Case Presentation: A 71-year-old female presented to an emergency department with progressive weakness and dyspnea with dry cough for 2 weeks; she was afebrile but hypoxic, requiring 2 liters oxygen by nasal cannula. Physical examination was remarkable for diminished right lung sounds. Labs were unremarkable except for elevated C-reactive protein (194.6 mg/L). Chest x-ray revealed a dense [...]

Case Presentation: A 57-year old man with a history of chronic lymphocytic leukemia, complicated by treatment-related myelodysplastic syndrome (MDS), presented with a large, painful, dry ulcer with black eschar on his right knee. He was afebrile and hemodynamically stable, but in moderate distress due to the pain and swelling of his right knee. Initial lab [...]

Case Presentation: A 43-year-old previously healthy Nigerian male presented to the ED with fevers for three weeks. He denied any chronic medical conditions, prior surgeries, or travel in the past year. He had initially presented to the ED two weeks prior complaining of fevers. Influenza testing was negative at the time, and he was discharged. [...]

Case Presentation: A 26-year-old male without prior medical history was referred by a spine surgeon to the emergency department (ED) with weakness, numbness, and discoordination of the right leg, worsening over a four month period and resulting in multiple falls. He reported three weeks of urinary and bowel urgency and incontinence. He had a family [...]

Case Presentation: 75 year-old male with nasal NK/T non-Hodgkin lymphoma (stage II B) in second relapse on salvage Pembrolizumab (checkpoint inhibitor) presented with fatigue, skin irritation and arthralgias. Initial blood work showed hyponatremia. Patient had a low plasma osmolality and was euvolemic on exam. Urine sodium was 96MeQ/L. Patient had a low serum cortisol which [...]

Case Presentation: We present a case of a 24-year-old male with a history of schizophrenia who presented from a psychiatric facility for fever and tachycardia. The patient had been admitted to the facility for failure of previous antipsychotic therapy and was being transitioned to clozapine. On admission, the patient was noted to be febrile to [...]

Case Presentation: We present a case of a 50-year-old male with a history of developmental disability and hypothyroidism who presented from a nursing home with fatigue and cough for three days. The patient was found to have a left upper lobe consolidation on chest x-ray consistent with pneumonia. Labs revealed neutrophilic leukocytosis. He was started [...]

Case Presentation: A 61 year old woman presented to the hospital with dyspnea and chest pain. She had been gaining weight, and experiencing night sweats and lower extremity swelling for several months. She had a 30 pack year smoking history. Physical examination revealed fingernail clubbing, 1+ pitting edema, and a blood pressure of 220/97—despite taking [...]

Case Presentation: Hypertensive Emergency is a common condition encountered in the hospital. Identifying the underlying etiology is very important because it can alter clinical outcome and management.A 42-year-old man with History of Hypertension presented to ER with Exertional Shortness of breath. He admitted to taking his blood pressure medication inconsistently. While in Emergency Room, he [...]

Case Presentation: Cachexia or wasting syndrome is characterized by loss of weight, muscle atrophy, fatigue, weakness, loss of appetite and unintentional weight loss. It is most commonly seen in malignancy and may also be the clinical presentation of rheumatoid arthritis.Case Report: A 50 year old female presented because of fifty pound weight loss and loss [...]