Case Presentation: A 17 year-old male teenager presented with two weeks of bilateral lower extremity edema, erythema, and warmth associated with fevers and joint pain at the foot and ankle. After a presumed bug bite on his left foot he developed a rash that spread from left to right leg. Symptoms did not improve with [...]

Case Presentation: A 29-year-old African American male with no prior past medical history initially presented to the Orthopedics clinic for evaluation of multiple soft tissues masses. They had been present over all four extremities as well as the back and had been progressively increasing in number. Due to pruritis patient would scratch them and they [...]

Case Presentation: 59 year old African American male with a history of sarcoidosis on prednisone, pulmonary HTN, CKD 3, NIDDM, and NICM presented to the ED with a 2 week history of leg swelling/pain. He was febrile on presentation. He was prescribed cephalexin for cellulitis and discharged. He returned 2 days later with worsening lower [...]

Case Presentation: A 64 year old male suffered from gradual onset fatigue and change in mentation over the course of a month. His symptoms then progressively worsened as he became confused and developed intermittent headaches. Past medical history includes pulmonary sarcoidosis, treated with 20mg of prednisone daily. On presentation, the patient had no neck stiffness. [...]

Case Presentation: A 60-year-old man presented with progressive fatigue, 30-pound weight loss, and arthralgias over six months. He also noted more recent onset of left upper quadrant abdominal discomfort and nonproductive cough. Past medical history was notable for idiopathic thrombocytopenic purpura (ITP) and nephrolithiasis requiring lithotripsy. He had never smoked cigarettes. Examination revealed tender splenomegaly [...]

Case Presentation: A 45 year old African American male with sarcoidosis (2009 lung biopsy) was brought by EMS after an out of hospital ventricular fibrillation cardiac arrest. With ACLS, ROSC was attained after 20minutes. He had no family history of sudden death or heart disease. He did not engage in any toxic habits. Exam showed [...]