Case Presentation: A 65-year-old female with history of 70 pack years smoking, chronic hip pain, GERD, COPD presented to the ED with a 6 months complaints of diffuse pruritic skin rash associated with progressive facial swelling, fatigue and muscle weakness. She had been seen multiple times in the Dermatology clinic and punch biopsy revealed perifollicular [...]

Case Presentation: A 43-year-old male with history of hypertension and alcohol abuse presented with a 3-day history of URI like symptoms including high grade fevers, cough productive of yellowish sputum, generalized abdominal pain, nausea and diarrhea. On physical examination, Blood pressure 136/83 mmHg, pulse 151 beats per minute, respiratory rate 24 breaths per minute, temperature 40.3 [...]

Case Presentation: 39 year-old African-American male presented with dizziness, worse with movement and short-term memory loss, remaining oriented, without visual changes, and no focal deficits. He complained of chronic sinusitis for the past year. CT head showed a hyperdense mass with surrounding white matter edema in the left basal ganglia. Confirmed by leptomeningeal enhancement by [...]

Case Presentation: A 68-year-old man who initially presented about 2 years prior with complaints of melanotic stools and coffee ground emesis. On his initial presentation, he was found to have elevated liver enzymes – AST/ALT/ALK were elevated, imaging revealed liver nodularity, EGD revealed grade I varices which were banded patient was diagnosed with NASH with [...]

Case Presentation: IgA Vasculitis, formerly known as Henoch-Shönlein Purpura, is a systemic vasculitis most often seen in children. We present a case of a 28 yo obese man who presented to his primary care physician with complaints of fever, chills, nausea, vomiting, and sore throat for twelve hours. He was diagnosed with viral gastroenteritis and [...]

Case Presentation: A 59 year-old woman with uncontrolled diabetes mellitus and end-stage kidney disease on hemodialysis presented with altered mental status and a suprapatellar abscess. Following irrigation and debridement, her course was complicated by septic shock. She was found with high-grade methicillin-sensitive Staphylococcus aureus bacteremia, and her blood cultures ultimately sterilized with IV cefazolin therapy. [...]

Case Presentation: A 33 year-old US born woman with iron deficiency anemia presented after one episode of pre-syncope. She reported 3 weeks of progressive fatigue, shortness of breath, and pain in the chest, back, and hips. She denied abdominal pain, menstrual abnormalities, sick contacts, recent trauma, and blood disorders or malignancy in her family. She [...]

Case Presentation: Thoracic duct rupture can be seen in traumatic injuries to the mediastinum, or as a potential complication of thoracic surgical procedures. Rarely, thoracic duct rupture has been associated with severe systemic infections. There have only been a handful of case reports dating back to 1955 of spontaneous, idiopathic thoracic duct ruptures. Most cases [...]

Case Presentation: A 66-year-old female presented to the hospital with two days of acute chest pressure which occurred at rest. It was intermittent in nature but had persisted over the past two days which prompted her to present to the hospital. She had a past medical history of diabetes mellitus, hypertension, and heart failure with [...]

Case Presentation: A 47-year-old African-American man with obstructive sleep apnea presented to the emergency department after being called-back due to evidence of complete atrioventricular (AV) block on routine electrocardiogram. Patient reported a 6-month history of fatigue and exertional dyspnea. On physical examination, he was afebrile and in no acute distress. Vital signs were BP: 142/92 [...]