Case Presentation: 45 year old female with history of pulmonary embolism seven years ago not on anticoagulation presented with chest pain of 4 weeks. Chest pain was sharp, retrosternal, radiating to left upper extremity, neck & back. Chest pain was also positional, worse laying flat but improved on sitting up. It started 48-72 hours of [...]

Case Presentation: A 52-year-old man presented with 3 weeks of intermittent fevers along with 3 days of epigastric pain and black stool in the setting of recent travel to the Poconos, Pennsylvania and Ecuador. While at his vacation home in the Poconos mountains, the patient spent time clearing away brush and ate cooked wild mushrooms [...]

Case Presentation: A 40-year-old Hispanic man with no past medical history presented with right thigh pain and swelling for three weeks. He had a 10 pound weight loss over the past few months. He also noted melena two months ago with recent recurrence. No recent trauma or skin infections were reported. Vital were notable for [...]

Case Presentation: 50-year-old female with HTN and hyperlipidemia was brought to the ED after being found unconscious for an unknown duration. She was last seen well 12-hours prior to presentation. On exam, she was disoriented and somnolent but arousable to repeated stimulation. Vital signs were remarkable for tachycardia (P = 120 bpm) and hypertension (BP [...]

Case Presentation: A 25-year-old African American male with no significant medical history presented to the hospital with a new-onset skin rash. Over a month, he noticed a migratory pruritic rash growing on his trunk, arms and legs. He also experienced intermittent high-grade fevers, sore throat, and diffuse symmetrical joint pain. On arrival, patient was noted [...]