Case Presentation: A 66-year old woman was receiving I.V. iron at an infusion center when she developed dyspnea, weakness, nausea, and fever. In the ED, she was hypotensive to 77/56 mmHg (baseline 110s systolic), heart rate 126 bpm, respirations 19/min. Her husband reported she’d been scratched by her cat one day prior. Medical history was [...]

Case Presentation: A 71 year-old man with no medical history presented in October with fevers, headache, neck stiffness, photophobia, and confusion for 3 days. Per family, patient was fully functional with no memory deficits at baseline. He never traveled outside of New York tri-state area and has had no sick contacts or insect bites. Initial [...]

Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left [...]

Case Presentation: A 28-year-old female with unremarkable past medical history presented with a 3-day history of fever, diffuse abdominal pain, nausea, and vomiting. Vital signs were significant for temperature of 38.3 C and heart rate of 180 BPM. Physical exam revealed left-sided costovertebral angle tenderness. Laboratory studies were notable for total bilirubin 2.7 mg/dL, direct [...]

Case Presentation: A 54-year old man with active cocaine use and untreated hepatitis C presented with fever and rash. He last smoked cocaine 4 days prior to admission. In the next several days, tender enlarging rashes appeared on the left arm and legs. On admission he was febrile (100.5 F) with HR of 101 and [...]

Case Presentation: A 76 year-old African American female with no past medical history presented with new onset shortness of breath and substernal chest pressure of three week duration. She noted that she had been previously healthy without any issues prior to this incident. On presentation, the patient was afebrile and normotensive (125/76) but tachycardic (110 [...]

Case Presentation: A 76 year-old male with a history of diverticulitis, T2DM, HTN, persistent atrial fibrillation and compensated alcoholic cirrhosis presented for recurrent gastrointestinal bleeding (GIB). He initially presented to an outside hospital six months prior for shortness of breath and found to be anemic requiring 4 units of packed red blood cells (PRBCs). Since [...]

Case Presentation: A 19 yo female presented to our hospital with the complaint of lower extremity weakness and paresthesias. She had a history of episodic abdominal pain with vomiting, headaches, and paresthesias. Prior evaluations for these symptoms had led to diagnoses of fibromyalgia, migraine headaches and cyclic vomiting with erosive esophagitis. She had experienced lower [...]

Case Presentation: A 76-year old female presented to the emergency department (ED) with fever, chills, nausea, vomiting, diarrhea, back pain and weakness in lower extremities. Two weeks earlier, patient received her first dose of Shingrix vaccine. Just one day after receiving the vaccine, she developed fever and gastrointestinal symptoms. She was admitted to the hospital [...]

Case Presentation: A 66 year old female with a history of RA, diabetes mellitus, and deep vein thrombosis, presented to ED with tachycardia and hypoxic respiratory failure requiring 5 liters of oxygen. Physical exam was notable for somnolence, decreased bilateral lower lobe breath sounds, swan neck deformity of the digits, and ulnar deviation. Chest radiograph revealed [...]