Case Presentation: A 68-year-old woman with an unknown past medical history presented to the emergency department after a bystander who had previously seen her sleeping in a park noticed her looking unwell. Her vital signs were normal. She endorsed moderate, bilateral leg pain. Exam was notable for scleral icterus. While alert and oriented, she was [...]

Case Presentation: A 40-year-old Hispanic male with a history of heart failure, hypothyroidism, and pre-diabetes was admitted for a warm, itchy, and painful rash on his extremities, accompanied by swelling in his upper limbs. He also experienced joint pain and stiffness in his elbows, knees, ankles, wrists, and back, without fever. Examination revealed pink, warm, [...]

Case Presentation: A 38-year-old woman with a history of discoid lupus presented with a week of progressive fever, chills, pustular rash, and polyarthritis. The pustular lesions started periorally but then spread to the palms, soles, and torso. Her joint pain was predominantly in her ankles, knees, wrists, and shoulders. Aside from minor scratches from pet [...]

Case Presentation: A 19-year-old woman presented to an outside hospital with 2-hours of slurred speech and right-sided paresthesia. Her past medical history was significant for obesity and gastric sleeve surgery. Vitals showed blood pressure of 156/98 mmHg, pulse of 96 bpm, respiratory rate of 18 bpm, and oxygen saturation of 100% on room air. The [...]

Case Presentation: A 66-year-old male with ESRD on dialysis, hepatitis C, hypertension, and opioid use disorder (OUD) on 135 mg of methadone presented with bilateral leg ulcerations and complex pain syndrome that was complicated by recurrent hypoglycemia. His initial blood glucose of 35 was thought to be due to poor insulin clearance with ESRD. He [...]

Case Presentation: A 48 year-old woman with a past medical history of prediabetes presented with a one-week history of confusion, cough, and fever. She was lethargic with slurred speech on admission and intubated for airway protection in the Emergency Department. A few hours after admission to the intensive care unit (ICU), her respiratory PCR returned [...]

Case Presentation: A 22-year-old woman presented after an episode of syncope and chest pain. The patient reported weight loss and anorexia for 2 weeks and fever, fatigue, and chills for a few days prior to presentation. She had recently moved to Georgia from Missouri. She had no significant medical or family history. Initial workup showed [...]

Case Presentation: A 34-year-old male presented with 3 months of sores on his oral mucous membranes, rash, and a 50 lb weight loss felt to be due to pain with eating. He was seen by various providers in the outpatient setting and took courses of Valacyclovir, Azithromycin, and steroids without improvement. On initial presentation, there [...]

Case Presentation: A 54-year-old tracheostomy and gastric tube dependent, non-verbal male with chronic spastic quadriplegia, autonomic dysautonomia, and recent ICU admissions for MDR pneumonia presented to the emergency department from his skilled nursing facility with acute hypertension. His home medications were notable for hydralazine, isosorbide mononitrate, clonidine, midodrine, and an intrathecal baclofen pump. He was [...]

Case Presentation: A 26-year-old man with no significant past medical history presented to medical attention with severe oral mucositis. Approximately one week prior to his presentation, the patient developed symptoms of a respiratory illness with a productive cough, myalgias, and fever of up to 103 Fahrenheit. Although his respiratory symptoms began to improve, he developed [...]