Case Presentation: A 46-year-old female with a medical history of type 2 diabetes, asthma, obesity, and anxiety presented to the emergency department with a five-day history of fever, myalgias, and headache. Additionally, she experienced intermittent episodes of epistaxis and gingival bleeding while brushing her teeth for the past week. She had recently returned from a [...]

Case Presentation: Mr. D is a 60-year-old male building superintendent with a history of asthma and moderate alcohol use disorder who presented with six days of fatigue. Later, he developed headache, substernal pleuritic chest pain, epigastric and RUQ abdominal pain, nausea, vomiting, and weight loss of around 20 pounds in a week. The patient reported [...]

Case Presentation: A 66-year-old male with a past medical history of hypertension, atrial fibrillation, and diabetes initially presented to the hospital with shortness of breath, fatigue, and several episodes of bloody stool after two weeks of intermittent bloody stool at home. He reported that he had seen his PCP who had initiated a workup but [...]

Case Presentation: 63-year-old female with medical history significant for idiopathic thrombocytopenia purpura (ITP), requiring splenectomy in 2013, pulmonary embolism requiring IVC filter placement due to ITP and asthma, presented with acute onset of shortness of breath. Patient had diffuse petechial rash on extremities. She was tachypneic, hypoxic and had rales on examination. Initial evaluation with [...]

Case Presentation: A 19-year-old woman presented to an outside hospital with 2-hours of slurred speech and right-sided paresthesia. Her past medical history was significant for obesity and gastric sleeve surgery. Vitals showed blood pressure of 156/98 mmHg, pulse of 96 bpm, respiratory rate of 18 bpm, and oxygen saturation of 100% on room air. The [...]

Case Presentation: The patient is a 66-year-old female with a past medical history of asthma-COPD overlap (ACO) with recent exacerbation who presented with sudden-onset severe dyspnea. Patient was intubated for ACO exacerbation three weeks prior to admission and was started on heparin for deep vein thrombosis prophylaxis with platelet at 293, 000/microliter. At the rehabilitation [...]

Case Presentation: A 65-year-old male with hypertension, hyperlipidemia, type 2 diabetes, and hypothyroidism was admitted to the hospital with fevers and chills in the setting of leukopenia and thrombocytopenia. Symptoms began on his way home from India four days prior and progressed to a Tmax of 102F with chest congestion. His physician ordered labwork that [...]

Case Presentation: A 39-year-old obese man with type 2 diabetes, dyslipidemia, and hypertension presented to the ED with intermittent abdominal pain, diarrhea, nausea, and emesis 2 weeks after an illness with sore throat. He denied fever, chills, shortness of breath, epistaxis, gum bleeding, or easy bruising. Medications included losartan-hydrochlorothiazide, metformin, and tirzepatide. Vital signs showed [...]

Case Presentation: A 74-year-old woman with type II diabetes mellitus, chronic hypertension, and neuropathy, presented to the hospital following a 9-day course of chest and back pain. She was found to have a late-presenting anterolateral myocardial infarction and was transferred to a cardiac ICU after developing cardiogenic shock secondary to a ventricular septal rupture. An [...]

Case Presentation: A 22-year-old female with a history of immune thrombocytopenia (ITP) and asthma presented with fever, altered mental status, and bilateral lower extremity petechiae. She was previously taking hydroxychloroquine daily for ITP but discontinued it on her own eight months prior. She denied any new medications, recent animal exposures, insect bites, trauma, or recent [...]