Case Presentation: 41 Years old Caucasian female with a past medical history of pleurisy since a year and iron deficiency anemia was present to the ED with three days history of right-sided chest pain and difficulty in breathing. – Vitals stable and chest x-ray, and CT of the chest showed sizeable right-sided pneumothorax got chest [...]

Case Presentation: A 71-year-old woman with poorly differentiated squamous cell carcinoma (SCCA) of the left cheek with recent initiation of nivolumab therapy presented to the Emergency Department with five days of bilateral thigh pain, generalized weakness, and dyspnea. The exam was remarkable for tachycardia, hypotension, tachypnea as well as neck and proximal muscle strength weakness. [...]

Case Presentation: A 20 year old male with past medical history significant for chronic phase CML, diagnosed approximately 1 year prior to admission, presents for evaluation of worsening right leg pain over the past 2-3 months. At the time of diagnosis of CML, he was started on Imatinib and shortly after developed diffuse bone pain. [...]

Case Presentation: Anaplasmosis phagocytophilum is a rare, emerging tick borne illness transmitted by the Ixodes Scapularis tick endemic to the North Central and Northeastern United States. With an incidence of 6.1 cases per million in 2010, patients often present with nonspecific symptoms such as fever, leukopenia, thrombocytopenia, and transamintis. Cases outside of endemic areas are [...]

Case Presentation: A 65-year-old immunocompetent male with a history of ischemic stroke and new onset simple partial seizures presented with 4-weeks of worsening diplopia, vertigo, ataxia, nausea, and vomiting. The patient underwent magnetic resonance imaging (MRI) 2-months prior to admission that was unremarkable. On admission, vital signs were stable. Physical exam demonstrated rightward horizontal nystagmus, [...]

Case Presentation: 49-year-old man with history of alcohol abuse presented with a 3-month history of progressive weakness, weight loss and skin lesions. An outside dermatologist had diagnosed the patient with porphyria cutanea tarda (PTC) one month prior to admission based on characteristic skin findings on physical examination, and elevated urine and serum porphyrin levels. He [...]

Case Presentation: A 56-year-old Caucasian male with no pertinent medical history presented with 4 months of progressive left lower extremity weakness, gait instability, headache, and an 8-lb weight loss. Physical exam was notable for left leg spasticity, positive left Babinski sign, and asymmetric dysmetria on heel to shin on his left compared to his right [...]

Case Presentation: A 33 year old female with a past medical history of hypertension, anxiety & depression, hepatitis C and history of opiate/benzodiazepine abuse presented to the hospital with progressively worsening painful body spams associated with abdominal cramping, nausea, vomiting, diarrhea, eye twitching, difficulty swallowing and pain/difficulty opening her mouth. On presentation the patient was [...]

Case Presentation: A 37-year-old Caucasian male with a history of uncontrolled diabetes and tobacco abuse presented with right flank pain, hematuria, and pyuria. He had several days of fever with temperature of 38.8 upon initial evaluation and white blood cell count was 19.2. His urinalysis had more than 100 white blood cells, more than 100 [...]

Case Presentation: A 70 year-old female with hypertension and diabetes presented to the hospital with a one-day history of non-positional, left-sided chest pain associated with shortness of breath and subjective fevers. Physical exam and vitals were unremarkable. Work up included three negative troponins, EKG in normal sinus rhythm (Figure 1), and D-Dimer of 1100 ng/mL. [...]