Case Presentation: An 80-year-old man with a history of Type 2 diabetes and chronic lumbar radiculopathy presented to the emergency room after four days of left thigh pain radiating from the groin and progressive left leg weakness, now needing a wheelchair. On exam of his left leg, he had decreased strength in hip flexion and [...]

Case Presentation: A 50-year-old woman presented with two weeks of progressively worsening abdominal pain and distention. The abdominal pain was accompanied by yellowing of her eyes and periods of confusion. She reported consuming 4 shots of vodka daily for greater than 10 years. Vital signs were normal. The patient was grossly jaundiced and exhibited scleral [...]

Case Presentation: A 56-year-old woman presented with 3 days of fatigue, generalized weakness, paresthesia of the feet, and cramping of the lower extremities. Medical history included metastatic serous endometrial cancer which was refractory to first-line treatment with carboplatin and paclitaxel. The patient was subsequently enrolled in a clinical trial and initiated treatment with darvalumab and [...]

Case Presentation: A 57 years old female with insignificant past medical history presented to emergency department for right sided chest and back pain for one week that was associated with skin lesions under right breast and adjoining area on the back consistent with herpes zoster rash. She also reported epigastric pain, nausea and vomiting. She [...]

Case Presentation: 29 y.o. female with a history of autoimmune hepatitis presented with worsening lower extremities ulceration. The onset of rash was four months ago during which she visited dermatology clinic. Vitals signs were within normal limits, physical examination was consistent with large deep necrotic painful ulceration with violaceous erythema, retiform purpura on bilateral lower [...]

Case Presentation: A 36 years old female with past medical history of IV drug abuse, presented with dyspnea, nasal congestion, tactile disturbances, diarrhea, body aches and generalized weakness for 1 day. She was recently treated for tricuspid valve endocarditis. A Transthoracic Echocardiogram (TTE) obtained at that time showed ejection fraction (EF) of 55-60%. On presentation, [...]

Case Presentation: A 65-year-old man presented with one day of confusion, dyspnea, and a dry cough. A month ago, he was diagnosed with osteomyelitis of his left hallux and he was undergoing treatment with daily ceftriaxone and daptomycin infusions. Vital signs revealed a temperature of 38.4 degrees Celsius, a heart rate of 94, a respiratory [...]

Case Presentation: A 61-year-old male was admitted to the hospital due to multiple bouts of non-bloody emesis and shock. Symptoms began with progressive lightheadedness, fatigue, and worsening jaundice. He denied any fevers, abdominal pain, or diarrhea. His past medical history was significant for alcoholic liver cirrhosis. He last drank alcohol 6 months prior and had [...]

Case Presentation: A 61-year-old man presented to the emergency department with acute onset of fevers, myalgias and generalized erythematous rash after taking five weeks of Trimethoprim-sulfamethoxazole (TMP-SMX) for acute prostatitis. Vital signs were notable for fever and tachycardia, with relative hypotension which responded to initial fluid resuscitation. The patient initially denied abdominal pain however the [...]

Case Presentation: A 54-year-old woman presented with left-sided numbness and weakness and was diagnosed with acute lacunar stroke. She received alteplase in the emergency department and began complaining of tongue swelling shortly after the infusion had completed. Exam noted left-sided lip and tongue swelling. IV methylprednisolone, epinephrine, diphenhydramine, and ranitidine were rapidly administered but airway [...]