Case Presentation: A 31-Year old Caucasian female with a history of skin biopsy proven Sweet’s syndrome presented with rapid worsening of left-sided periorbital redness, swelling, proptosis, and binocular diplopia. No fever or chills. On physical exam, extra ocular movements were intact. Pupils were equal, round and reactive to light and accommodation. Visual acuity and fields [...]

Case Presentation: An 82-year-old man with a history of hypertension and known aortic insufficiency presented with bilateral lower extremity rash, ankle edema, and bradycardia. The ankle edema began two weeks prior to presentation followed by an erythematous, pruritic rash on his anterior shins. He initially presented to urgent care and was found to have a [...]

Case Presentation: A 43-year-old female patient with no medical history presented with multiple abdominal wall abscesses. She attended a cosmetic spa four months prior where she received weight loss injections known as “carboxy therapy” to her abdomen. Subsequently, she developed enlarging painful red lesions of varying sizes at the injection sites. She underwent incision and [...]

Case Presentation: 64-year-old female with non-insulin-dependent type 2 diabetes mellitus presented to the emergency room with a 2-week history of progressive pain and swelling of her left index finger. Prior outpatient evaluation with X-rays and MRI resulted negative, and a Cortisone injection and anti-inflammatories provided no relief. She reported difficulty moving her finger, increased warmth [...]

Case Presentation: A 53 yo female presented with a subacute syndrome of intermittent fevers, fatigue, heliotrope rash, weight loss, fingertip necrosis, and nodular skin lesions. Skin biopsy was positive for septal and lobular granulomatous panniculitis. Serology was positive for antinuclear antibody (ANA) and anti-ribonucleoprotein (RNP), negative for other vasculitis and rheumatologic autoantibodies. She was diagnosed [...]

Case Presentation: A 61-year-old male presented to the hospital with metastatic adenocarcinoma and peritoneal carcinomatosis causing small bowel obstruction. Following an aspiration event he was admitted to the ICU with multifocal pneumonia and findings consistent with acute respiratory distress syndrome. He was intubated in the setting of hypoxemia, and after approximately 12 hours was noted [...]

Case Presentation: A 40-year-old male of Hispanic/Asian origin with a history of diabetes mellitus type II, hypertension, dyslipidemia, recurrent sinusitis and bilateral otitis media presented to the emergency department complaining of acute hand joints pain, nasal congestion and left ear pain. On physical examination, he appeared fatigued with no acute distress. He had prominent sinus [...]

Case Presentation: A hospitalized 71-year-old female became acutely encephalopathic after an esophagogastroduodenoscopy under conscious sedation which was performed to evaluate a chronic esophageal ulcer and other potential causes of dysphagia. Her past medical history was significant for obesity, hypothyroidism, chronic back pain, peripheral neuropathy, colorectal mucinous adenocarcinoma with carcinomatosis and metastases to the lung, chronic [...]

Case Presentation: 59 yo Caucasian male presented from an outside hospital (OSH) with primary complaint of “leg abscesses” of 1 wk duration. Patient was afebrile, vital signs stable and in no acute distress complaining of painful “leg abscesses.” PMHx significant for recurrent scrotal cellulitis for the past few years, but was improving when the leg [...]

Case Presentation: A 70-year-old man with no significant history presented with lower back pain for 1 month. The pain, specifically involving the bilateral lower back which radiated down the buttocks, was sharp, intermittent, and 10/10 in severity. His pain started gradually but progressively worsened, limiting the patient’s ability to ambulate. The patient reported constipation for [...]