Case Presentation: A healthy 50 year-old high school teacher with a past surgical history significant for elective bilateral breast augmentation presented to clinic for a 2-month history of dry cough unresponsive to steroids. She reported a constellation of symptoms including worsening non-exertional dyspnea, low grade fevers, night sweats, unintentional 30lb weight loss, fatigue, dry skin, and [...]

Case Presentation: A 26 year old female with no past medicalor psychiatric history presented to our hospital by her friends after they reported complaining that she had been behaving impulsive and manic during the preceding week. As described by friends and family, patient had recently traveled from Arkansas to Chicago to visit her family. However [...]

Case Presentation: A 36-year-old healthy women presented with high fever, headache, and “not feeling well” two weeks after she had termination of pregnancy by dilatation and curettage procedure. She had minimal vaginal bleeding and denied vaginal discharge. She also vomited several times and had two bouts of diarrhea. She denied any significant coughing, sputum, or [...]

Case Presentation: An 84 year-old man with a history of diet-controlled diabetes, atrial fibrillation, and MGUS was admitted for back pain and 30 pounds of unintentional weightloss over 3 months.  His wife also reported that he had had a mild cognitive decline over this period.  On admission, he was noted to have new thrombocytopenia and [...]

Case Presentation: A 65-year-old Caucasian male with history of recurrent pulmonary embolism on chronic warfarin and hypertension was transferred from a nursing home to the hospital for shortness of breath and cough for two days. He was initially treated for healthcare associated pneumonia and later developed clostridium difficile colitis. He was noted to have severe bilateral lower extremity edema, which he [...]

Case Presentation: A 24 year old male presented for cardiology evaluation after a syncopal episode. At the time of the event, he experienced dizziness and was witnessed to fall and hit his head. Neurological assessment was unremarkable.  Echocardiogram showed normal cardiac architecture and function. During cardiology follow up, past history was thoroughly examined. The patient [...]

Case Presentation: A 68 year old woman with a past history notable for recurrent urinary tract infections presents with one day of confusion, odd postures, mutism, and subjective fever. In the Emergency Department, she was febrile to 103o, tachycardic, and appeared restless, with odd purposeless movements of her extremities. She was only able to follow [...]

Case Presentation: A 34-year-old female with history of Systemic Lupus Erythematosus and gastroparesis status post Roux-en-Y gastric bypass (RYGB) surgery, was admitted for intractable nausea and vomiting. CT scan of abdomen and pelvis showed large stool burden. Conservative treatment was implemented. During her hospital course, she developed symptomatic hypoglycemia (blood glucose <40mg/dL), that recurred despite [...]

Case Presentation: A 54 year-old-woman presented with one week of progressive fatigue, shortness of breath, and productive cough.  Physical exam revealed fever of 101.6⁰ F, poor oral dentition, bilateral pulmonary crackles and left lower quadrant abdominal tenderness. Initial laboratory workup was remarkable for elevated procalcitonin which prompted initiation of broad spectrum antibiotics. Chest X-ray was [...]

Case Presentation: A 30 yo female without significant medical history presented to hospital complaining of facial swelling and dyspnea on exertion of 3 days duration. She described increasing fatigue, nausea and throat discomfort but denied diarrhea, cough, sputum production, fever, chills, rigors, sweats or abdominal pain. The patient had attributed her symptoms to contact with [...]