Case Presentation: A 24-year-old male with no significant past medical history presented with five days of abdominal pain and lower extremity aching. He also reported subjective fevers, headache, emesis, and decreased appetite with a five-pound weight loss. On initial presentation, he was febrile to 100.9°F and physical exam was notable for diffuse abdominal pain, tender [...]

Case Presentation: 28-year-old male with past medical history of recent nephrolithiasis presented with lower back pain, hematuria and upper extremity ecchymosis of 1 week duration. He denied any history of bleeding disorders, ingesting any anticoagulants, recent infections or drug usage. Upon work up, patient was found to have an INR (International Normalized Ratio) of > [...]

Case Presentation: A 29-year-old male presented with a new onset focal seizure and dull persistent right sided headaches for 2 weeks. Physical exam was negative for any focal neurological deficit except for a diffuse erythematous rash involving trunk and his extremities, bilateral conjunctival injection and mild confusion. An urgent CT head revealed a small acute [...]

Case Presentation: A 78-year-old female with controlled type 2 DM (A1C 7%, diet control), hypertension and left-eye glaucoma with resultant vision loss was initially admitted for atypical chest pain. She reported unintentional weight loss of 30 pounds in three months and progressive blurry vision of her right eye for 4 months, which had been evaluated [...]

Case Presentation: IntroductionEye pain is a common symptom that is initially managed by primary care physicians. A comprehensive eye examination is included in primary care yet has become a lost art in this current era of medicine. As a result, important details may be missed when not performed properly. Several questions to consider during an [...]

Case Presentation: A 51-year-old female presented with a three month history of migratory rash and weakness. Initially, she developed periorbital swelling, eyelid discoloration, and a migrating pruritic erythematous rash. The rash originated on her upper arms and thighs progressing to her chest, back, and face. She reported muscle weakness, most notably an inability to lift [...]

Case Presentation: Mr. J is a 47 year old male with a history of Acquired Immune Deficiency Syndrome (CD4 count of 183), chronic kidney disease stage 3 (baseline creatinine of 1.5 mg/dL) and Castleman Disease (CD, previously treated with rituximab) who presented initially with complaints of fevers, dyspnea, generalized weakness, and swelling to the lower [...]

Case Presentation: A 57-year-old woman with type 1 diabetes on insulin pump and hypertension presented to the ED with abdominal pain with associated nausea/vomiting and shortness of breath for one day. She reported her insulin pump has been malfunctioning for several days. She denied fever/chills, chest pain, or diarrhea. She denied any toxic habits.Vital signs [...]

Case Presentation: A 76 y.o. Caucasian male with a past medical history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, HTN, and DVT/PE presented to the ED with a chief complaint of sharp, constant, LLQ abdominal pain and hematemesis x2 days. The patient was hemodynamically stable and exhibited diffuse abdominal tenderness on exam. [...]

Case Presentation: A 60-year-old female with history of a hip replacement complicated with MRSA s/p multiple revisions and sick sinus syndrome with pacer placed in 2004, presented to the ED with an “itchy rash most tender at the pacemaker site” where a cardiovascular implantable electronic device (CIED) within a TYRx envelope was placed two days [...]