Case Presentation: A 24-year old woman presented to the emergency department with three days of decreased vision after she sustained blunt trauma to her face during a physical altercation. Social history was notable for methamphetamine use and unprotected sexual activity with multiple partners. Physical exam demonstrated right-sided periorbital swelling and tenderness, pupils were equal, round, [...]

Case Presentation: A 55 year old male with a known history of sarcoidosis, hypertension, and penicillin allergy (anaphylaxis) presented with complaints of right swollen testicle associated with pain and dysuria for 2 weeks. Few days prior to the admission, the patient went to an urgent care facility and was treated with Ceftriaxone and Azithromycin. The [...]

Case Presentation: A 70-year-old man with PMH of chronic lymphocytic leukemia (with good hematologic response to Ibrutinib, stopped three months ago due to persistent fevers of unknown etiology), nephrolithiasis (with recent ureteral stent placement), presented with fever to 40.5 degrees Celsius. Patient was found to have E. coli bacteremia due to urinary tract infection and [...]

Case Presentation: The patient is a 74 year old woman with past medical history of dementia and an aggressive right upper lobe cavitary mass who presented with post-obstructive pneumonia. The lung mass was diagnosed two years prior, however the patient refused further workup. The patient named her two daughters to be dual healthcare powers of [...]

Case Presentation: The patient is a 74 year old woman with past history of dementia and an aggressive right upper lobe cavitary mass who presented with post-obstructive pneumonia. The lung mass was diagnosed two years prior, however, the patient refused further workup. The patient named her two daughters to be dual healthcare powers of attorney [...]

Case Presentation: A 54-year-old Hispanic male with a history of type II diabetes with A1C of 6.7% presented with a nonhealing upper extremity skin lesion. Nine months prior to presentation the patient injured the fourth digit of his left hand after being speared by the back fin of a fish while fishing in Galveston. The [...]

Case Presentation: A 66-year-old Nigerian female with a past medical history of type II diabetes with a hemoglobin A1c of 9% presented with right knee pain and swelling. Her symptoms began two months prior without any preceding trauma to the knee. Since that time, she had progressive pain and swelling of her knee. One month [...]

Case Presentation: The logistical complexity of hospital-to-hospital transfer of care in the United States is well-documented. However, little is known about the processes involved in cross-border hospital transfer. This case illustrates the challenges and complexities of patient care across the U.S.-Mexico border. Discussion: A 26-year-old Mexican male presented to the ED with hypovolemic shock via [...]

Case Presentation: A 60 year old woman with a history of substance abuse and unclassified dementia presented to the emergency department following 2 weeks of acute functional decline and being found unresponsive at home. She had experienced progressive cognitive decline over the prior 2 years, becoming increasingly forgetful and less talkative. She was diagnosed with [...]

Case Presentation: An 18 year old Asian man presented with sudden paralysis after a fall from a lofted bed during sleep. On arrival he reported inability to move his arms or legs. He denied any neck or back pain and did not experience any bowel or bladder incontinence. He reported no alcohol or drug use. [...]