Case Presentation: A 55 year old male with a history of hypertension, hyperlipidemia and significant history of alcohol abuse presented after presyncope with subsequent fall and head trauma. On presentation he was confused and dysarthric. He complained of generalized malaise for the past two weeks associated with nausea and poor nutritional intake. He denied fever, [...]

Case Presentation: A 79-year-old male presented to the emergency department after a witnessed episode of unresponsiveness, jerking motions, urinary incontinence and post-ictal confusion. The patient’s wife denied a history of epilepsy but reported several months of progressive dysarthria and gait ataxia, for which he had been evaluated nine months earlier. Work-up was negative for hemorrhage, [...]

Case Presentation: A 44-year-old male presented to the Emergency Department after having a witnessed seizure. There were no precipitating events and previous blood tests were normal. His blood pressure (BP) on arrival was 255/154 mmHg. Labs showed a creatinine (Cr) of 2.2 mg/dL, hemoglobin 9 g/dl, platelet 553 k/uL, low-normal haptoglobin of 31 mg/dL, and [...]

Case Presentation: Atypical (complement-mediated) Hemolytic-Uremic Syndrome is a rare but life threatening thrombotic microangiopathy that affects patients of all ages. About 33-40% of patients sustain end-stage renal disease, stroke, myocardial infarction or have mortality during the first presentation of this syndrome. We present a case of a 32-year-old previously healthy male who presented to the [...]

Case Presentation: A 45 year old female with no significant past medical history presents with one week of non-productive cough and nausea. Her symptoms are associated with fevers, chills, night sweats, and decreased oral intake accompanied by a six pound weight loss over the preceding week. A chest radiograph obtained one month prior to admission [...]

Case Presentation: A 20 year old female with a history of childhood seizures, major depressive disorder, and post-traumatic stress disorder was evaluated for acute onset of bizarre behavior, confusion and disorganized thoughts for the past three days. Her initial psychiatric exam was notable for labile mood, psychomotor agitation and paranoia, but otherwise neurologic examination was [...]

Case Presentation: A 48-year-old man with uncontrolled, insulin-dependent diabetes and hemodialysis-dependent ESRD living in southern New Mexico presented to the hospital with an 8-day history of pruritus, rash, chills, malaise and dry cough. He was initially afebrile and hypoxic to 87% oxygen saturation with left lower lobe rhonchi, a lace-like petechial rash on the right [...]

Case Presentation: A 69-year-old Africa-America female presented with one month of worsening bilateral lower extremity swelling/edema. She was nonoliguric. She denied chest pain, orthopnea or dysuria. The patient was diagnosed with adult T-cell leukemia/lymphoma two months prior to admission. She was initially treated with interferon and lamivudine, which were stopped due to prolonged neutropenia. Then, [...]

Case Presentation: 38 year old male with history of rheumatoid arthritis presented to the emergency department with six months of episodic fever up to three times a week. Associated symptoms included occasional nonproductive cough and intermittent diffuse abdominal pain without any report of nausea, vomiting, or diarrhea. He denied any other localizing symptoms including dysuria [...]

Case Presentation: 58 year old African-American female child-care worker with history of GERD presented with symptomatic anemia. She was in her usual state of health until ten days prior to presentation, when she had several days of GI illness consisting of abdominal pain and diarrhea. Her symptoms self-resolved, only with residual mild epigastric abdominal pain. [...]