Case Presentation: A 37-year-old man, diagnosed with HIV two years ago and currently not on antiretroviral therapy, presented with flu-like symptoms and weight loss over the last two months and confusion for two days. The patient denied any international travel outside the United States. On presentation, he was found to have severe hyperkalemia and acute [...]

Case Presentation: A 17-year-old female presented with a one-month history of persistent dry cough, worsened by lying flat, requiring multiple pillows to sleep comfortably. Initially treated for presumed pharyngitis, her symptoms persisted, prompting further evaluation. Echocardiography revealed a large pericardial effusion with a normal ejection fraction, leading to hospital admission. Imaging studies identified a 3.5 [...]

Case Presentation: A 61-year-old male with no known past medical history presented with one week history of generalized malaise and exertional dyspnea. He had undergone a dental procedure six weeks ago. He drank alcohol occasionally but denied smoking or illicit drug use. On admission, he was febrile (Temp 101.6F), tachycardic (HR 113), tachypneic (RR 25) [...]

Case Presentation: A 21-year-old woman presented with pain and swelling of her right leg for the past 2 days. She noted that three weeks earlier, she fell off a jet ski in Miami and had some bruising to the area but no open wounds. On physical exam, her right anterior shin had a 3 cm [...]

Case Presentation: Hypercalcemia can have adverse effects on the body. Rarely a sign in and of itself, its presence is characteristically associated with an underlying condition. There are usual suspects to consider in the differential but when workup for those return unremarkable, it becomes a challenge to find the underlying etiology.An 80-year-old female with a [...]

Case Presentation: Gastroesophageal reflux disease (GERD) is a common disorder that is characterized by the backflow of gastric contents into the esophagus, leading to symptoms such as regurgitation and heartburn. While proton pump inhibitors (PPIs) are the mainstay of treatment, some patients experience refractory symptoms. Alternative therapeutic approaches of GERD may be warranted in these [...]

Case Presentation: A 74-year-old male with a past medical history of type 2 diabetes presented with weakness, nausea, and weight loss. The patient was on metformin and glipizide at baseline, started on oral semaglutide and uptitrated to a dose of 14 mg one month prior to presentation. He reported a weight loss of 7 kg [...]

Case Presentation: Arterial air embolism is a serious condition that can lead to acute ischemic stroke. It is usually an iatrogenic process, during which air is introduced to the arterial system directly or through a pressure gradient. Although rare, air emboli can have drastic neurologic and cardiac complications and have been shown to be fatal [...]

Case Presentation: A 73-year-old male with a history of Crohn’s disease presented to an outside hospital with exertional shortness of breath and palpitations. He was treated for symptomatic anemia secondary to vitamin B12 deficiency. He was then referred to our hospital due to the presence of rare blasts on blood smear. Upon arrival, he was [...]

Case Presentation: The day before his wedding, a 22-year-old male presented to the emergency department with one week of worsening joint pain, myalgias, headache, and rash. Symptoms began weeks after visiting a park in Michigan and several days after walking in tall grass during his bachelor party in Iowa. He presented to the emergency department [...]