Case Presentation: A 54 year-old female presented to the ED with five days of fatigue, nausea, vomiting, and abdominal pain, increasing confusion, and somnolence after a recent viral illness. On physical exam, she was noted to have large, fixed masses in her breasts with bulky axillary lymphadenopathy. Upon further questioning, the patient revealed that she [...]

Case Presentation: A 21 year old woman presented with confusion, nausea and vomiting over 24 hours after attempting suicide by ingesting 50 g of acetaminophen (APAP). Initial labs showed INR 1.5, ALT 141, T bili 1.7, APAP level 97. Her LFTs peaked at AST 15266, ALT 10566 on hospital day 2. After consulting Poison Control, [...]

Case Presentation: 20-year-old, nine weeks pregnant female attempted suicide by hanging. Following CPR for fifteen minutes she had a spontaneous return of the circulation. Myoclonic jerks and generalized seizures secondary to anoxic brain injury were noted. Two days later, her brainstem reflexes were absent. Transcranial Doppler revealed no blood flow and she was declared brain [...]

Case Presentation: A 57 years old man with a history of prediabetes and Lyme disease diagnosed two months prior to admission and treated with doxycycline for three weeks, was transferred from another hospital to our institution for recurrent high grade fevers and shaking chills for two months. Originally from Guatemala, he had lived in America [...]

Case Presentation: The patient is a 54 year old man with PMH of HIV (non adherent to medications) who presented with worsening cough, was hemodynamically unstable, and did not respond to fluid resuscitation initially. Hemoglobin was found to be 6, platelets 29. He was transfused 2 units of pRBC and 1 unit of platelets, Hb [...]

Case Presentation: Case 1: A 66 year old female presented in October 2017 with generalized weakness, fatigue, abdominal pain, and oliguria. The symptoms have been worsening since her abdominal endovascular aneurysm repair (EVAR). She had her EVAR done in August 2017. In the Emergency Room the patient was afebrile with a temperature of 36.4 C, [...]

Case Presentation: A 20-year-old Guyanese female of Indian descent presented with a five-day history of fever and left upper quadrant abdominal pain, associated with abdominal distension. Physical examination was remarkable for fever of 103F, conjunctival icterus, left upper quadrant tenderness, and splenomegaly. Laboratory data revealed hemoglobin (Hb) of 6.5g/dl, mean corpuscular volume (MCV) 64.8fl, mean [...]

Case Presentation: A 70-year-old man with history of chronic lymphocytic leukemia presented with fevers and chills. Vital signs on admission were significant for fever (104.5oF) and tachycardia (127 beats per minute). Lab results showed AKI (Cr 2.0 mg/dL), elevated lactate of 4.1 mmol/L, and bandemia (30%). Blood and urine cultures were positive for extended spectrum [...]

Case Presentation: A 83-year-old woman of Chinese origin with remote history of breast cancer and pulmonary fibrosis of unknown etiology presented to care with one month of fevers, night sweats, malaise, and cough. After three negative acid-fast bacillus (AFB) smears and CT chest showing chronic right apical scarring during hospital admission, she was discharged on [...]

Case Presentation: A 33-year-old male without significant medical history experienced visual changes, left-sided tingling and weakness, vertigo, nausea, and mild expressive aphasia for 2 months. At that time, he had mild upper extremity tremor and was able to walk, drive, and perform activities of daily living. On physical exam, the patient demonstrated left upper extremity [...]