Case Presentation: A 22-year-old female with PMH of TBI with resultant hydrocephalus s/p VP shunt placement and borderline personality disorder presented with three weeks of progressively worsening abdominal pain. She also reported a new onset of vaginal bleeding for 3 days, which was different from her usual amenorrhea secondary to IUD placement. The exam was [...]

Case Presentation: A 72-year-old woman with breast cancer treated with lumpectomy and radiation in 2021, diverticulosis diagnosed by colonoscopy in 2018, and recent dental work, presented to the emergency department with cough, congestion, diarrhea, dizziness, and an episode of near-syncope. Two days prior to presentation she tested positive for COVID-19 and was prescribed nirmatrelvir / [...]

Case Presentation: A 73-year-old female with a history of hypertension and migraines presented to the ER with nausea, headache, and photophobia. She underwent CTA which showed a small right ICA aneurysm with no other acute abnormalities. She was treated and released but returned to the ER the next day with worsening symptoms. LP was unremarkable. [...]

Case Presentation: Patient was a 57-year-old female with medical history of type II diabetes mellitus who presented with intermittent fevers, chills and abdominal pain. Labs were unremarkable except for mild transaminitis. Imaging revealed a right hepatic lobe lesion and moderate right pleural effusion. Blood cultures grew Strep intermedius in ¼ bottles, but repeat cultures were [...]

Case Presentation: A 31-year-old healthy man presented with several days of chest and back pain associated with shortness of breath, subjective fever, headache, and photophobia. The patient worked in construction and complained of a recent itchy, vesicular rash to his forearm. Review of systems was otherwise negative for recent procedures or surgeries, IV drug use, [...]

Case Presentation: A 73-year-old male with hypertension, hyperlipidemia, and mild COPD presented with word-finding difficulties. Initial brain imaging at an outside hospital suggested a left intra-axial peri-Rolandic lesion, raising suspicion for a primary brain tumor like glioma. He was transferred for neurosurgical evaluation, where MRI revealed a ring-enhancing lesion with restricted diffusion, consistent with a [...]

Case Presentation: A 56-year-old female with a history of cervical cancer in remission, post-chemotherapy and total hysterectomy, and insulin-dependent diabetes mellitus, was admitted for worsening chronic lower back pain, which had intensified over the past two weeks. She denied paresthesia or weakness. On examination, she was diaphoretic, shivering, and afebrile, with a blood pressure of [...]

Case Presentation: A 61-year-old male with no known past medical history presented with one week history of generalized malaise and exertional dyspnea. He had undergone a dental procedure six weeks ago. He drank alcohol occasionally but denied smoking or illicit drug use. On admission, he was febrile (Temp 101.6F), tachycardic (HR 113), tachypneic (RR 25) [...]

Case Presentation: 36-year-old male presented to ID clinic with painful left neck lump of 4 months duration worsening with pain and size for 2 months. Patient has h/o AIDS 2 years ago with cryptococcal meningitis, finished course of antibiotics and in remission with recent VL < 20, CD4 count 322, on daily Biktarvy. He also [...]

Case Presentation: A 69-year-old male with a past medical history of hyperlipidemia presented with sudden onset severe bilateral lower extremity (LE) weakness ascending to his bilateral upper extremities (UE) and neck following a tooth extraction the day prior. Symptom onset was the night after the tooth extraction. The patient reported being immobilized on the bathroom [...]