Case Presentation: 54 years old man with a history of hypertension was hospitalized due to elevated BUN/creatinine of 33/4.6 mg/dL and Hb of 9.9 mg/dL (baseline 15). He endorsed dyspnea on exertion, anorexia and weight loss of 15 pounds in 6 months. One month ago, he was treated for acute bronchitis with levofloxacin and was [...]

Case Presentation: A 52-year-old homeless man with a history of a remote stroke with residual left sided hemiparesis and dysarthria, and poorly controlled diabetes presented with fever, diarrhea, left sided body pain and altered mental status for two days.The initial vital: tachycardia and temperature of 101.2 F. On exam, he had poor dentition, dysarthria, left-sided [...]

Case Presentation: A 39-year-old man presented with several days of worsening lightheadedness, fevers, and joint pains. His temperature was 99.8 Fahrenheit, pulse 122 per minute, and blood pressure 80/51 mmHg. He looked ill and uncomfortable. His palms and soles had multiple tender, purple-to-black macules and patches 3-30 mm in dimension, consistent with embolic infarcts (image [...]

Case Presentation: 85 year old female was admitted on account of lethargy and decreased oral intake for the previous week, and evidence of anemia. She had undergone a transcatheter aortic valve replacement(TAVR) 5 months prior for her management of her severe aortic valve stenosis. Additionally, she suffered from recurrent gastrointestinal bleeding due to arteriovenous malformations, [...]

Case Presentation: A 52 year-old man was hospitalized for hypoxia one month after surgery for ruptured appendicitis. He also reported abdominal pain and steatorrhea along with a 50 pound weight loss in five months. On exam he was anicteric but cachectic. CT pulmonary angiogram on admission revealed peripheral-based pulmonary lesions concerning for septic emboli and [...]

Case Presentation: An 82-year-old man with a history of hypertension and known aortic insufficiency presented with bilateral lower extremity rash, ankle edema, and bradycardia. The ankle edema began two weeks prior to presentation followed by an erythematous, pruritic rash on his anterior shins. He initially presented to urgent care and was found to have a [...]

Case Presentation: A 93-year-old African-American male with history of CVA, HTN, and dementia presented with a right femoral neck fracture after a same level fall. Vital signs on admission were unremarkable. Physical examination revealed a cachectic male at his baseline mental status. He was admitted and underwent uncomplicated right hemiarthroplasty. On post-operative days 3-5, patient [...]

Case Presentation: A previously healthy 39-year-old male with a bicuspid aortic valve and mitral valve prolapse presented with three months of intermittent bilateral retro-orbital headache, abdominal discomfort, subjective fevers, night sweats, and 10-kg weight loss. Two weeks prior to admission, he developed acute left-sided vision loss and left-sided weakness, and was diagnosed with right parietal [...]

Case Presentation: A 44-year-old male with a medical history of active injection drug use (IDU) and three prior admissions for native mitral valve endocarditis was admitted to the hospital for sepsis. On physical examination, the patient had JVP elevated to 10cm, bibasilar crackles and 2+ pitting peripheral edema. Transesophageal echocardiogram (TEE) revealed a large vegetation on the mitral [...]

Case Presentation: A 24-year-old female with a history of IV drug abuse and MRSA tricuspid native valve endocarditis was treated for lobar pneumonia 4 months prior to readmission for non-bloody cough and pleuritic chest pain. Recurrence of lobar pneumonia was suspected but workup instead revealed Mycobacterium abscessus bacteremia. She denies any fevers, chills, nausea, vomiting, [...]