Case Presentation: A healthy 11-year old female presented with 5 days of fever, headache, and progressive symptoms that included blurry vision, photophobia, lightheadedness, nausea, and intermittent vomiting. Family history was positive for migraine headaches. On exam, she had pupils measuring 10 mm, blurry vision and loss of acuity, but no visual field deficits or pain [...]

Case Presentation: A 44-year-old male presented to the Emergency Department after having a witnessed seizure. There were no precipitating events and previous blood tests were normal. His blood pressure (BP) on arrival was 255/154 mmHg. Labs showed a creatinine (Cr) of 2.2 mg/dL, hemoglobin 9 g/dl, platelet 553 k/uL, low-normal haptoglobin of 31 mg/dL, and [...]

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 30-year-old African American man with no prior medical history presented with two weeks of sharp lower back pain radiating to the left flank and leg with associated tingling. He also reported night sweats, chills, and subjective fevers during this time. He denied recent weight loss, bowel and bladder dysfunction, IV drug use, [...]