Case Presentation: Mr. R, a 52 year old man with history of nasopharyngeal carcinoma in remission for 14 years, presented for an elective total laryngectomy. He was doing well post-operatively however had been experiencing uncontrolled anxiety for a few months that was previously controlled by sertraline 100mg. Therefore the medicine team recommended increasing his sertraline [...]

Case Presentation: A 44-year-old female with CKD5, ESRD, HIV on ARV (abacavir, dolutegravir, lamivudine) was admitted for sepsis and diagnosed with an iliac vein hematoma. She underwent three different operations, and on the third day after the last procedure she stopped talking or communicating with family, staff and refused to eat. In the days prior, [...]

Case Presentation: A 36-year-old female was referred for an infectious disease consultation for severe lower back pain, 40 lbs weight lost over 6 months and abnormal MRI imaging consistent with discitis. She was in excellent health until 6 months prior to presentation, when she developed left gluteus muscle swelling, severe left hip and lower back [...]

Case Presentation: A 64-year-old male with newly diagnosed adenocarcinoma of the lung 1 month ago presented to a podiatrist due to significant left second toe pain. He was clinically diagnosed with gout and treated with meloxicam. Three days later he returned to the podiatrist due to worsening symptoms and was diagnosed with paronychia and treated [...]

Case Presentation: A 57-year-old man with robotic prostatectomy 2 months ago for prostate cancer presented with 2 days of right lower extremity swelling. His history was notable for a large right lower extremity deep vein thrombosis (DVT) for which he had an IVC filter placed, and pulmonary embolus for which he was on rivaroxaban. He [...]

Case Presentation: A 21-year-old previously healthy female with no known medical history was brought in by ambulance from a rave party with concerns for being pale, tremulous and diaphoretic. She reportedly had consumed three shots of alcohol, marijuana, and two unknown pills. On exam she was noted to be non-interactive, febrile to 104F, and with [...]

Case Presentation: A 38-year-old Asian American male presented with severe non-radiating upper abdominal pain for the previous 18 hours. The pain was exacerbated with deep breathing and movement. He had no significant past medical, surgical, or family history. He drank two alcoholic drinks per week and did not smoke. The only medication he reported taking [...]

Case Presentation: A 68 year old caucasian female presented to the emergency department with 1 week of fever, chest pain, and dyspnea. On exam, she appeared cachectic and toxic . Her temperature was 101F, heart rate was 124/min, and she was in Atrial fibrillation. Her BP initially was 100/66, and respiratory rate was 25/min. Pulsus [...]

Case Presentation: A 54-year old Caucasian man, with no significant past medical history presented to the Emergency Department with complaints of fever to 38.9°C, chills, night sweats and mild diffuse headaches which had progressed over the prior 5 days. Recent travel history included a trip to Puerto Vallarta 2 months prior to presentation. While on [...]

Case Presentation: A 72-year-old man presented with several months of progressive weakness and dysphagia with a 70-pound weight loss. He was diagnosed with rheumatoid arthritis (RA) 4 months prior based on serology and synovial biopsy and was started on hydroxychloroquine. Previous work up for weight loss and dysphagia revealed a mild stricture versus delay in [...]