Case Presentation: A 65 year-old man with end-stage renal disease was brought to the Emergency Department (ED) when he developed confusion and shortness of breath at a skilled nursing facility (SNF).  He had a recent prolonged hospitalization for pelvic osteomyelitis and was discharged to the SNF 3 days before presentation.  In the ED, the providers [...]

Case Presentation: A 65 year-old man with primary antiphospholipid syndrome (APS) was transferred to our hospital for management of refractory thrombocytopenia and thrombosis. His disease was diagnosed by positive lupus anticoagulant, anti-cardiolipin antibody, beta-2-glycoprotein IgM and IgG, and was well controlled with warfarin for years. His worsening APS was precipitated by traumatic subdural hematomas and [...]

Case Presentation: A 57 year old Hispanic woman with a history of chronic low back pain due to lumbar spondylosis and sacroiliac (SI) joint dysfunction previously treated with multiple joint injections, lumbar nerve blocks and radiofrequency ablations presented with a six week history of progressive left buttock and back pain. Notably, the patient received a [...]

Case Presentation: An 85-year-old Middle Eastern woman with an intermittently treated solitary hepatic hydatid cyst diagnosed 40 years ago presented to a hospital for 1 month of progressive nausea, vomiting, abdominal pain, and new onset hemoptysis. Past history included multiple myocardial infarctions and an ischemic stroke.  She immigrated to the United States (US) from a [...]

Case Presentation: A 76-year-old Hispanic man with poorly-controlled diabetes mellitus complicated by nephropathy presented to a hospital with 2 weeks of nausea, vomiting, and progressive lethargy. During the initial evaluation, he developed a focal right-sided seizure advancing to a generalized tonic-clonic seizure lasting 30 seconds. He was afebrile, hypertensive, and non-tachycardic with normal saturation on [...]

Case Presentation: A 39 year-old man, medically free but experiencing chronic left hip pain from a work-related injury, received a Trigger Point Injection (TPI) with Methylprednisolone and Bupivacaine. Within 12 hours he presented with severe hypokalemic paralysis. The TPI targeted the left iliopsoas tendon and was administered using ultrasound guidance. There were no immediately perceived [...]

Case Presentation: A 50-year-old male with Human Immunodeficiency Virus (HIV) was admitted with complaints of 1-2 months of progressive dyspnea on exertion, dry cough, subjective fevers, night sweats and approximately 15 pounds of weight loss. He had previously been on antiretrovirals (ARVs) for 3 years but discontinued therapy 1 year prior due to social issues. [...]

Case Presentation: A 55-year-old man was found altered in his truck in front of an abandoned building.  Neighbors called EMS after noting that the patient had not moved from his position in 4 hours.  On evaluation, the patient reported that he had just left work.  He was afebrile with mild tachycardia (heart rate: 112 beats [...]

Case Presentation: A 23 year old female with no significant medical history  presented to another hospital with progressive paresthesisas and lower extremity weakness for 6 weeks. Within 24 hours of admission she rapidly declined, requiring intubation and mechanical ventilation. She was sent to our facility for further management. On arrival she had flaccid, areflexic quadriparesis [...]

Case Presentation: We describe a 54-year-old male with past medical history of sickle cell disease, who initially presented with worsening dyspnea over the span of two weeks. He had no history of fevers, chills, chest pain, or lower extremity edema, but he did report a chronic dry cough for approximately one year. The patient’s oxygenation [...]