Case Presentation: 35 year old African American Female with history of HIV of 16 years duration, not on antiretroviral therapy, was admitted to the hospital with shortness of breath, generalized weakness, and poor appetite of 2 week duration. She had been admitted to the hospital a month ago for candidal esophagitis and discharged on dapsone [...]

Case Presentation: 49 year old Caucasian male was admitted to the hospital after suffering an outside hospital cardiac arrest due to ventricular fibrillation. His electrocardiogram (EKG) showed findings of left ventricular hypertrophy (LVH) with giant T wave inversions in anterolateral leads (fig A). An Echocardiogram showed ejection fraction of 65-70% with moderate concentric LVH and [...]

Case Presentation: A 64-year-old year old woman with no personal or family history of HTN was diagnosed with right renal angiomyolipoma incidentally on work up for latent TB and referred to interventional radiology for partial right RAE. On routine follow up one week post procedure, she was noted to be normotensive. One-month post procedure while [...]

Case Presentation: Patient with prior history of alcohol use presented with abdominal pain, nausea vomiting of 4 days duration. Labs were remarkable for elevated BUN 38 mg/dL, Creatinine 1.9 mg/dL, AST 50 U/L and lipase 771 U/L. CT abdomen and pelvis showed a poorly delineated mass within the head and uncinate process of the pancreas [...]

Case Presentation: 84-year-old male with past medical history of Hypertension, lacunar thalamic infarct presented for evaluation of dizziness which started 30 minutes prior to ED arrival. His vitals were remarkable for elevated blood pressure 172/97. He was noted to be ataxic, otherwise, no neurological deficits noted on initial physical exam. His labs were remarkable for [...]

Case Presentation: A healthy 22-year-old woman presented to the ED with five days of fevers, dry cough, dyspnea and right-sided pleuritic chest pain. Lab work and a CXR were unremarkable. A nasal swab diagnosed Influenza B and she was discharged with Oseltamivir, which she did not take. Two days later, the patient returned with progressive [...]

Case Presentation: A 33-year-old nulliparous female with no past medical history presented with 10 months of postmenstrual umbilical pain. She denied vomiting or bowel habit changes, but noted recent orthopnea and nocturnal wheezing. She had regular, monthly menstrual cycles associated with dysmenorrhea since menarche at age 11.  She had not been sexually active for 4 [...]

Case Presentation: A 49 year-old man with a recent diagnosis of myasthenia gravis presented with 3 days of fever up to 103, rhinorrhea, frontal headache, mild lower extremity weakness, a mildly productive cough, and a leukocytosis to 16. As he had been started on prednisone and azathioprine 10 days prior to his presentation, he underwent [...]

Case Presentation: An 84 year old female with a past medical history significant for systemic lupus erythematous (SLE) presented to the emergency department with fatigue and dizziness. She had recently been admitted to the same hospital with acute kidney injury secondary to lupus nephritis. During that admission, she was started on high dose prednisone, a [...]

Case Presentation: A 69-year-old woman with metastatic breast cancer, atrial fibrillation (on coumadin) and CKD stage III was admitted after a fall. She was treated for pneumonia with ceftriaxone and azithromycin. On hospital day 2, the patient became encephalopathic, hypotensive and required endotracheal intubation for hypercapneic respiratory failure. Antibiotics were broadened to vancomycin and piperacillin/tazobactam.On [...]