Case Presentation: A 40-year-old Hispanic male with a history of diabetes mellitus presented with recurrent febrile episodes. His temperature on admission was 41.6oC associated with seizure-like activity requiring intubation. Labs were significant for WBC 1,800, platelets 85,000, creatinine 1.53, AST 178, ALT 199, ALP 254, and HA1c 10.3%. RUQ ultrasound showed a hepatic lesion concerning […]

Case Presentation: A 53-year-old male with a past medical history of hypertension who recently emigrated from El Salvador presented to an ambulatory clinic for evaluation of substernal chest pain that started eight days earlier. He described the chest pain as intermittent, non-radiating, and associated with palpitations, chills, shortness of breath, and diaphoresis. He denied fever, […]

Case Presentation: A 27-year-old Chinese-American woman presented to the ED for sore throat, flank pain, dysuria, and generalized weakness for 1 week. The symptoms began after returning on a domestic flight. She initially denied any medical history or substance use to multiple providers and insisted her symptoms were due to infrequent bathroom use during the […]

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: Our vignette is of a 14-year-old female who presented to the emergency room for complaints of right elbow pain and swelling. Patient underwent open reduction internal fixation (ORIF) for right elbow fracture when she was 2-years old. The hardware was removed successfully after the fracture healed. Since then, the patient had 3 fractures […]

Case Presentation: 39-year-old female with a history of ulcerative colitis (UC), but not on therapy, presented with abdominal pain and hematochezia for two weeks, along with weight loss and night sweats. On admission, vital signs were notable for tachycardia and physical examination revealed a diffusely tender abdomen. Laboratory studies were remarkable for leukocytosis of 23,250/mm3. […]