Case Presentation: A 29-year-old Caucasian male lettuce farmer with no significant past medical history presented to our ED with acutely worsening holocranial throbbing headache, polyarthralgias, intermittent migrating burning rashes, and severe paresthesia to tips of all toes. He reported a three-week history of neck pain, excruciating hyperesthesias to light touch, diffuse abdominal pain, and constipation. [...]

Case Presentation: A 19-year-old male presented with three days of fevers, cough, and pleuritic chest pain. He had a history of cystic fibrosis (CF) with lung and pancreatic involvement and allergic bronchiopulmonary aspergillosis (ABPA). Home medications were albuterol, dornase alfa, 3% normal saline, inhaled tobramycin, voriconazole, and pancrelipase. He was febrile, tachycardic, and had diminished [...]

Case Presentation: The patient is a 23 years old Hispanic male with no significant past medical history presented to the ED with the chief complaints of sore throat, headache, nausea, vomiting for 5 days. He was at his baseline health status 5 days ago, when he started noticing malaise, followed by sore throat and fever. [...]

Case Presentation: The patient is a 67 years old female with Hepatitis C and alcoholic liver cirrhosis, HCC, atrial fibrillation who presented to the ED with fever, chills and altered mental status. Per husband, the patient did not have any focal symptoms including cough, abdominal pain, burning urination, headache or photophobia. On initial evaluation patient’s [...]

Case Presentation: A 95 year old woman with a remote history of treated breast cancer and endometrial cancer presented to the hospital with severe abdominal pain and somnolence. One month prior, the patient was living independently in her usual state of health. She developed dysuria and malaise and visited an outside hospital. Routine laboratory testing [...]

Case Presentation: A 56-year-old male with history of alcohol abuse presented to the Emergency Room complaining of worsening abdominal pain for 2 weeks. Patient stated that he drinks half a pint of whiskey every day, and that the last drink was the day before presenting to the Emergency Room. He also reported that he had [...]

Case Presentation: Our patient is a 35-year-old male with a history of hypertension who was transferred from an outside hospital (OSH) for renal vein, and inferior vena cava (IVC) thrombosis. A month prior to presentation to the OSH, he had developed acute, right-sided flank pain with nausea. At the OSH, he was diagnosed with nephrolithiasis, [...]

Case Presentation: A 67-year-old Japanese man was brought to our hospital because of a headache. He had noticed his headache and retroorbital pain four days before and they had been getting worse gradually. Subsequently, he noticed double vision and left drooping eyelid in the morning of the day before his first visit. He did not [...]

Case Presentation: Confusion and headache in a young male is suspicious for encephalitis until proven otherwise. We present a case of anti-NMDA receptor encephalitis from clear cell renal cell carcinoma causing acute encephalopathy in a hospitalized patient. A 25 year old African American male presented with two days of slurred speech, headache and confusion. He [...]

Case Presentation: A 19 year-old man presented with two days of non-radiating left testicular pain. He denied associated symptoms or trauma. His past medical and surgical histories were unremarkable. He denied sexual activity and denied use of drugs or alcohol. Family history was negative for rheumatologic conditions and malignancy. Vital signs were normal. He had [...]