Case Presentation: Establishing the diagnosis of tuberculosis (TB) can be challenging due to its heterogeneous presentation and limited sensitivity of testing. Pulmonary TB can share overlapping radiological, clinical, and histopathological features with other lung diseases. Physicians often wait for confirmatory testing prior to starting treatment. A 36-year-old male from Haiti presented with a 4-months of [...]

Case Presentation: A 40-year-old female with history of non-ischemic cardiomyopathy (EF 25-30%), obesity and depression presented with one week of right upper quadrant abdominal pain associated with nausea and vomiting on May 4. Weight on March 26 was 246lb.Workup showed total bilirubin 7.7, alkaline phosphatase 413, ALT 263, AST 194, albumin 3.4, INR 1.3.CT abdomen [...]

Case Presentation: A 46-year-old woman with alcohol use disorder, hypertension, and hepatic steatosis presented with 1 week of daily fevers and left upper quadrant abdominal pain. She reported chills, night sweats, cough, postprandial nausea and vomiting, and an intermittent unilateral headache but denied other focal symptoms, recent travel, or sick contacts. She was febrile to [...]

Case Presentation: A 76-year-old male with history of hypertension and recent travel to India presented to our health system with a history of sub acutely progressive dyspnea, low grade fevers, night sweats and chronic cough. Two months prior to this presentation, he was treated for community acquired pneumonia at an outside facility. About one month [...]

Case Presentation: A 58-year-old man originally from Ethiopia with severe disability from a recent stroke presented to the Grady Emergency Department from a nursing facility with fever, tachycardia, and hypotension. Additional medical history includes hypertension, type 2 diabetes, latent TB infection undergoing treatment, and malaria infection within the last year. His initial workup showed lactic [...]

Case Presentation: A 49-year-old woman with a history of alcohol use disorder, hypertension, asthma, obesity, and prior lacunar stroke presented to a different hospital with seizure-like activity, encephalopathy, and right gaze deviation. Additional collateral history noted a year of progressive cognitive, bladder, and ambulatory dysfunction, resulting in wheelchair dependence.On admission, she was diagnosed with urosepsis [...]

Case Presentation: A 43-year-old woman presented to the emergency department (ED) with lightheadedness. Medical history was significant for triple-negative breast cancer treated with carboplatin, paclitaxel, and pembrolizumab eight months prior to admission. She underwent two cycles of chemotherapy before treatment was paused due to nausea, vomiting, and weight loss. She continued to have very poor [...]

Case Presentation: A 48-year-old female with Hashimoto’s thyroiditis (on Synthroid), prediabetes, and active tobacco use (30 pack-years) who exercises daily presented to the ER with chest pain after a high-intensity workout. The pain radiated to her left arm and neck and intensified to 10/10, associated with palpitations.On exam, she had cool extremities and diaphoresis. Vital [...]

Case Presentation: A 45-year-old female presented with fever, chills, bilateral flank pain radiating anteriorly and intermittent right upper quadrant pain prior to arrival. Medical history included hypertension, stage 3a chronic kidney disease, obesity, uterine fibroids, and treated Helicobacter pylori infection. Her vitals were as follows: 98.6 °F, heart rate 126 beats/minute, respiratory rate 20 breaths/minute, [...]

Case Presentation: A 69-year-old male with hypertension and chronic hip osteoarthritis (OA) was presented to the ED with worsening hip pain, lower back pain, and recurrent falls after he slipped in the shower and fell on his buttocks and back 3 weeks ago. CT of the lumbar spine and pelvis showed severe spinal stenosis in [...]