Case Presentation: A 24-year-old Hispanic male with morbid obesity, hypertension, hyperlipidemia, and class IV/V lupus nephritis on immunosuppressive therapy presented with a one-week history of progressive pain, erythema, and swelling in the lower abdomen and extremities. Symptoms included fever, shortness of breath, and diarrhea. Physical examination revealed a tender, erythematous rash with violaceous discoloration over [...]

Case Presentation: An 87-year-old male presented to the emergency department following a syncopal episode, preceded by one week of generalized weakness, poor oral intake, and acute left leg pain. His medical history included heart failure with preserved ejection fraction (HFpEF), atrial fibrillation (AFib), chronic kidney disease (CKD) stage IV, rheumatoid arthritis (RA) managed with chronic [...]

Case Presentation: A 72-year-old male with hypertension, chronic kidney disease, and nephrolithiasis presented with six months of progressive weakness, unintentional weight loss, and fatigue. He had recurrent hypercalcemia, pancytopenia and recently diagnosed cirrhosis of undetermined etiology. The patient had three hospitalizations in the preceding six months for failure to thrive and hypercalcemia responsive to intravenous [...]

Case Presentation: A 64-year-old female with eosinophilic pneumonia, eosinophilic myocarditis, and hypothyroidism presented to the ED with four days of left upper extremity weakness. Symptoms began with a “sensation of heat,” progressing to left-sided weakness, impaired motor coordination, and fecal incontinence. She denied dizziness, visual changes, chest symptoms, falls, or head trauma.She previously used corticosteroids [...]

Case Presentation: A 65-year-old male with idiopathic pulmonary fibrosis (IPF) on immunosuppressive therapy, type 2 diabetes, and hypertension presented with fevers, abdominal pain, and generalized weakness. He was also noted to have a 40-pound weight loss over two months. He was recently admitted the month prior for mastoiditis and again two weeks earlier for similar [...]