Case Presentation: Here we present a case of a 63 year old female with a past medical history of COPD on 5L home oxygen and BiPAP with eight exacerbations in the past year who presented with shortness of breath and was admitted for acute hypoxic respiratory failure secondary to COPD exacerbation. When initially evaluated by [...]

Case Presentation: A 54-year-old female with a past history significant for anxiety, tobacco, and alcohol use disorder presented to the emergency department with nausea, dizziness, weakness, and vomiting. Husband reports patient was bit by a dog on her right hand but denies any noticeable wound. He reports on the weekend she also had 2 episodes [...]

Case Presentation: A 58-year-old man with a history of Lyme disease was diagnosed with babesiosis two weeks earlier, confirmed by positive Babesia Polymerase Chain Reaction (PCR), and treated with a 10-day course of azithromycin and atovaquone. He returned with fatigue and exertional dyspnea, and labs indicated worsening pancytopenia. Suspecting hemolysis and bone marrow suppression from [...]

Case Presentation: The patient was a 61-year-old female with a medical history of hypertension, type II diabetes mellitus, and uterine carcinosarcoma with peritoneal carcinomatosis, and ascites who initially presented with abdominal pain and shortness of breath. Admission labs were significant for a white cell count of 15.6 and lactic acid of 2.6. Sepsis workup was [...]

Case Presentation: An 84-year-old male with a past medical history significant for improving chronic kidney disease stage 3 (baseline creatinine of 0.72 mg/dL) and prediabetes presented to the emergency department with altered mental status and poor oral intake from a low resource facility. Patient was recently hospitalized for perforated diverticulitis after sigmoidectomy and ostomy complicated [...]