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 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 55-year-old woman with intravenous polysubstance abuse presented with a 1-week history of back pain, fever, and cough with blood-tinged sputum. Vital sign on admission showed tachycardia and hypotension but she responded well to fluid resuscitation. A pansystolic murmur grade 2 was noted. There was diffuse midline and paraspinal tenderness over the back. [...]