. He reported taking […]