Case Presentation: A 73-year-old male with a history of Crohn’s disease presented to an outside hospital with exertional shortness of breath and palpitations. He was treated for symptomatic anemia secondary to vitamin B12 deficiency. He was then referred to our hospital due to the presence of rare blasts on blood smear. Upon arrival, he was [...]

Case Presentation: The day before his wedding, a 22-year-old male presented to the emergency department with one week of worsening joint pain, myalgias, headache, and rash. Symptoms began weeks after visiting a park in Michigan and several days after walking in tall grass during his bachelor party in Iowa. He presented to the emergency department [...]

Case Presentation: A 45-year-old male with a past medical history of ADHD presented to the emergency department with gradually progressive bilateral lower extremity pitting edema. Symptoms developed over the last three weeks and the edema now extended up to his waist. Review of systems was notable for bloating and mild abdominal discomfort that he attributed [...]

Case Presentation: A 45-year-old female with a history of a remote history of left tibia chondrosarcoma requiring surgical resection presented to our hospital with two weeks of persistent fevers after returning from Jamaica. She reported three months of drenching night sweats, 10-pound weight loss over two months, and generalized myalgias. Upon admission, imaging revealed diffuse [...]

Case Presentation: A 75-year-old female with a history of mild Lewy body dementia, hypothyroidism, hypertension and cryptogenic cirrhosis presented to the hospital with complaints of jaw pain and right gluteal pain. She had been prescribed a 7-day course of amoxicillin/clavulanate two days prior for a cat bite. Two weeks prior, her furosemide had been increased [...]

Case Presentation: 82 year-old female with prior history of hypertension visiting from rural Wisconsin who presented to a Georgia hospital emergency room with cough, exertional dyspnea, fever, and fatigue. Temperature 40 degrees Celsius with other vital signs normal. Lung exam with expiratory crackles bilateral lung fields. Cardiac and skin exam were normal. Hematology labs with [...]

Case Presentation: A 62-year-old man with a history of diabetes presented to the emergency department with altered mental status (AMS) and increased urinary frequency. The patient was conscious but oriented only to self. Initial evaluation revealed hyponatremia (serum sodium: 125 mmol/L) with mild hyperglycemia (186 mg/dL). Further assessment of hyponatremia showed a serum osmolality of [...]

Case Presentation: We describe a 59-year-old male treated for a ruptured sinus of Valsalva aneurysm (SVA) causing multiorgan failure. The patient presented to the emergency department (ED) with acute chest pain, dyspnea, palpitations, nausea, weakness, and diaphoresis after lifting heavy boxes a day prior. The ED evaluation revealed sinus tachycardia, tachypnea, elevated troponin, acute kidney [...]

Case Presentation: A 69-year-old male with a history of severe peripheral neuropathy, C4-C5 spinal stenosis, and COPD presented with confusion, neuropathic pain, and acute respiratory failure. His respiratory failure resolved with diuresis. His neuropathy began eight years ago after moving into a trailer home; it involved all extremities and was debilitating. His wife noted progressive [...]

Case Presentation: The patient is a 29-year-old female twenty weeks pregnant that presents after a positive tissue culture for blastomycosis. The patient reported symptoms that started with a few days of upper right back pain and shortness of breath, similar complaints to pneumonia symptoms the patient had in the past. The patient was prescribed azithromycin [...]