Case Presentation: An 18 year male presented to the ED with complaints of 48 hours of chest pain radiating towards the neck associated with a sensation of fullness of the upper chest.  He began a vigorous bench pressing regimen about two weeks prior to admission (PTA) with last session 5 days PTA. History is remarkable [...]

Case Presentation: A 58-year-old male of Vietnamese origin with a history of uncontrolled diabetes mellitus was brought to the hospital after being found unresponsive at his home. Physical exam revealed a febrile male with tachycardia and a soft tissue swelling on the anterior part of his left shin. Labs revealed leukocytosis, renal insufficiency, lactic acidosis [...]

Case Presentation: A 68 year old White female with atrial fibrillation presented with worsening dyspnea and cough. She was previously followed for similar symptoms and a computed tomography (CT) scan of the chest done in November 2012 demonstrated minimal basilar airspace disease.  At that time an extensive workup including autoimmune serology was unrevealing and her [...]

Case Presentation: A 55-year-old woman presented with 7 days of progressively worsening posterior neck pain, a low grade fever, odynophagia and hoarseness of her voice. Her past medical history includes diabetes mellitus, hypertension and osteoarthritis. A day after onset of the pain, she went to her primary care physician’s office for evaluation. A throat culture [...]

Case Presentation:  A 67-year-old female with a history of hypothyroidism, type II diabetes and hypertension presented with acute on chronic diarrhea.  She reported a 9-month history of profuse watery stools, up to 15 times per day.  Outpatient workup including infectious stool studies, celiac panel, and allergy testing, had been unrevealing. Esophagogastroduodenoscopy and colonoscopy with biopsies [...]

Case Presentation: A 66-year-old Caucasian female presented with persistent fever (38.7 degrees Celsius) and non-productive cough with onset 4 weeks prior, and despite 2 courses of antibiotics, she developed right-sided neck swelling and pain about 2 weeks prior to admission.  Significant medical history included Immunoglobulin G (IgG) deficiency that was diagnosed nine months prior, and [...]

Case Presentation: A 68 year old male with a history of severe hemophilia (factor VIII <1%) and hypertension presented with symptoms of nausea, vomiting, severe dyspnea, diaphoresis and substernal chest pain for several days prior to admission. On initial presentation, electrocardiogram revealed ST-segment depressions in leads V5 and V6, with a troponin elevation to 24, [...]

Case Presentation: 52 year old woman presented with finger and hand pain in the setting of bites suffered from a Capuchin monkey. Five days prior to admission, the patient was bitten by her pet on her left first digit. She noted near immediate edema and erythema. After consultation with her primary care provider, she obtained [...]

Case Presentation: A 22-year-old female presented to the hospital with worsening pain and weakness in her left lower extremity. The patient reported non-healing ulcerations along her left leg and foot for the past month that she initially attributed to a bug bite while in the woods. She originally presented to an outside hospital and was [...]

Case Presentation: 70 year old male admitted for a complicated UTI was placed on piperacillin / tazobactam empirically and subsequently developed abdominal distension and small bowel obstruction. He was admitted to the ICU for fulminant colitis secondary to severe Clostridium Difficile with concern for toxic megacolon. Labs showed a WBC of 34 along with an [...]