Case Presentation: 77F with COPD, CAD, HFpEF (50%), scimitar syndrome, pHTN, pAfib, type V long QT syndrome, SSS s/p ablation, TIA, and a recent mechanical fall with left pubic ramus fracture and subdural hematoma with recent discharge from acute rehabilitation center presents to the emergency room after a witnessed, mechanical fall at home due patient’s [...]

Case Presentation: A 56-year-old man with history of hypertension on amlodipine, hydralazine, losartan, spironolactone, and torsemide, uncontrolled insulin dependent type 2 diabetes mellitus, chronic kidney disease (CKD) stage IIIb, and chronic lymphocytic leukemia (CLL) with extreme leukocytosis of 268,600/uL on admission presented to the hospital for progressive shortness of breath and was found to be [...]

Case Presentation: A 84 year old Caucasian male with history of type 2 diabetes mellitus presented to the emergency room with left facial droop. He reported 1 week of left ear pain which progressed to hearing loss, yellow discharge from the canal, and swelling along his ear, cheek, and neck. On the day of presentation, [...]

Case Presentation: An 86-year-old man with a history of atrial fibrillation on apixaban and aspirin for coronary artery disease presented with orthostatic syncope leading to a fall. Patient had complained of left upper quadrant abdominal pain the night prior to the fall. Patient denied trauma prior to the onset of abdominal pain, recent sore throat, [...]

Case Presentation: A 42-year-old Vietnamese-American gentleman presented to the Emergency Department with generalized fatigue and intermittent dark urine for 1 week and fever, chills, vomiting and loose black stools for 1 day. He denied any rash, joint pain, strenuous exercise, recent travel or trauma, new medications or supplements and tick or mosquito bites. There was [...]

Case Presentation: Acute esophageal necrosis (AEN) is a rare condition which presents as acute-onset gastrointestinal bleeding. AEN is associated with vasculitis, coronary artery disease, malignancy, and other conditions which impair maintenance of the esophageal protective barrier. Complications of AEN include esophageal rupture, perforation, stricture formation, and mediastinitis. A 64-year-old Caucasian female with an extensive past [...]

Case Presentation: Human Herpes Virus 6 (HHV-6) is a member of the herpesviridae family. HHV-6 is the causative agent in roseola infantum, a usually mild and self-limiting childhood exanthem. HHV-6 is also associated with a variety of syndromes in recipients of hematopoietic stem cell transplantation (HSCT), including hepatitis, encephalitis, and bone marrow suppression. However, HHV-6 [...]

Case Presentation: A 62-year-old man presented with six months of progressive lower back pain. He noticed weight loss, sweats, and subjective fevers, but denied neurological symptoms or a other complaints. Patient lives in Texas, but travels to Mexico during winter. He denied tobacco abuse, intravenous drug use, incarceration or animal exposure. He reported eating unpasteurized [...]

Case Presentation: A 37 year-old female with history of menorrhagia on oral contraceptives (OCP) for 2 months, presented with abrupt onset of right lower quadrant abdominal pain (RLQ) for 1 day. Pain was 10/10, constant, sharp, with radiation to right flank, without alleviating factors. Pain was associated with nausea and multiple episodes of vomiting. She [...]

Case Presentation: We present a case of acquired hemophilia A (AHA) in an elderly patient with longstanding rheumatoid arthritis (RA). An 85-year-old woman was transferred from an outside hospital for further evaluation of spontaneous soft tissue hematomas. She reported numerous enlarged bruises, spontaneously appearing on her upper and lower extremities over the last 2 months. [...]