Case Presentation: A 24 year old female with uncontrolled Type 1 Diabetes Mellitus was admitted with bilateral lower extremity swelling and abdominal fullness. Three weeks prior she visited the emergency department, was found to have mild bilateral pedal edema, and was given primary care physician follow-up. She was initiated on a diuretic regimen; B-type natriuretic [...]

Case Presentation: A 70 year old female with recently diagnosed right sacroiliitis presented with worsening right hip pain. Five months prior to admission, patient was hospitalized at an outside hospital for right hip pain and fevers. Imaging was suggestive of sacroiliitis. Cultures were negative for pathogens and biopsy showed inflammation. Patient was diagnosed with likely [...]

Case Presentation: A 36 year-old African-American female with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) was admitted to a community hospital with hypercalcemia and acute kidney injury (AKI). She recently was diagnosed with HIV/AIDs with diffuse lymphadenopathy. An abdominal lymph node biopsy showed Mycobacterium avium complex (MAC). She was started on highly active anti-retroviral therapy (HAART) [...]

Case Presentation: This is a previously healthy 41-year-old man who presented with fevers, headache, and neck stiffness for 5 days. He also reported photophobia, anorexia, insomnia, nausea but no vomiting. He denied any recent travel and was not aware of any insect bites. The patient had a faint macular rash on his upper chest and [...]

Case Presentation: A 39 year old male with a history of alcohol abuse and recurrent methicillin resistant Staphylococcus aureus bacteremia was referred for tertiary evaluation of recurrent bacteremia and diffuse eczematous eruption. He reported chronic diarrhea and long standing eczema with significant worsening of his rash in the last few months. A scaly and painful [...]

Case Presentation: A 49 year-old woman with type 2 diabetes presented with emesis and inability to tolerate oral intake. Her symptoms had developed three days earlier, following an elective abdominoplasty and incarcerated hernia repair. Her anti-hyperglycemic regimen included sitagliptin, glimepiride, and dapagliflozin. She had stopped those medications on the day of surgery and restarted them [...]

Case Presentation: A 67 year old female with no past medical history presented to our emergency department for new onset shortness of breath, chest pain, and palpitations for 90 minutes. Of note, she reported 8 pound weight gain, generalized fatigue, and abdominal distension for several months prior to presentation. Physical exam revealed a heart rate [...]

Case Presentation: An 89 year old male presented with itchy red rash over the body since two weeks. His past medical history was significant for Rheumatoid Arthritis (RA) managed with 2.5 mg weekly oral Methotrexate and 200mg daily Hydroxychloroquine for RA. Examination revealed multiple annular purpuric lesions with central erosion on lower extremities, upper extremities [...]

Case Presentation:             A 64- year- old woman with past medical history of type 1 diabetes mellitus (DM), managed with 22 units of daily subcutaneous long acting insulin, and 50  mg of daily oral canagliflozin, presented to the hospital with new onset nausea and vomiting. Physical examination was notable for Heart [...]

Case Presentation: A 26-year-old woman with no PMH presented to the emergency department (ED) with persistent fever for six days. Patient had dry cough and low grade fevers with one spike to 40oC. After four days of symptoms, patient began azithromycin without relief. One day prior to presentation, patient was discharged from ED for presumed [...]