Case Presentation: A 39-year-old Hispanic female, with no significant past medical history presented with complaints of fever, chills, myalgia, and cough ongoing for the past 10 days. The patient had a heart rate of 143 beats per minute, a Temperature of 103.4° F, and a respiratory rate of 33. The patient had a WBC count [...]

Case Presentation: A 49-year-old female with no known past medical history presents with worsening symptoms of abdominal discomfort, bloating, and shortness of breath for one month. Upon presentation, vitals were significant for tachycardia. A CT scan of the abdomen and pelvis showed hepatic steatosis with a large volume of ascites. A paracentesis was performed and [...]

Case Presentation: A 73-year-old female with a history of hypertension and migraines presented to the ER with nausea, headache, and photophobia. She underwent CTA which showed a small right ICA aneurysm with no other acute abnormalities. She was treated and released but returned to the ER the next day with worsening symptoms. LP was unremarkable. [...]

Case Presentation: A 42 year old female with a 5-year history of biopsy-proven eczema presented with two weeks of worsening body pain and skin ulcerations (Figure 1). Six months prior to presentation, she was started on topical steroids and Dupixent without significant improvement. Two months prior to presentation, worsening eosinophilia was noted. On arrival, she [...]

Case Presentation: A 27-year-old woman with no significant medical history presented with a two-month history of headache, neck stiffness, nausea, vomiting, photophobia, back pain, and fever. Two months prior, she underwent liposuction and a Brazilian Butt Lift. Examination showed nuchal rigidity and lumbar tenderness. Labs revealed elevated ESR (24 mm/hr) and CRP (31.9 mg/dL), with [...]

Case Presentation: A 53-year-old female elementary school teacher with a history of genital herpes and aseptic viral meningitis presented with two days of severe headache, neck stiffness, fever, nausea, vomiting, bilateral leg weakness and back pain. Her headache was sudden, severe (10/10) and diffuse, progressed to neck stiffness and was associated with photophobia, fever, chills [...]

Case Presentation: A 70-year-old man with a history of stage III melanoma, previously treated with surgical resection and pembrolizumab, presented with diplopia and ptosis. Laboratory results showed significantly elevated high-sensitivity troponins and creatine kinase-MB. Initial electrocardiogram revealed complete atrioventricular block without ST-segment changes, necessitating the placement of a transvenous pacemaker. Echocardiogram showed an ejection fraction [...]

Case Presentation: A 59-year-old male presented to the emergency room with confusion, dysarthria, weakness, and diarrhea for 6 days. He reported taking colchicine for a gout exacerbation a week prior. Past medical history was significant for gout, non-Hodgkin’s lymphoma (in remission), and partial small bowel resection. Vital signs were within normal limits. Physical exam revealed [...]

Case Presentation: An 86-year-old male with small bowel carcinoid tumor, complicated by heart disease (CHD), severe tricuspid (TR) and pulmonary regurgitation (PR), right-sided heart failure, atrial fibrillation, and end-stage renal disease on hemodialysis, presented with new-onset dyspnea. His oxygen saturations ranged from 70-88%, improving to 92% with high-flow nasal cannula. Physical exam demonstrated cachexia, pansystolic [...]

Case Presentation: A 43-year-old male with diabetes mellitus type 2 and hypertension, weighing 595 pounds, presented with right leg weakness and 10 falls over the past three months. He recently sustained a left fibular fracture. He sought care at various emergency rooms, however felt dismissed as providers attributed symptoms to his weight and prior injury. [...]