Case Presentation: A 71-year-old Caucasian female with history of atrial fibrillation, gastroesophageal reflux disease, chronic kidney disease stage 3a was admitted for 2-week history of nausea, vomiting, and decreased urinary output. The patient had a recent admission for atrial fibrillation with rapid ventricular rate without causative etiology identified and was discharged on amiodarone and apixaban. [...]

Case Presentation: A 56-year-old female with a history of recurrent MRSA sinusitis and c-ANCA and PR3 positive granulomatosis with polyangiitis (GPA) presented with right-sided facial droop sparing the eye and upper face, unilateral facial numbness, and right-sided tongue deviation that began four hours before presentation. She also endorsed sinus fullness for the past three days [...]

Case Presentation: A 33 year old female with reported history of recurrent ‘ear infections’ presented with acute ischemia of bilateral digits of her hands and feet after one month of bilateral hand and foot paraesthesia. Labs on admission showed white blood cell count 11.08 K/uL, hemoglobin 12.5 g/dL, platelet count 622 K/uL, ESR 107 mm/hr, [...]

Case Presentation: A previously healthy 45-year-old male, who recently immigrated from India, presented with worsening dyspnea at rest, epistaxis, hearing loss, and bilateral eye irritation after three weeks on rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy. Negative Mycobacterium tuberculosis polymerase chain reaction (MTB PCR) and acid-fast bacillus (AFB) sputum culture results from the previous admission [...]

Case Presentation: A 31-year-old male with a past medical history of opiate use disorder and presumed Granulomatosis with polyangiitis (GPA) on chronic prednisone was admitted for lower extremity edema, sore throat, hemoptysis, and dyspnea. He also reported a progressively worsening mouth ulcer for the past 6 months. He was found to have bilateral lower extremity [...]