Case Presentation: An 89-year-old female with a history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, and prior left atrial appendage occlusion (Watchman) presented with altered mental status and generalized weakness. On admission, she required intensive care unit (ICU) support, including vasopressors and BiPAP for acute respiratory failure and septic shock. She briefly [...]

Case Presentation: 85-year-old male with a history of hypertension, hyperlipidemia, coronary artery disease, and advanced dementia presented to the hospital with altered mental status and right-sided weakness and, was found to have left-sided acute on chronic subdural hematoma of the left frontal lobe and underwent a craniotomy and clot evacuation surgery. During the hospitalization, the [...]

Case Presentation: A 77-year-old man with a history of atrial fibrillation presented to the emergency department due to increased erythema, swelling, and tenderness of his left elbow and foot. He had associated fever and altered mental status. These symptoms had progressed despite outpatient use of oral cephalexin initiated for cellulitis. A week prior to admission, [...]

Case Presentation: A 41-year-old man with end-stage renal disease (ESRD), hypertension, hyperlipidemia, and hepatitis B-induced liver cirrhosis was evaluated after a computed tomography (CT) scan of his abdomen revealed an unexpected finding of cardiomegaly with moderate to large pericardial effusion. Subsequent transthoracic echocardiograms revealed moderate pericardial effusion without tamponade physiology but with increased interventricular septal [...]

Case Presentation: The patient was a 61-year-old female with a medical history of hypertension, type II diabetes mellitus, and uterine carcinosarcoma with peritoneal carcinomatosis, and ascites who initially presented with abdominal pain and shortness of breath. Admission labs were significant for a white cell count of 15.6 and lactic acid of 2.6. Sepsis workup was [...]

Case Presentation: A 21-year-old woman presented to the emergency department with 1 month of worsening bilateral foot pain, swelling, and erythema. Her symptoms began shortly after a trip to Arizona, where she spent several days hiking and reported use of a strong massage gun on her feet for hours at a time. She was evaluated [...]

Case Presentation: A 44-year-old African American male with a medical history of human immunodeficiency virus (HIV) and chronic kidney disease (CKD) presented to the hospital with nonspecific complaints, including flank pain. Initial laboratory tests and imaging studies confirmed a diagnosis of nephrolithiasis and acute kidney injury with concomitant hypercalcemia. The patient was hospitalized and treated [...]

Case Presentation: A 60-year-old man with a history of peptic ulcer disease presented to the emergency room with a two-month history of sharp right lower quadrant abdominal pain that worsened with oral intake, nausea, vomiting, an unintentional 25-pound weight loss, and occasional hematochezia. He denied regular NSAID use, melena, early satiety, heartburn, odynophagia, or dysphagia. [...]

Case Presentation: The patient is a 32-year-old female who presented with a five week history of chest pain that radiated to the left shoulder and back with associated chest wall bruising that resolved prior to presentation. Pain was 7/10 in intensity, worsened with deep inspiration, positional, and associated with mild dyspnea. Medical history includes rheumatoid [...]

Case Presentation: A 68-year-old Caucasian male with a history of hypertension, prediabetes (A1c 5.9), and chronic gout presented to the hospital with acute transient left-sided weakness and numbness. MRI confirmed a small acute CVA and CTA revealed complete occlusion of right internal carotid artery (ICA) and 75% stenosis of left ICA. Workup included a negative [...]