Case Presentation: A 72-year-old man with known multiple myeloma is admitted to hospital for initiation of chemotherapy due to cancer progression. He was first diagnosed with smoldering myeloma in 2003. He was then diagnosed with multiple myeloma after a bone marrow biopsy in 2021 revealed 98% plasma cells. One year after diagnosis, he started noticing [...]

Case Presentation: A 25-year-old female patient presented to the hospital with intermittent fever and frontal headache for the past month and sudden onset bilateral lower limb sensorimotor weakness along with sphincter dysfunction for the past 2 days. There was no history of neck rigidity or back pain. No incidence of trauma, dizziness, or loss of [...]

Case Presentation: 78 y/o M with past medical history of Diabetes Mellitus type 2, Dyslipidemia ,RCC s/p partial nephrectomy presented with altered mental status. Symptoms started with fatigue, generalized weakness, SOB, 18-20 pound weight loss, constipation ,loss of appetite and confusion that started 1 month ago. Patient appeared frail, was not oriented to time, place [...]

Case Presentation: A 75-year-old white male presented to the Emergency Department with a 2-day history of gait disturbance, flailing bilateral upper extremity movements, and confusion. His wife stated that his symptoms had been occurring for the past 1 month and acutely worsened over the past several days. For the past year, he had been evaluated [...]

Case Presentation: A 27 year old previous healthy male presented to the Emergency Department with 4 days of progressive fatigue and scleral icterus. These symptoms were preceded by 2 days of a nonproductive cough. Upon presentation, the patient’s labs were notable for an indirect hyperbilirubinemia of 5.9 mg/dL. Complete blood count revealed a macrocytic anemia [...]

Case Presentation: We present a 31-year-old female patient with a medical history significant for Stage II Breast cancer on Chemo and Immunotherapy (Pembrolizumab) who presents to the Emergency Department for the evaluation of nausea, vomiting, and generalized abdominal pain for 1 day. On arrival, the vital signs were within normal limits. On physical examination, generalized [...]

Case Presentation: A 60-year-old female with a history of hypertension, hyperlipidemia, migraines, and HSV-meningitis in 2004 presented with 3 days of progressively worsening bitemporal headache with associated neck stiffness and photophobia. The symptoms were not typical of her usual migraines. A few days prior she had an acute upper respiratory illness with productive cough of [...]

Case Presentation: 65 year old woman with history of mood disorder on abilify and cogentin presented with altered sensorium. Patient was exhibiting disorderly behavior and having visual hallucinations at home. Patient had multiple emergency room visits and two hospital admissions for nausea and vomiting in the past one month where she was diagnosed with UTI [...]

Case Presentation: A 65-year-old male presents to hospital with a 1-day history of confusion and fever. Past medical history is significant for heart failure requiring AICD, chronic kidney disease, type-2 diabetes mellitus, May-Thurner syndrome, and recent admission three weeks prior due to sepsis from streptococcus bacteremia requiring hemodialysis, with dialysis catheter removed before initial discharge. [...]

Case Presentation: 65-year-old female with a past medical history of hypertension and colonic diverticulosis presented to emergency department with progressively worsening dyspnea for two months. This was associated with orthopnoea and wet cough. Before presentation, she completed a course of Levofloxacin and steroids in an outpatient clinic. On examination, she was hypoxic with basilar crackles [...]