Case Presentation: A 67-year-old man with history of Hashimoto thyroiditis was attending a routine clinic appointment and was found to have a resting heart rate of 40 beats per min and was referred to the emergency department. The patient had not been evaluated by a physician for two years and previous heart rates were unknown. [...]

Case Presentation: A 46 year-old woman presented with one week of palpitations and dyspnea on exertion. Her medical history was remarkable for a pericardial effusion of unknown etiology two months prior, treated with pericardiocentesis in Guyana. On presentation she was hemodynamically stable. Exam was significant for distant heart sounds and decreased breath sounds at the [...]

Case Presentation: A 58-year-old man with history of heavy tobacco use, presented to the emergency department with intermittent watery nonbloody diarrhea for 4 days, associated with worsening confusion and decreased urine output. He denied recent traveling or sick contacts. On examination he was found to be febrile (102.6F), hypertensive, tachycardic (102bpm) and tachypneic (22rpm) and [...]

Case Presentation: A 65-year-old black woman with history of longstanding controlled HIV on highly active antiretroviral therapy (HAART) and chronic Hepatitis C co-infection, presented with a 2-day history of worsening lower back pain. She was compliant with her HAART regimen (darunavir, lamivudine, raltegravir and ritonavir) since her diagnosis in 1994, with persistently undetectable viral loads [...]

Case Presentation: A 54-year-old male with history of cocaine and marijuana abuse presented to the emergency room (ER) with a few-hour history of dizziness and abdominal pain. He also reported a two-month history of intermittent right upper jaw pain that he was treated for presumed gingivitis with analgesics and antibiotics. In the emergency department, vital signs [...]

Case Presentation: A 45 year-old Hispanic-female was admitted from ophthalmology clinic to the internal medicine ward for 3 week history of left-sided blurry vision, diplopia, opthalmoplegia, ptosis, peri-orbital pain, occipital headaches, impaired V1 and V2 facial sensation, and intermittent ear pain. Her medical history was pertinent for rheumatoid arthritis on immunosuppression and poorly controlled type [...]

Case Presentation: A 57 year old female with history of systemic mastocytosis, hypertension and dyslipidemia presented to the emergency department with complaints of intermittent sub-sternal chest pain for 7 days. On presentation, vital signs were normal. Electrocardiogram (EKG) was done which revealed ST segment elevation in the anterior leads. Patient’s serum troponin I and CK-MB [...]

Case Presentation: 30 year old female with HIV/AIDS, a recent CD4 count of 7 who presented with 4 weeks of diarrhea, nausea, vomiting and odynophagia. She reported weight loss of 190 lbs over the last 6 months. She had been recently admitted with similar complaints and diagnosed with Cryptosporidial diarrhea and esophageal candidiasis. She was [...]

Case Presentation: A 42 year old African American male with a recent diagnosis of Ulcerative Colitis (UC) presented with recurrent bloody diarrhea, abdominal pain, fevers, chills, weight loss and was admitted for management of a presumed UC flare. On a previous admission 2 months prior, he had been diagnosed with UC with a colonoscopy and [...]

Case Presentation: A previously healthy 19-year-old woman presented to the emergency department with one week of abdominal pain, bloody diarrhea, and fever. Two weeks prior, she reported a non-specific flu-like illness. On admission, she was febrile, tachycardic, and hypotensive. She had a toxic appearance and a firm, diffusely tender abdomen. She had no oropharyngeal, pulmonary, [...]