Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional […]

Case Presentation: Our patient is a 64 year old gentleman with a history of prior cerebellar stroke who presented to the Emergency Department (ED) after being found unresponsive in his car by bystanders. On ED evaluation he was noted to be lethargic, able to follow commands but unable to recall what happened. Neurologic exam in […]

Case Presentation: A 64-year-old man with type 2 diabetes mellitus presented with three days of severe epigastric abdominal pain, vomiting, polyuria, and subjective dyspnea. Following the onset of illness, he stopped taking his home medications including insulin glargine and empagliflozin.Temperature was 97.5°F, heart rate 112 beats per minute, blood pressure 130/81 mmHg, respiratory rate 23 […]

Case Presentation: A 71-year-old male presented to an outside emergency room after the abrupt onset of severe abdominal pain and vomiting. Physical exam revealed fever, hypotension, and a diffusely tender abdomen with guarding. His past medical history was a complicated course of multiple admissions to outside facilities for abdominal pain over the previous six months, […]

Case Presentation: A 48-year-old female with spina bifida was admitted for sepsis secondary to sacral osteomyelitis. She improved with broad-spectrum antibiotics, and her antibiotic regimen was narrowed to Zosyn (piperacillin + tazobactam) to complete a 6-week course. On hospital day 12, discharge was delayed pending insurance approval of an air mattress for home. Three days […]

Case Presentation: A 32-year-old South Asian woman with history of IgA nephropathy complicated by end stage renal disease status post renal transplant (CMV/EBV positive), latent tuberculosis infection, C. Diff colitis, and recurrent urinary tract infections presented with two days of fevers and diarrhea. One week prior to admission she was seen at a local ED […]

Case Presentation: A 39-year-old man with history of treatment-resistant tumefactive multiple sclerosis (MS) on plasmapheresis presented with a sore throat and persistent fevers for 2 days. His wife recently also had a mild cough and viral conjunctivitis. He was noted to have a temperature of 103.2 F, heart rate of 135, and oxygen saturation of […]

Case Presentation: A 25 year-old woman with severe persistent asthma, chronic self-resolving episodes of hemoptysis, history of miscarriage, and iron deficiency anemia secondary to heavy menses presented with sub-acute worsening shortness of breath and hemoptysis despite adherence to home inhalers. Patient had multiple prior hospitalizations requiring intubation for asthma exacerbations, complicated by hemoptysis. Upon presentation, […]

Case Presentation: An 82-year-old, Samoan male with history of poorly controlled diabetes, hypertension, COPD, and pulmonary coccidioidomycosis on fluconazole therapy (400 mg/day) was referred to the hospital by his primary doctor for treatment of a left ankle ulcer and cellulitis that had not responded to ten days of outpatient amoxicillin-clavulanate therapy. He had no constitutional […]

Case Presentation: A 47 year old man with asthma and a 30 pack-year smoking history presented with shortness of breath, chest tightness, and intermittent fevers for the past week. For the month prior to presentation he was vaping tetrahydrocannabinol (THC) daily. He had no sick contacts and no other drug use or occupational exposures. Initial […]