Case Presentation: A 70-year-old man with a history of adenoid cystic carcinoma initially presented with a 1-2 week history of olfactory and auditory hallucinations in the setting of intermittent fever. He reported that in addition to those symptoms he had diarrhea, which he attributed to having eaten undercooked meat. His auditory hallucinations involved hearing African [...]

Case Presentation: A 79-year-old male with a history of coronary artery disease status post coronary artery bypass surgery, atrial fibrillation, osteoporosis with vertebral compression fractures presented to the ED for severe right flank spasms. He was recently admitted and discharged just 3 days prior for similar complaints which were attributed to thoracolumbar compression fractures. He [...]

Case Presentation: A 63-year-old man with a history of heart failure and cold autoimmune hemolytic anemia secondary to Waldenstrom macroglobulinemia was admitted for shortness of breath. He was diagnosed with heart failure exacerbation and was being treated with intravenous diuresis with close electrolyte monitoring. His initial potassium reading was 6.2 mEq/L, but the sample was [...]

Case Presentation: A 21-year-old male with no past medical history presented to the emergency room with sudden onset chest pain, bradycardia, and hypotension. He described feeling chest “pressure” that led to shallow breaths. His pain was substernal, pleuritic, non-radiating, and associated with palpitations. He had mild relief when sitting up. Symptoms started that morning and [...]

Case Presentation: A 63-year-old male with a medical history of hypertension presented with progressive vision loss over four months, with a one-month history of diffuse myalgias, increasing agitation, and altered behavior. He was an avid hunter with a history of frequent tick and deer fly bites. He presented to the emergency department with his wife [...]

Case Presentation: A 46-year-old male with a past medical history of hypertension and macular edema was referred to the Cardiology office by his primary care provider for uncontrolled hypertension and bilateral lower extremity edema. An echocardiogram was obtained to rule out structural heart disease which revealed a reduced left ventricular ejection fraction of 35-40% and [...]

Case Presentation: A 51-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (CKD) presented to the hospital following a fall at home. The patient described a disease course that started six months prior with bilateral knee weakness and shooting pains that progressed to severe gait imbalance and inability to ambulate. [...]

Case Presentation: A 48-year-old male with major depressive disorder, bipolar disorder and borderline personality disorder with multiple psychiatric admissions was admitted to the hospital for sepsis secondary to aspiration pneumonia with associated chronic dysphagia and unintentional weight loss. He also reported suicidal ideation, homicidal ideation, and intrusive thoughts of hurting others. Per family he had [...]

Case Presentation: This is a 32 year old male with no pertinent medical history who presented to the emergency department with complaints of headache, body aches, vomiting, diarrhea, fevers and chills for 4 days. The patient also admits to generalized weakness and poor appetite. The patient denies any chest pain, dyspnea, shortness of breath. The [...]

Case Presentation: Patient A is a 59-year-old man with medical history of hypertension, asthma, benign prostate hyperplasia, daily marijuana use and occasional alcohol use who presented with acute onset of progressive weakness of his right upper extremity and right lower extremity. He had been assaulted to the face but denied any neck or back injury [...]