Case Presentation: 66 yr old female presented to hospital with a 2 days hx of fever to 102.6F and bilateral pruritic forearm rash. 4 weeks prior she was diagnosed with MSSA bacteremia and acute heart failure secondary to infective endocarditis. Treatment at that time included a bioprosthetic aortic valve replacement and MV annuloplasty and course [...]

Case Presentation: A 23-year-old male college student with no PMH or significant FH presented to the ER with a 12hr history of recurrent substernal chest pain associated with diaphoresis, dyspnea, nausea and vomiting. Initial vitals were BP 129/82mmHg, HR 94 bpm, RR 18 breaths/min, SpO2 100% on RA and afebrile. No significant findings on examination. [...]

Case Presentation: A 36-year-old Dominican female, G3P2002, at six weeks gestation and no significant medical history presented with complaints of fever, headache, myalgias, nausea, vomiting, diarrhea, and diffuse abdominal pain for two days. She denied any recent travels, sick contacts, or any bug bites or ticks on her body. Patient is only allergic to penicillin [...]

Case Presentation: A 50-year-old man with a history of hypertension presented to the emergency department with a three-day history of nonstop hiccups. His systolic blood pressure was more than 200 and chest x-ray imaging was unremarkable. Over the next several days, his blood pressure remained elevated despite multiple medication additions, and he continued to complain [...]

Case Presentation: A 56-year-old Caucasian female with history of mechanical aortic and mitral valves on chronic warfarin therapy, atrial fibrillation, and questionable history of SLE was admitted to the intensive care unit for emergent splenectomy following a motor vehicle accident. After initially being sent home from a regional hospital, she was diagnosed five days later [...]

Case Presentation: A 41-year-old female with a history of hypertension, depression, and alcohol abuse presented to the emergency department with right facial swelling and pain after biting her cheek the previous night. The patient first noticed a small, unconcerning “red bump” on her cheek that was minimally painful earlier that morning. She was admitted to [...]

Case Presentation: A 60-year-old previously healthy female presented with a two-week history of intermittent fever with non-pruritic rash, generalized myalgias and arthralgia, weakness, and chest pain. Her exam revealed temperature of 39.3 degrees Celsius, anterior chest tenderness to palpation, diffuse salmon-colored maculopapular rash at bilateral extensor surfaces of upper extremities, and multiple coalescing annular rash [...]

Case Presentation: A 34 year old male with a history of CVID subclass 2 and 4, with low IgG level, absent IgA, liver nodular regenerative hyperplasia with portal hypertension, and immune thrombocytopenic purpura status post splenectomy presented with a month of nonproductive cough, mild episodes of hemoptysis, and shortness of breath. Physical exam revealed peripheral [...]

Case Presentation: 80 year old male with no significant cardiac history presented with worsening dyspnea (NYHA I to NYHA III) over a period of 3 months with episodic dizziness. He underwent Holter monitoring, which showed 7% episodes of monomorphic non-sustained VT coinciding with symptoms. Echocardiogram showed preserved left and right ventricular systolic function. Stress testing [...]

Case Presentation: 34 year old lady with AML presented with diarrhea of 2 days duration and was found to be positive for Salmonella on GI PCR, which was subsequently confirmed on stool culture.She was started on Ciprofloxacin for treatment and discharged. Returned 2 days later with resolved diarrhea but was febrile and now found to [...]