Case Presentation: Our patient is a 63-year-old Caucasian male with a past medical history of schizophrenia on risperidone, psychogenic polydipsia and chronic hyponatremia. He presented to the emergency department after being discovered unresponsive in a personal care home. He was tachycardic with a heart rate of 110, hypertensive with a blood pressure of 194/95 mmHg [...]

Case Presentation: 44 year-old Caucasian woman presented with shortness of breath and weakness. She had a history of stage IIIC malignant melanoma (BRAF Wild Type) of right face. She underwent excision of the lesion a year prior to presentation and immunotherapy with ICI (intravenous Nivolumab 240mg every 2 weeks) was initiated. After 10 cycles of [...]

Case Presentation: The patient is a 76-year-old male with a PMHx of DM2, HTN and HLD who presented with a complaint of bloody urine in addition to fevers and chills for a day. He denied any past history of bloody urine. The patient also pointed out that he has had a new painless right lower [...]

Case Presentation: We present a 20 year old gentleman in acute hypoxic and hypercapnic respiratory failure and cariogenic shock secondary to hemodynamically unstable hemoptysis requiring mechanical ventilation and vasopressor support with norepinephrine and vasopressin. He had history of pulmonary atresia with intact interventricular septum at birth post right ventricular outflow repair and 1.5 ventricular repair [...]

Case Presentation: The patient is an 83 year-old Caucasian man with a history of hypertension, tobacco use, and COPD who presented to the emergency department with a four day history of chest pain, shortness of breath, and mild non-productive cough. His chest pain was constant and had no exacerbating or alleviating factors. He denied any [...]

Case Presentation: A 30 year-old MSM with a newly diagnosed HIV presented with shortness of breath and cough. He stated that he became sick 5 weeks ago at which point he made an appointment to see his PMD where he was diagnosed with RML pneumonia and was given 5 day course of oral antibiotics. He [...]

Case Presentation: A 68 year-old male transferred from an outside hospital to this tertiary care academic medical center. He presented at the outside hospital with syncope, nausea, diarrhea, rash, profound weakness and fever. Because he was a rancher and frequently had tick bites, with one recently found to be deeply embedded and engorged with blood, [...]

Case Presentation: A 22-year-old man with a history of sinusitis requiring surgery, presented with 3 weeks of right sided facial swelling and pain. He denied any facial trauma or drug use. He had used tap water for nasal rinses. The patient was diagnosed with sinusitis and treated with clindamycin and steroids but had progression of [...]

Case Presentation: A 36 year old man with a history of iron deficiency anemia (IDA) of unclear etiology was admitted with a three-week history of progressively worsening fatigue, weakness and lightheadedness. Further questioning revealed a 12 month history of hemoptysis which he described as productive of about a half-dollar amount of blood every morning. He [...]

Case Presentation: A 63-year-old man with history of recurrent syncope and atrial fibrillation (AF) on warfarin presented to our hospital with headache. Within the last year, he had suffered several falls due to syncope, which resulted in serious injuries, including jaw fracture and subdural hematomas (SDH). He used alcohol and marijuana daily. Previous workup for [...]