Case Presentation: A 76-year-old male with a history of allergic rhinitis presented to the hospital with four weeks of persistent dry cough. His cough is exacerbated by mild exertional activities and occurs at all hours. He had no nasal congestion, sore throat, hoarseness, hemoptysis, dyspnea, dysphagia, heartburn, or recent respiratory tract infection. He reported no [...]

Case Presentation: A 36-year-old man presented with a one-month history of fevers, night sweats, low back pain, and an enlarging nodule on his back. Physical exam revealed left axillary adenopathy, diminished breath sounds at bilateral bases, and an irregularly shaped 10 cm pigmented lesion (image 1) on his left posterior hemithorax. Labs were notable for [...]

Case Presentation: A 55-year-old woman with a remote history of renal transplant complicated by stage 4 chronic kidney disease (CKD) presented to the emergency room with a week history of progressive fatigue, fever, dry cough and exertional dyspnea. Outpatient medications were tacrolimus 2.5mg BID, mycophenolate mofetil 500mg BID, prednisone 5mg daily, and vitamin D 1000 [...]

Case Presentation: A 76-year-old female with a history of an incarcerated hernia, Clostridium difficile colitis, hypertension, and dyslipidemia presented to the emergency department (ED) with bloody diarrhea and weakness. On admission, the patient denied fevers, chills, or cough. Additional symptoms included self-limited hyponatremia (133 mmol/L), likely due to excessive diarrhea, bleeding internal hemorrhoids with discomfort, [...]

Case Presentation: Our patient was a 29-year-old male with a past history of chronic marijuana use that presented to the hospital with an uncontrolled hemorrhage from his tooth. The patient tripped walking down the stairs and hit his face on a stair cracking his left upper second molar. He reported no other symptoms besides the [...]

Case Presentation: A 64-year-old male with a medical history of psoriatic arthritis on etanercept, coronary artery disease, adrenal insufficiency and alcohol use disorder who presented to the hospital with complaints of weakness, fatigue, night sweat, and transient slurring of speech. Physical examination was normal. Laboratory investigation showed Hemoglobin of 10, Platelets 150, WBC 6, CRP [...]

Case Presentation: A 25-year-old man with ADHD and anxiety presented to the emergency department with four days of acute headache. CT scan of the head revealed an acute left frontal intraparenchymal hemorrhage. Neurosurgery resected a left frontal arteriovenous malformation that had ruptured due to hypertension. Over the next year, he presented to the ED and [...]

Case Presentation: A 42-year-old female presented with two days of fever, dysuria, and hematuria, associated with upper and lower back pain, body aches, and anorexia. She had no significant past medical history and no recent surgical procedures. She denied tobacco, alcohol, and intravenous drug use. The exam was significant for suprapubic pain and left costovertebral [...]

Case Presentation: Schnitzler syndrome (SD) is a rare auto-inflammatory disease where patients present with recurrent fevers, arthralgias, urticaria, monoclonal gammopathy and elevated inflammatory markers. It was first described by Liliane Schnitzler in 1972 [1]. Given the complexity and rarity of this syndrome it is often underdiagnosed and causes a significant delay between disease onset and [...]

Case Presentation: We present a 69-year-old man with past medical history of well-controlled type 2 diabetes and multiple myeloma status-post chemotherapy (daratumumab, lenalidomide, bortezomib, melphalan) and subsequent bone marrow transplant (BMT) who presented with subacute progressive bilateral numbness and weakness in his upper and lower extremities and was found to have acute inflammatory demyelinating polyneuropathy.His [...]