Case Presentation: A 63-year-old female with insulin-dependent diabetes was transferred to our hospital for surgical evaluation of a large, ulcerated nodule on her abdomen. The patient had been injecting insulin into the same area on her abdomen for years, causing a nodule to enlarge insidiously over past decades. It ulcerated about two years ago and [...]

Case Presentation: A 22-year-old (G2P2) female with no significant past medical history presented to the emergency department with four-days of fevers, myalgias, retro-orbital headache, nausea, vomiting, abdominal pain, and petechial rash involving the bilateral lower extremities. Her symptoms began after returning from a month-long trip to Northern Mexico, where she noted numerous mosquito bites and [...]

Case Presentation: Systemic lupus erythematosus (SLE) is an autoimmune disorder of unknown etiology that can involve virtually any organ system. This case highlights the diagnosis of lupus in a severely neutropenic patient, emphasizing the diverse manifestations and associations of the disease. A 39-year-old female presented to the emergency department with a persistent, diffuse maculopapular rash [...]

Case Presentation: A female in her 50s with no significant past medical history presented to the emergency department with a 1-2 week history of lower extremity swelling, shortness of breath, and unintentional weight loss of 40 lbs over three years. Upon examination, her vital signs revealed a heart rate of 190 bpm and blood pressure [...]

Case Presentation: An 18-year-old female with type 1 diabetes presented with odynophagia and neck pain. She was previously admitted for a culture-negative peritonsillar abscess treated with surgical incision and drainage (I&D), amoxicillin-clavulanate, and hydrocortisone. Admission diagnosis was diabetic ketoacidosis (DKA). CT neck demonstrated extension of fluid into the right retropharynx and surrounding the right internal [...]

Case Presentation: A 25-year-old female with no significant medical history presented with recurrent syncope, reporting no use of medications, stimulants, alcohol, or illicit drugs, and no family history of cardiomyopathies or sudden cardiac death. Her first syncopal episode in December 2020 occurred suddenly, without prodromal symptoms, followed by two more episodes in 2021 and 2022, [...]

Case Presentation: A 56-year-old female with history of spastic quadriplegia secondary to multiple sclerosis, neurogenic bladder with a long-term indwelling suprapubic catheter presented with septic shock. ​ Labs revealed leukocytosis and lactic acidosis. A contrast enhanced computed tomography of abdomen and pelvis revealed a multiloculated large right renal abscess with staghorn calculus extending into the [...]

Case Presentation: A 63-year-old female with a history of pelvic rhabdomyosarcoma treated with high dose radiation complicated by radiation induced pancolitis, multifocal enteric strictures, and small bowel obstruction necessitating small bowel resection with end ileostomy in 2021 presented with severe hypomagnesemia (0.5 mmol/L on arrival) and a purulent non-healing sacral wound that had progressed for [...]

Case Presentation: A 39-year-old obese man with type 2 diabetes, dyslipidemia, and hypertension presented to the ED with intermittent abdominal pain, diarrhea, nausea, and emesis 2 weeks after an illness with sore throat. He denied fever, chills, shortness of breath, epistaxis, gum bleeding, or easy bruising. Medications included losartan-hydrochlorothiazide, metformin, and tirzepatide. Vital signs showed [...]

Case Presentation: An 81-year-old man with a history of urothelial carcinoma treated 10 months ago with right radical cystoprostatectomy and nephroureterectomy with ileal conduit followed by seven cycles of adjuvant atezolizumab and tiragolumab, two immune checkpoint inhibitors (ICI), was admitted with malaise, anorexia, and fever for 2 months. His past medical history included left lung [...]