Case Presentation: A 58 year old man with history of Enterococcus faecalis endocarditis and mechanical aortic valve replacement on oral anticoagulation presented to the emergency department with epigastric and right upper quadrant abdominal pain, melena, hematochezia, and hematemesis of one weeks’ duration. Physical exam revealed jaundice and abdominal tenderness in the right upper quadrant and [...]

Case Presentation: A 33 year-old Caucasian female with history of 1 spontaneous abortion presented with periorbital edema, dark urine, arthralgias and fevers (Tmax 102) for 2 weeks. The patient reported many environmental exposures as a native of Brisbane, Australia such as outbreaks of Ross River Fever, encounters with flying foxes (reservoirs for Lyssa, Hendra viruses), [...]

Case Presentation: A 27-year-old white male with adult-onset asthma and recurrent pneumonia presented to a rural hospital with a one month history of ascending lower extremity numbness. He also reported fever, fatigue, night sweats, and a twenty-pound weight loss over three weeks. Initial workup revealed leukocytosis and eosinophilia, prompting transfer to our facility for further [...]

Case Presentation: Case 1: A 25-year-old female was transferred to our hospital with fever and systemic inflammation refractory to prednisolone treatment. Two weeks prior to the transfer, she was admitted to another hospital on account of fever, thrombocytopenia, elevated alkaline phosphatase level and hepatonephromegaly on CT scan. No peripheral edema, pleural effusion, ascites or lymphadenopathy [...]

Case Presentation: A 49-year old man with no significant medical history presented with dyspnea and presyncope. He presented similarly six weeks prior and was diagnosed with constrictive pericarditis thought to be of a viral etiology. He had reported an eighteen-kilogram weight loss, intermittent fevers, and night sweats, but, given clinical improvement, was discharged on ibuprofen [...]

Case Presentation: A 71-year-old woman presented with one month of progressive dyspnea, fatigue, weight loss, bilateral lower extremity edema, and new “purple and red spots” on her extremities. Her medical history included breast cancer more than two decades ago for which she underwent surgery and radiation therapy. She had since been out of care. On [...]

Case Presentation: A previously healthy 37-year-old male presented to the Emergency Department (ED) with sudden onset nausea and dizziness that after he had turned and looked over his right shoulder. He experienced 3 episodes of emesis. Emergency Medical Services (EMS) were called due to his severe dizziness. Admit vitals were significant for a heart rate [...]

Case Presentation: A 44-year-old Nigerian woman with no medical history and recent travel to Mexico presents with cough for 4 weeks, fever, and malaise. She initially presented to urgent care with respiratory complaints, was diagnosed with pneumonia and given azithromycin. Her symptoms did not improve and she went to the ED. Vitals were notable for [...]

Case Presentation: An 87-year-old female with congestive heart failure (CHF), coronary artery disease, atrial fibrillation, COPD, and chronic kidney disease presented with 3-day-history of diarrhea, worsened dyspnea, leg swelling and weight gain. Vitals signs were temperature 38.3 C, pulse 104, respiration 20-25 and blood pressure 112/46. Examination was significant for bilateral crackles in lungs, irregular [...]

Case Presentation: A 60-year-old female with history of hypertension, rheumatoid arthritis on Adalimumab, and end stage renal disease (ESRD) due to lupus nephritis for which she was recently started on mycophenolate and high dose steroids, presented with 2-3 hour history of sudden onset severe occipital headache, followed by vomiting episodes and complete loss of vision. [...]