Case Presentation: A 29 year old male with a history of known dental caries and HIV with a CD4 count of 871/uL and an undetectable viral load presented with one month of right-sided jaw pain and facial numbness. He was initially treated for Bell’s palsy and dental abscess without improvement. It was recommended that he [...]

Case Presentation: 59 year old African American male with a history of sarcoidosis on prednisone, pulmonary HTN, CKD 3, NIDDM, and NICM presented to the ED with a 2 week history of leg swelling/pain. He was febrile on presentation. He was prescribed cephalexin for cellulitis and discharged. He returned 2 days later with worsening lower [...]

Case Presentation: A 64 year old male suffered from gradual onset fatigue and change in mentation over the course of a month. His symptoms then progressively worsened as he became confused and developed intermittent headaches. Past medical history includes pulmonary sarcoidosis, treated with 20mg of prednisone daily. On presentation, the patient had no neck stiffness. [...]

Case Presentation: A 61 year-old man with a history of aortitis of uncertain etiology and pseudoaneurysm s/p thoracic endovascular aortic repair (TEVAR) with subclavian coiling eight months earlier presented with progressive worsening left upper and lower extremity pain beginning post-operatively. On admission the patient developed hemoptysis, usually scant, but intermittently as much as 100cc. He [...]

Case Presentation: A 21 year old male with no past medical history presented with black and bloody stools for one day.  He also reported accompanying fatigue, lightheadedness, nausea without vomiting as well as abdominal bloating.  He denied any history of gastrointestinal bleed as well as prior esophagogastroduodenoscopies (EGD) or colonoscopies.  His exam was remarkable for [...]

Case Presentation: We report a case of a 44 year old female with a history of hepatitis C and alcoholic cirrhosis, abstinent from alcohol for about two years, who presented from a nursing facility with few weeks of confusion and bilateral lower extremity weakness and imbalance. Her family reported that she was oriented, communicative and [...]

Case Presentation: We describe a 57 year-old man with no significant medical history, who was in his usual state of health until one week prior to presentation when he developed flu-like symptoms, cough, exertional dyspnea and orthopnea. He had a mild sore throat but denied fevers, chills, sputum production or pleuritic chest pain. The patient [...]

Case Presentation: A 55-year-old woman, with benign past medical history presented with a two-week of low-grade fevers and erythematous papules that evolved into small discrete honey-colored crusted plaques and pustules on her face. She was initially treated with antibiotics for presumed bacterial infection. She had been on Doxycycline for over a week for management of [...]

Case Presentation: 85 year old female was admitted on account of lethargy and decreased oral intake for the previous week, and evidence of anemia. She had undergone a transcatheter aortic valve replacement(TAVR) 5 months prior for her management of her severe aortic valve stenosis. Additionally, she suffered from recurrent gastrointestinal bleeding due to arteriovenous malformations, [...]

Case Presentation: An 18 year old male with Diabetes Mellitus 1 was admitted for management of painful foot ulcerations after having submerged his feet daily in 20 hour ice baths for relief of chronic foot pain. On exam, there were numerous symmetric, foul-smelling, tender, shallow ulcers with overlying crusting and purulent drainage on bilateral dorsal [...]