Case Presentation: A 71-year-old man with history of coronary artery disease, aortic stenosis status post transcatheter aortic valve replacement (TAVR) two years ago, and ankylosing spondylitis presented to the emergency department for evaluation of 3 days of subjective fevers, worsening generalized weakness requiring one-person assist for ambulation, and tachycardia on his smart watch in the [...]

Case Presentation: A 51-year-old male presented to the Emergency Department with a chief complaint of fever, chills, and generalized malaise for several days. He denied any additional associated symptoms, denied recent travel, recent dietary changes, recent dental work, exposure to sewers, adventurous sex, unintentional weight loss, headaches, vision changes, neck stiffness, night sweats, chest pain, [...]

Case Presentation: A 57-year-old man with history of Stage IV pancreatic adenocarcinoma, coronary artery disease, and deep venous thrombosis presented to the emergency room with chest pain and acute bilateral lower extremity swelling. The chest pain began several hours prior to admission and the swelling developed over the past 3 days. On exam, he had [...]

Case Presentation: A 66-year-old male with a history of neuromyelitis optica (NMO) on rituximab, paraplegia, knee arthroplasty with prior prosthetic joint infections, and chronic urinary catheter complicated by frequent UTI’s with prior growth of Pseudomonas, methicillin-resistant S. aureus (MRSA), E. coli, and Proteus, presented with fever and purulent urine. He was insensate below the umbilicus [...]

Case Presentation: 29-year-old Hispanic male with history of intravenous drug use (IVDU) with fentanyl and methamphetamine, was brought to the hospital after being found confused on the streets. Patient was very cachectic, tachypneic and had track marks in the cubital fossa suggestive of IVDU. Patient was febrile with 100.6 F, had leukocytosis with WBC 18 [...]

Case Presentation: A 25-year-old female with a history of Systemic Lupus Erythematosus (SLE), lupus nephritis, cardiomyopathy, transient ischemic attack, and epilepsy presented as an ICU transfer for Altered Mental Status (AMS). The patient initially presented to an outside hospital for this complaint, which was attributed to seizures. Her course was complicated by severe hypotension, again [...]

Case Presentation: A 58-year-old woman arrived to the emergency room complaining of fevers, chills, and confusion for two weeks. She has hypertension, complex psychiatric conditions including anxiety, depression, and alcohol use disorder. Her symptoms began 14 days ago with non-productive cough and headaches. During this time she also experienced fevers and chills. On physical examination, [...]

Case Presentation: A previously healthy53-year-old male, who had undergone dental treatment one week before, was transfered to our hospital with the symptoms of acute-onset cephalgia and right homonymous hemianopia. Upon physical examination, cardiac auscultation revealed a pan-systolic murmur (Levine 2/6), with maximal intensity at the apex. Laboratory analyses revealed leukocytosis with a white blood cell [...]

Case Presentation: A 56-year-old male with history of opioid and cocaine use disorder without intravenous drug use presented to the emergency room with bilateral lower extremity swelling and shortness of breath for two weeks. A transthoracic echocardiogram was performed which showed an ejection fraction of 45%, grade II diastolic dysfunction, and severe aortic regurgitation. The [...]

Case Presentation: A 62 year old homeless male with no significant past medical history presents to a large tertiary referral center after being found unresponsive by police. Vital signs: 99.2 F, HR 86, RR 17, BP 160/81. Labs: Lactic acid 2.9, WBC 26.35, CRP 150.60, urine drug screen negative. CT imaging revealed evidence of ureteral [...]