Case Presentation: A 57-year-old male with HIV, heart failure with reduced ejection fraction, and hypothyroidism initially presented for dyspnea on exertion, found on EKG to have electrical alternans. Telemetry showed intermittent type2 second degree AV block. Transthoracic echocardiogram was notable for large pericardial effusion, ejection fraction 35%, grade 1 diastolic dysfunction, early diastolic right ventricular [...]

Case Presentation: The patient is a 54-year-old male, with history of HIV (diagnosed in 2004), previous history of treated syphilis, inflammatory bowel disease (IBD) and hypertension. He presented with non-pruritic rash that spread from the face to the trunk and extremities except the palms and soles. The rash started as circular macules then became nodular [...]

Case Presentation: An uninsured, homeless 26-year-old male with no past medical history presented with two weeks of progressive left eye vision loss described as a central enlarging black spot progressing to complete vison loss. Three months prior, he describes a painless, penile bump and a skin rash which started on his hands and feet. He [...]