Case Presentation: This is a 21 year old male with no significant past medical history presenting with shortness of breath and fever.  Five days prior to presentation, he noted sore throat, fevers, and heart burn so he presented to an acute care clinic. He had a positive rapid strep screen, so he was given azithromycin [...]

Case Presentation: A 44-year-old male presented to the emergency department with a 2 hour history of altered mental status. His wife reports that when he awoke, he was confused and acting inappropriately. After no improvement for 2 hours he was brought to the ED. En route to the ED, he ate a Hershey chocolate bar [...]

Case Presentation: Mr. L, a 37-year-old Native American man with alcohol abuse disorder presented to the emergency room with sub-acute development over two days of ataxia, bilateral lower extremity paralysis and loss of sensation below the nipple line. Five days prior, the patient began to feel lethargic and confused. His symptoms progressed to include significant [...]

Case Presentation: A 38-year-old male presented to the hospital with fatigue and progressive exertional dyspnea. He had a childhood history of Kawasaki disease (KD) with no treatment or subsequent follow up. Physical exam revealed marked volume overload, JVD, bibasilar crackles, and an S3 at the left ventricular apex.  EKG was unremarkable. Chest x-ray showed pulmonary [...]

Case Presentation: This is a 53-year-old Caucasian female with a history of hypertension, recent stroke, and obesity, who presented with chest pain. She had intermittent chest discomfort as a child and was told she had asthma; however, over the past few months, her chest pressure became more frequent and occurred both with activity and rest. [...]

Case Presentation:       A 33 year-old Hispanic male without significant history presented with an unremitting fever for 5 days, associated with myalgais, fatigue, night sweats, and a rash. Upon admission, he was tachycardic, hypotensive and febrile at 103F. Physical exam revealed a diffuse non-blanching, maculo-papular rash, sparing the face, palms and soles. Labs [...]

Case Presentation: A 64 year old male presented with a three day history of fever, hand soreness and rash.  On the day of presentation, he had just returned from the Caribbean, however denied any history of ill contacts, recent hiking or contact with large bodies of water.  There were no known allergies, recent changes in [...]

Case Presentation: Introduction: Tracheal tumors commonly arise as metastasis from neighboring thyroid, esophageal, laryngeal or lung tumors. Primary tracheal tumors are extremely rare with an incidence of 1 in 1,000,000 persons per year. Often presenting with non-specific symptoms, diagnosis is difficult. Case Report: A 59-year-old Caucasian male with a history of marijuana abuse, arterial thrombosis, [...]

Case Presentation: Hypercoagulable disorders pose an increased lifetime risk of developing venous thromboembolic events (VTE). It is established that patients with these disorders usually need lifelong anticoagulation once they have more than one thromboembolic event. With the emergence of novel oral anticoagulants (NOAC), management of these patients has been streamlined. However, in times of medical [...]

Case Presentation: An ADL-independent 75-year-old woman with a history of diabetes who was receiving insulin therapy visited our emergency department owing to fever and chills, which had started 3 days before the visit. At that time, her consciousness level was GCS E4V4M6, temperature was 36.8°C, pulse rate was 83 beats/minute, blood pressure was 82/46 mmHg, [...]