Case Presentation: A 36-year-old female with a history of morbid obesity and hypertension presented with three weeks of progressive dyspnea and productive cough. She was previously diagnosed with community-acquired pneumonia and completed two five-day courses of azithromycin, without improvement in her symptoms. She denied smoking but reported increased smoke inhalation due to local forest fires. [...]

Case Presentation: A 12-year-old female presented to the ER with a 1-week history of painful swelling of her right upper back not alleviated by NSAIDs or warm packs. She denied a history of recent trauma or fever. She has a history of surgical removal of a cranial myofibroma at 5 months of age and persistent [...]

Case Presentation: An 8-year-old female with a 10-day history of intermittent myalgia and fatigue presented to the emergency department after waking with severe, diffuse myalgias. Initial laboratory work-up included CBC, CMP and CPK. Most significant was a CPK of 35,000 units/L. Aggressive fluid repletion was started for presumed viral induced rhabdomyolysis. After 5 days of [...]

Case Presentation: A 42-year-old man presented to an outside hospital emergency department with a complaint of worsening left hip pain and swelling. He attributed the pain to a sports related injury from a baseball tournament he had participated in the prior week. He was diagnosed with muscle strain on two previous emergency department visits. Additional [...]

Case Presentation: A 44 year-old Hispanic female with a past medical history of hypothyroidism presented from her endocrinologist with a diffuse, maculopapular rash, including the face, hands, wrists, torso, arms and legs. The rash had been intermittent for the past six years, painful, pruritic, and exacerbated by sunlight. She also complained of joint pain and [...]

Case Presentation: A 75-year-old Caucasian female with a history of hyperlipidemia treated with statin presented to the emergency room for generalized weakness. She became completely bedbound over the course of 5 days. Examination showed symmetric muscle weakness with power 2/5 at proximal muscles but normal strength in distal muscles. Deep tendon reflexes were decreased. She [...]