Case Presentation: A 77-year-old Russian-speaking woman recently recovered from severe COVID-19 infection presented for incision and drainage of a right thumb abscess complicated by synovitis and osteomyelitis. Four months prior, she injured her right thumb after twisting a jar lid. X-rays showed soft tissue swelling with cystic changes and crystals in the scaphoid and radial [...]

Case Presentation: A 40-year-old female with a history of morbid obesity status post Roux-en-Y gastric bypass in 2009 presented to hospital with blood glucose level of 33. She reported hypoglycemic episodes every day since 2007 with prior labs demonstrating elevated insulin and low c-peptide levels. The differential diagnoses included exogenous administration of insulin, given she [...]

Case Presentation: A previously healthy 50 year old female presented to the emergency department with abrupt onset of an intractable headache with altered mental status. On presentation, symptoms were pertinent for headache, neck pain, fever, nausea, and vomiting. Temperature was 103.1F, Heart rate 95 beats per minute (bpm), and blood pressure 102/71. Initial labs were [...]

Case Presentation: The patient is a 31 year old male with a medical history of HIV on antiretroviral therapy who was seen in the emergency department for chest pain and dyspnea, then discharged after a negative cardiac workup. He re-presented two days later with worsening chest tightness, dyspnea, and vomiting. On examination, the patient was [...]

Case Presentation: The patient is a 64-year-old man with alcohol use disorder of at least 20 years. He had been drinking about 3 six-packs daily on average, with a recent reduction to 10-13 beers daily. His condition was complicated by hepatic steatosis. He was admitted for progressively worsening confusion and ambulatory dysfunction. Labs revealed a [...]

Case Presentation: A 33-year-old woman presented with self-inflicted stab wounds to her neck and abdomen. Though she was initially alert and following commands, she was unwilling to provide a medical history and only shared that she had been experiencing headaches for three weeks prior to presentation.Labs were unremarkable, but CT scan on admission showed right [...]

Case Presentation: A 61-year-old African American male with a history of alcohol use disorder and chronic pancreatitis presented to the hospital with shortness of breath and severe chest pain that worsened with inspiration. Two months prior to admission he was found to have a 17x12x12 cm pancreatic pseudocyst and subsequently underwent cystogastrostomy with stent placement [...]

Case Presentation: A 55-year-old woman with no known past medical issues is admitted with a 1-week history of weakness and two days of fever and chills. Workup showed WBC count was 15600/µL, C-reactive protein of 14.3 mg/dL, procalcitonin of less than 0.05 ng/mL, and lactate of 0.7 mmol/L. Since procalcitonin was negative and there was [...]

Case Presentation: A 44-year-old African American male with a history of sarcoidosis presented with shortness of breath, dry cough, and headaches for 10 days, previously treated for sinusitis with amoxicillin and clavulanate without improvement. He is an electrician and smokes 3 packs of cigarettes per week. He denied any history of asthma, eczema, or atopy, [...]

Case Presentation: A 43-year-old male with a history of diffuse large B-cell lymphoma (DLBCL) in remission for 2 years after chimeric antigen receptor (CAR) T-cell therapy presented to his PCP with headaches and a mild cough. A PCR COVID-19 test was positive, a head CT showed cerebral edema, and MRI had diffuse dural thickening without [...]