Case Presentation: A 37 year-old man presented with altered mental status and a headache after a motor vehicle collision where he was a restrained driver while intoxicated with alcohol. He had a known history of glucose-6-phosphate-dehydrogenase deficiency (G6PD). Exam was notable for superficial abrasions on bilateral upper and lower extremities, diffuse generalized abdominal tenderness to [...]

Case Presentation: Our patient is a 77-year-old female with no past medical history who presented with two weeks of dyspnea on exertion, scant hemoptysis, and rhinorrhea with occasional blood. Vitals showed tachycardia, tachypnea, and hypoxia with saturations 95% on 15 L/min via heated high flow nasal cannula. Exam revealed accessory muscle use, faint bibasilar rales, [...]

Case Presentation: 83 year old woman with known lambda light chain multiple myeloma with recent recurrence 2 years ago, presented to the ED with subacute onset of dyspnea and fatigue over last 2 weeks. She was found to have a large pleural effusion with subpleural masses on CT. She underwent immediate thoracentesis with removal of [...]

Case Presentation: A 65-year-old African American male with known comorbidities of Hypertension, coronary artery disease was brought to the hospital with a new-onset seizure. Upon presentation, vital signs were within normal limits. Physical examination noted left gaze preference, right hemiplegia, and aphasia. All labs including blood chemistries, complete blood counts, infectious workup, and urine drug [...]

Case Presentation: Herpes simplex virus 2 (HSV-2) infection often presents in a disseminated pattern in immunocompromised hosts. Immunocompetent hosts typically present with genital or oral lesions or have HSV-2 or varicella-zoster virus (VZV) that follows along a dermatomal pattern. Here we present a herpetiform rash, which was culture positive for HSV-2 on biospy, that disseminated across [...]

Case Presentation: A 27-year old African American male presented with 3 months of bilateral inguinal lymph node enlargement, fevers, night sweats, fatigue, and weight loss. Patient presented for outpatient nodal biopsy and subsequently sent to the ED with severe thrombocytopenia with platelets less than 10,000 and complaints of gum bleeding and petechiae of 3 days. [...]

Case Presentation: An 84 year old male with past medical history of prostate cancer with metastasis to bone presented with thrombocytopenia. His original diagnosis of prostate cancer was made with a PSA and a transrectal ultrasound-guided needle biopsy of the prostate. The biopsy showed extensive adenocarcinoma in all core samples taken. Bone scan at that [...]

Case Presentation: Patient is a 53 year old African American male with past medical history of hypertension who presented with syncope. He had this episode a total of 3 times, most recently 1 month prior and initial episode 1 year prior. He had resolution of symptoms both times and diagnostic workup did not reveal any [...]

Case Presentation: A 23-year-old male with past medical history of anxiety disorder presented with nausea and multiple episodes of vomiting for 2 days. He also had generalized abdominal pain that was cramp-like in nature. There was no abdominal distention, however the patient reported constipation. He passed flatus during this episode. Noteworthy was the patient’s 10 [...]

Case Presentation: An 88-year-old female with hypertension was admitted to the hospital due a to right tibiofibular fracture and underwent an open reduction internal fixation (ORIF). During admission, she was diagnosed with heart failure with preserved ejection fraction (>55%) and non-valvular atrial fibrillation with CHA2DS2-VASc score 5. She was started on therapeutic anticoagulation therapy for [...]