Case Presentation: A 76- year old smoker woman with a medical history of emphysema and left MCA stroke six months back, presented with acute bilateral occipital headache and visual impairment.On Exam, she was well appearing, normal vital signs, and no murmurs on heart exam. Neurological exam was normal except for dysmetria due to visual impairment [...]

Case Presentation: A 70-year-old Vietnamese gentleman without a significant past medical history was admitted to the hospital after a mechanical fall. Apart from facial pain related to the fall, the patient did not report any other symptoms. He was afebrile and hemodynamically stable. His physical examination was unremarkable. During his trauma evaluation, bilateral apical pulmonary [...]

Case Presentation: A 55-year-old obese female presented with daily high fevers, chills, night sweats, malaise, decreased appetite, and nausea for two weeks. Her past medical history is significant for laparoscopic adjustable gastric band (LAGB) surgery eight (8) years prior. On presentation, she was febrile, tachycardic with pallor and hypotensive. Cardiopulmonary and abdominal examination was normal, [...]

Case Presentation: A 60-year old gentleman with past medical history of liver transplant 5 years ago presented to the hospital with acute onset of right-sided knee pain. For his immunosuppressive regimen, he took 2 mg/day of tacrolimus. However, the patient reported noncompliance with his outpatient follow-up. His social history was negative for excessive alcohol use [...]

Case Presentation: A 21-year-old female with history of IgG immune deficiency requiring intravenous immunoglobulin transfusions from the age of 12-17 presented to our service with one-week complaint of dizziness and fatigue. At presentation, she reported dyspnea, chest pain, intermittent palpitations, and nausea. She had had a brief pre-syncopal episode and an episode of nausea and [...]

Case Presentation: A 40 year-old male went camping in southeast Missouri in May and suffered tick bites. He developed a fever, rash and myalgias. He was treated with doxycycline, which was discontinued due to anaphylaxis. Due to worsening abdominal pain and fatigue he went to the hospital. He was febrile, ill-appearing, and jaundiced. He had [...]

Case Presentation: Frequent monitoring of capillary blood glucose values is common practice in the hospital setting. In most healthy adults, capillary blood glucose values correlate well with venous blood glucose values. However, in some cases there may be a discrepancy between the two and can result in pseudo hypoglycemia, where an asymptomatic patient has spuriously [...]

Case Presentation: A 36 year old male from Central America who immigrated to the United States ten years ago presented with cough and headache accompanied with fevers. He did not have any past medical conditions. On admission his vitals were T 39.1 C, HR 114, RR 20, BP 129/85 mmHg. He was noted to have oral [...]

Case Presentation: A 30-year-old woman was presented with two days progressive swelling and pain of her right hand after blunt trauma. The pain was associated with paresthesia of the right thumb and fever. There was no associated vaginal discharge, joint pain, sore throat or skin rash. Past medical history was significant for uncontrolled diabetes. The [...]

Case Presentation: A 90-year old female with a medical history of atrial fibrillation, CAD and COPD presented with progressively worsening abdominal pain, nausea and vomiting for the past 3 weeks, which had acutely worsened over the past 1 week. She described the pain as epigastric with radiation to her right flank. Symptoms were aggravated on [...]