Case Presentation: A healthy 21-year-old female presented to the children’s hospital with a one-week history of worsening bilateral calf pain, unilateral right lower extremity (RLE) swelling, and cool extremities. Symptoms began after a 12-hour work shift, accompanied by a diffuse erythematous papular rash and intermittent asymmetric joint pain. Her medical history included streptococcal pharyngitis treated [...]

Case Presentation: A 67-year-old man with a history of chronic back pain from a motor vehicle accident (MVA) 20 years ago presented to his primary care provider for an annual visit in December 2023. He complained of persistent back pain. Lab work was unremarkable and an x-ray showed degenerative lumbar spine changes. The patient was [...]

Case Presentation: Clinical presentation: A 69-year-old female presented to the emergency for shortness of breath and bilateral low extremity edema. She had a history of chronic dyspnea and hypoxia on baseline 2 liters of oxygen and reported worsening dyspnea on minimal exertion for the week prior to admission. Review of symptoms was significant for wheezing [...]

Case Presentation: A 34-year-old male smoker with no significant medical history presented to the ED with fever and bilateral inguinal lymph node swelling and pain for one week duration. Patient recently emigrated from China two months prior and traveled through the rainforests of Colombia, where he resided for two days, then El Salvador, Honduras, Nicaragua, [...]

Case Presentation: A 61-year-old, non-smoking, white female with history of Coronavirus disease 2019 (COVID-19) twice, and long COVID syndrome, presented with progressively worsening dyspnea over the last five months. She was repeatedly diagnosed with pneumonia and treated with antibiotics and steroids without relief prior to hospital presentation. Workup in the hospital revealed neutrophilic leukocytosis, but [...]

Case Presentation: A 79 year old male presented to the hospital for evaluation of acute worsening testicular pain/swelling that had been ongoing for 3 months. When symptoms first began three months prior, he was evaluated by Urology and diagnosed with epididymitis; however, he completed two courses of antibiotics without symptomatic improvement. Testicular and abdominal ultrasound [...]

Case Presentation: A 75 year old with a presented with a chief complaint of fever. The patient reported headache, dizziness, myalgia, dyspnea, constipation, and denied nausea. On assessment, the patient was mildly febrile and tachycardic with other vital signs within normal limits. The remainder of the exam demonstrated normal cardiovascular, respiratory, abdominal exam and gross [...]

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 65-year-old male was admitted with COPD exacerbation. Imaging studies showed advanced emphysematous changes and cardiomegaly. He was found to be in newly detected atrial fibrillation for which a transthoracic echocardiogram (TTE) was obtained. TTE revealed a moderately dilated left atrium (LA) with a large, highly mobile mass (6.8 x 3.5 cm) prolapsing [...]

Case Presentation: A 27 year old woman with systemic lupus erythematosus (SLE) and history of a single seizure episode presented with acute altered mental status. The patient was initially disoriented and nonverbal, able to open eyes but unable to track, intermittently responding to commands, and later deteriorating, becoming obtunded and eventually comatose. Her NIH Stroke [...]