Case Presentation: A 40-year-old female presented in June of 2023 with emesis and a fever of 38.9 °C. She complained of epigastric pain radiating to the back. The patient reported no recent travel. She worked in a daycare and had a pet dog. She had not hiked or camped recently. She walked her dog at [...]

Case Presentation: A 31-year-old female with a past medical history of obesity, angioedema, and ADHD presented to the ED for progressive bilateral numbness and weakness in both extremities starting after she increased her Semaglutide dosage by an unknown amount 6 days prior . The vital signs demonstrated slight tachycardia, otherwise were unremarkable. On physical exam, [...]

Case Presentation: A 65-year-old male with hypertension, hyperlipidemia, and alcohol use disorder presentedwith sudden severe generalized abdominal pain after a year of intermittent lower abdominaldistention but no urinary symptoms. He denied dysuria, hematuria, frequency, urgency,hesitancy, or recent urologic procedures. Prior outpatient evaluations had suggestedpossible urinary retention, but no definitive diagnosis or treatment had been implemented.In [...]

Case Presentation: For this 18-year-old woman, the pregnancy ended but the diagnosis never did. Eighteen months after an eclamptic delivery, she presented with occipital headache, photophobia, and a generalized tonic–clonic seizure. In the intervening months, she had difficult blood pressure and recurrent seizures, repeatedly framed as lingering eclampsia and post-pregnancy hypertension despite escalating polypharmacy. On [...]

Case Presentation: An 88-year-old male with a past medical history of type 2 diabetes, hypertension, and hypothyroidism presented with acute onset right leg paralysis.The patient awoke with complete right leg paralysis, but otherwise asymptomatic and had normal mentation. Vital signs were unremarkable. Physical exam was notable for decreased sensation in the entire right lower extremity, [...]

Case Presentation: A 23-year-old woman with juvenile idiopathic arthritis, large vessel vasculitis, and prior pulmonary embolism presented with progressive dyspnea, fatigue, and hemoptysis. Diagnostic evaluation revealed large vessel vasculitis and right-sided pneumonia on imaging; echocardiography showed a dilated left ventricle with global hypokinesis, severe aortic insufficiency (ejection fraction 39%), and moderate hypertrophy. Her cardiac catheterisation [...]

Case Presentation: We present the case of a 31-year-old female with a medical history of superior mesenteric artery syndrome status-post duodenojejunostomy, postural orthostatic tachycardia syndrome, and joint hypermobility who presented with acute-on-chronic abdominal pain and a two-week history of postprandial diarrhea. CT angiography of the abdomen and pelvis revealed severe proximal celiac artery stenosis with [...]

Background: Emory Healthcare’s approach to monitoring high-risk mortality patients relies heavily on retrospective data collection and analysis, which delays identification of and addressing critical issues. Additionally, the absence of standardized processes for mortality reviews and improvement efforts across the system leads to inconsistent practices and hinders proactive quality improvement initiatives. Purpose: We seek to improve [...]

Case Presentation: Our patient is a 68-year-old man with a past medical history of renal cell carcinoma s/p nephrectomy, metastatic melanoma s/p small-bowel resection in 2025 on immune checkpoint inhibitor therapy started 3 weeks prior, and CKD stage III, who presented due to shortness of breath, right-sided ptosis, and worsening bilateral lower extremity edema.In the [...]

Case Presentation: Anaplasma phagocytophilum, a gram-negative tick-borne pathogen, presents with a notably diverse clinical spectrum ranging from mild flu-like symptoms to multi-organ failure. A 50-year-old man initially presented after experiencing two syncopal episodes. His course began with malaise and weakness, followed by a day of profuse diarrhea and subsequent syncope without any prior history of [...]