Case Presentation: A 41- year old female with history of hypertension was admitted to our hospital with complaints of intermittent diffuse abdominal pain, diarrhea, and generalized rash. Vital signs were normal. Physical examination was notable for diffuse maculopapular rash. Laboratory investigations showed pancytopenia and acute renal failure. Further investigations were positive for a speckled pattern ANA, [...]

Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems was negative. Vitals signs were normal. Abdominal exam was remarkable for distension and left lower quadrant tenderness with no rebound [...]

Case Presentation: Syphilis is known as the “Great Imitator” for good reason. With its insidious onset and nonspecific presentation, it is often mistaken for other diagnoses or overlooked altogether. Here, we describe a case of an isolated facial nerve palsy as a rare manifestation of neurosyphilis. A 53-year-old man presented to urgent care with acute-onset [...]

Case Presentation: A 59-year-old woman with a history of ductal carcinoma in situ status post mastectomy presented with dizziness exacerbated by change of head position. Patient endorsed a history of intermittent dizziness in the past few weeks, which caused her to fall on her right hip on three occasions. Hip radiograph showed no evidence of [...]

Case Presentation: A 22-year-old male with no PMH or FH of autoimmune diseases and no substance use history presented with several days of worsening dyspnea, pleuritic chest pain, cough and hemoptysis. On evaluation, his vital signs were T 98.3oF, BP 103/64 mmHg, HR 86/min, RR 21/min, SpO2 93%. Physical exam was notable for auscultation of [...]

Case Presentation: A 33-year-old patient with a history of ST-elevation myocardial infarction (STEMI) requiring 2 cardiac stents at the age of 30, presented with intermittent substernal chest pressure.  He denied a previous history of nicotine, alcohol, or recreational drug use, and related having an uncle with premature coronary arterial disease (CAD). His physical exam was [...]

Case Presentation: A 19-year-old male with a past medical history of malaria and recent immigration to the U.S. from Somalia presented with a witnessed episode of tonic-clonic seizure. He had no history of seizure disorder, recent trauma, new medications, alcohol use, fevers or chills. He was afebrile with stable vital signs. Physical exam including neurological [...]

Case Presentation: A 50-year-old white female presented with the acute onset of right lower quadrant abdominal pain.   The patient’s temperature was 37.7° Celsius.  Physical examination was remarkable for voluntary guarding and rebound tenderness, which was most pronounced in the right lower quadrant.  White blood count was 7.0 k/uL.  CAT of the abdomen revealed an [...]

Case Presentation: A 46 year-old gentleman presents with an acute worsening of his chronic low back pain with radiation and paresthesias down his left leg. On admission, he was febrile, tachycardiac and uncomfortable appearing. He has point tenderness of lumbar spine, normal rectal tone, 2+  patellar, Achilles reflexes and 5/5 strength in bilateral upper and [...]

Case Presentation: A 55 yo African American Male with DMII, HTN, CKD, Hyperlipidemia who initially presented with worsening right leg swelling and diagnosed with an unprovoked right femoral vein non-occlusive Deep Venous Thrombosis (DVT) and occlusive thrombus of the right popliteal vein.  The patient underwent tissue plasminogen activator (TPA) administration and mechanical thrombectomy.  He was [...]