Case Presentation: We present the case of a physically active 41-year-old male with a history of anxiety and restless leg syndrome who presented to the emergency department with complaints of vertigo, left arm numbness, and voice changes that progressed over less than two days. Initial concerns for an acute ischemic stroke prompted a stroke code, [...]

Case Presentation: A 72-year-old HIV-negative male with a past medical history of neurosyphilis who received two complete 2-week regimens of IV Penicillin G and one IM Penicillin, was admitted due to a recurrence of blurry vision and gait instability. The patient’s symptoms started with dizziness noted since last year, which then progressed to gait instability [...]

Case Presentation: We present a case of new-onset heart failure in a 31-year-old African American woman in the context of metastatic RMC. The patient was presented with a shortness of breath, swelling and discomfort of left forearm. The patient’s clinical evaluation involved a chest CT scan, which showed a concerning 11.5 x 8.0 x 9.0 [...]

Case Presentation: Penile degloving is a rare injury with few documented cases in literature. We present the case of a 41-year-old male with self-inflicted penile degloving while under the influence of cocaine.A 41-year-old male with PMH polysubstance abuse, MDD and bipolar disorder presented to the ED with five days of penile pain after prolonged masturbation [...]

Case Presentation: Patient is a 53-year-old female with a medical history of hypertension, hyperlipidemia, diabetes, and tobacco use, presented with a right middle cerebral artery (MCA) stroke and left-sided weakness. She initially delayed seeking care, attributing her symptoms to chronic back pain, but was eventually brought to the hospital by her family. MRI revealed a [...]

Case Presentation: A 65-year-old Vietnamese man presented to the Emergency Department after a scleral defect was noted in his right eye by optometry. He reported four months of floaters and one month of worsening vision and light sensitivity in the right eye. No recent trauma.Ophthalmology exam showed visual acuity of 20/25 in the right eye [...]

Case Presentation: A 58-year-old man with a history of type 2 diabetes mellitus (A1c 9.1%), recurrent ear infections presented to hospital with left ear pain, facial weakness, and sudden vision loss. The patient had frontal and left-temporal headaches for several months thought to be secondary to migraines or temporal arteritis. A temporal biopsy had been [...]

Case Presentation: Here we present a case of a 63 year old female with a past medical history of COPD on 5L home oxygen and BiPAP with eight exacerbations in the past year who presented with shortness of breath and was admitted for acute hypoxic respiratory failure secondary to COPD exacerbation. When initially evaluated by [...]

Case Presentation: A 38-year-old woman with no significant past medical history presented with fever, diffuse rash, and hypoesthesia. One year prior, the patient developed flesh-colored patches on her abdomen and raised lesions under her left arm. A biopsy revealed cutaneous nontuberculous mycobacterial infection with 4+ acid fast bacilli (AFB) stain, but AFB cultures were negative. [...]

Case Presentation: An 82-year-old male presented to the ED with fevers and shortness of breath. Two years prior, he was started on steroid therapy and intermittent tocilizumab for possible giant cell arteritis (GCA) given his complaints of jaw claudication, headache, elevated CRP and intermittent fevers; temporal artery biopsy was not conclusive for GCA. NM PET [...]