Case Presentation: An 18 year old male in Florida with a history of asthma developed frontal headaches three months ago. He was diagnosed with sinusitis, and was prescribed oral amoxicillin/clavulanic acid. However, within two weeks his headaches worsened, fevers developed, and his family observed him walking into walls. At an outside hospital, his lumbar puncture [...]

Case Presentation: A 17 year old female was diagnosed with a pulmonary embolus 3 months ago. A partially occlusive thrombus was also noted in her left common iliac vein. She was diagnosed with May-Thurner syndrome (MTS), and treatment was started with therapeutic doses of Lovenox. She missed only five doses of Lovenox during the ensuing [...]

Case Presentation: A previously healthy 56-year-old female with mitral valve prolapse presented to a Georgia hospital with several days of headache and chest pain. Six weeks prior to admission (PTA), she visited her family ranch in west Texas for three weeks. One week PTA, she developed fever, myalgias, fatigue, and pleuritic chest pain. Her chest [...]

Case Presentation: Our patient is a 58 year-old Portuguese-speaking female with a history of CLL and autoimmune hemolytic anemia who presented with severe epigastric pain, nausea, and vomiting. She presented with similar symptoms requiring two prior admissions within the last 6 weeks. CT scan of the abdomen and pelvis showed bowel wall thickening and hyperenhancement [...]

Case Presentation: An 89-year-old woman was admitted with abdominal discomfort plus five days of dysuria and urinary frequency. Previously, the patient had seen a urologist for chronic dysuria and was prescribed an estrogen cream for vaginal atrophy. She admitted to non-adherence with the treatment, instead trying an over-the-counter medication whose name she did not initially [...]

Case Presentation: A 33-year-old male with no significant past medical history was admitted after being found unconscious at his desk with a blood glucose of 28 mg/dL. The patient reported multiple episodes of confusion, slurred speech, and unsteady gait in the context of fasting that was relieved with meals. He also reported almost a decade [...]

Case Presentation: A 54-year-old man presented with confusion, vomiting, and weakness. En route to hospital he received dextrose for a glucose of 40. Admitted to the ICU for severe metabolic acidosis. Past medical history included type 2 diabetes, depression and PTSD. Aside from tachycardia, smell of alcohol, and bilateral hand tremor, initial physical exam was [...]

Case Presentation: A 55-year-old man with a history of HIV previously on combination antiretroviral therapy (cART), hypertension, and COPD presented with hypotension. He had been on the combination antiretroviral elvitegravir-cobicistat-emtricitabine-tenofovir alafenamide (Genvoya) for approximately one year but had discontinued it 10 days prior. His last known CD4 count was 273 cells/ uL one month prior. [...]

Case Presentation: AH is a 74-year-old male with end stage renal disease, who received a living donor renal transplant in 6/2013. Following transplant AH had immediate graft function. His maintenance immunosuppression was tacrolimus and prednisone. Post transplant course was notable for the development of glomerulopathy, resulting in CKD III, complicated by chronic hyperkalemia, in part [...]

Case Presentation: Fibro-muscular dysplasia is a segmental, non-atherosclerotic, non-inflammatory vascular disease of unknown etiology usually found in small and medium-sized arteries. Renal arteries (60–75%) are most commonly involved, followed by the cervico-cranial arteries (25–30%). FMD of cervico-cranial arteries in absence of renal artery involvement is much rarer. We present a case of symptomatic fibro-muscular dysplasia [...]