Case Presentation: An 84-year-old Caucasian male presented to the emergency department with a chief complaint of fevers, rigors and altered mental status. On physical exam, the patient was a well-nourished, well-developed male with a fever of 102F. His chest x-ray was clear and free of any infiltrates. His urinalysis was benign with only trace proteins [...]

Case Presentation: A 71-year-old male with a PMH of HTN, HLD, tongue cancer, GERD, CAD, and BPH presented to the hospital with a chief complaint of right-side shoulder pain, erythema, and warmth that started two days prior. Two days before noticing these symptoms, he had undergone an EGD without complications where he had a peripheral [...]

Case Presentation: A 25-year-old female with a history of hypertension and diabetes mellitus (DM) type 1 presented with altered mental status, abdominal pain, and tenderness. On presentation, she was afebrile, hemodynamically stable. Further workup revealed leukocytosis 27000/ml, acute kidney injury with creatinine 2.47 mg/dl, blood glucose 1000 + mg/dl; glycosylated hemoglobin A1c (HbA1c 11.5%); amylase [...]

Case Presentation: A 75-year-old female presented to the emergency department with a history of multiple falls. Her physical exam was unremarkable. A computerized tomographic scan of the head and magnetic resonance imaging (MRI) with the contrast of brain showed frontoparietal mass with metastatic brain lesions. Right frontal craniotomy with tumor resection was done and biopsy [...]

Case Presentation: A 59-year-old female with a history of hypertension and hyperlipidemia presented to the ED with severe left lower quadrant abdominal, pelvic pain, and nausea. CT of the abdomen/pelvis showed findings of acute diverticulitis. She was admitted and managed medically with bowel rest and IV ciprofloxacin and metronidazole. She was discharged on oral antibiotics. [...]

Case Presentation: 64-year-old female is admitted for workup and management of subacute, progressive dyspnea, pleuritic chest pain, dry cough, and new oxygen requirement. History is significant for plaque psoriasis on adalimumab (initiated 3 months prior to presentation), ulcerative colitis status post proctocolectomy, sicca symptoms, Raynaud’s phenomenon, GERD, maternal history of rheumatoid arthritis, and a 50-pack-year [...]

Case Presentation: A 78-year-old woman with amyotrophic lateral sclerosis presented with abdominal fullness. She had undergone tracheal tube intubation, mechanical ventilation and percutaneous gastrostomy 4 years previously because of difficulty in respiration and ingestion. Upon physical examination, her abdomen was distended with board-like rigidity and her legs were cyanotic. Her blood pressure was 96/71 mm [...]

Case Presentation: We describe a case of a 76 year old male with history of advanced centrilobular emphysema who developed platypnea and orthodeoxia. He was diagnosed with severe obstructive disease since 4 years and was on home oxygen. He had multiple admissions for dyspnea with treatment including supplemental oxygen, bronchodilators, steroids and antibiotics. His oxygen [...]

Case Presentation: A 70-year-old man was admitted to our hospital due to prolonged fever and progressive polyarthritis. He had progressive supranuclear palsy and needed a cane when walking. Six-months before admission for his current illness, he had high fever and arthralgia in the right elbow, which was treated with loxoprofen. However, loxoprofen produced only temporary [...]

Case Presentation: A 91 year-old woman with congestive heart failure (CHF), chronic kidney disease, and morbid obesity was admitted with subacute shortness of breath. The patient’s CHF history was significant for no prior emergency department visits or hospitalizations attributed to CHF exacerbation. A recent transthoracic echocardiogram demonstrated moderate concentric left ventricular hypertrophy with a normal [...]