Case Presentation: A young man presented to the ED with four days of severe, sharp midsternal chest pain, fevers, diffuse arthralgias, bilateral conjunctivitis, diarrhea, and fatigue. He reported sexual intercourse with an HIV positive male partner four months prior to presentation and a history of multiple STI’s diagnosed in the past 6 years. Vitals: 101.5F, […]

Case Presentation: A 56 year old female patient with past medical history of hypertension and diabetes mellitus type 2 presents to the emergency department with a 1 day history of fever and confusion. Vitals showed a temperature of 101.4 F, heart rate at 112 beats per minute, blood pressure at 136/73. Initial lab work was […]

Case Presentation: A 51-year-old male with a history of IBS presented with three weeks of non-bloody diarrhea and five days of worsening arthritis. It first appeared in his right wrist but subsequently affected his fingers, wrists, elbows, ankles, and knees bilaterally. The patient denied any recent travel or antibiotic use. On exam, the most affected […]