Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a [...]

Case Presentation: An 82 year old male with unknown PMH presented with worsening dry cough and dyspnea. 1 week course of antibiotics provided minimal relief. Patient was febrile/tachycardic on arrival with rhonchi appreciated on bilateral lower lung field auscultation. His oxygen saturation was found to be dipping below 90% on room air for which he [...]

Case Presentation: The patient is a 49 year-old female with end stage renal disease (ESRD) and obesity who initially presented to the emergency department (ED) for acute onset epigastric abdominal pain and hematemesis. She had a gastric sleeve procedure two weeks prior to presentation in preparation for renal transplant. She required 2 units of packed [...]

Case Presentation: A 28 year-old unvaccinated man with a history of Hodgkin’s lymphoma in remission presented with thrombocytopenia. Six weeks ago, he was exposed to COVID-19 and developed cough and rhinorrhea. He was not tested but started taking hydroxychloroquine and azithromycin. Three weeks prior to admission, he began noticing mucosal bleeding. One week prior to [...]

Case Presentation: A 76 y.o. female with history of chronic diastolic heart failure and poorly controlled polycythemia vera (PV) on 500 mg of hydroxyurea daily presented with 2 days of progressive difficulty breathing, sialorrhea and uncontrolled movements of the face and mouth. Due to general malaise, she stopped taking her furosemide and hydroxyurea 2 days [...]

Case Presentation: A previously healthy 32yo male presented to the hospital with bilateral lower extremity swelling and abdominal distention. Three months prior he had sought care for abdominal pain and fatigue. There was interval improvement for approximately one month without intervention, however, he subsequently developed night sweats, fatigue, and malaise for which he was treated [...]

Case Presentation: A 36-year-old previously healthy female presented to the emergency department with one-day history of decreased visual acuity and spontaneous contractions of her right fourth and fifth digits. Review of systems was positive for a month history of dyspnea on exertion, hives, mild edema of ankles, wrists, hands, lips and eyes, as well as [...]