Case Presentation: A 21-year-old female with history of IgG immune deficiency requiring intravenous immunoglobulin transfusions from the age of 12-17 presented to our service with one-week complaint of dizziness and fatigue. At presentation, she reported dyspnea, chest pain, intermittent palpitations, and nausea. She had had a brief pre-syncopal episode and an episode of nausea and [...]

Case Presentation: A 37 year-old man presented with altered mental status and a headache after a motor vehicle collision where he was a restrained driver while intoxicated with alcohol. He had a known history of glucose-6-phosphate-dehydrogenase deficiency (G6PD). Exam was notable for superficial abrasions on bilateral upper and lower extremities, diffuse generalized abdominal tenderness to [...]

Case Presentation: A 64 year old man with a history of membranous nephropathy on tacrolimus and recent cerebral arteriovenous malformation (AVM) repair, with stent placement seven months prior, presented to the emergency room with one day of progressive lethargy, frontal headache, photophobia, and confusion with subjective fevers and nausea.His vitals on presentation were significant for [...]

Case Presentation: A 54 year-old previously healthy man presented to the ED with two weeks of cough productive of “grey-green” mucus and slowly worsening dyspnea on exertion. His symptoms were accompanied by low-grade fevers, fatigue, poor appetite, and lightheadedness upon standing. His spouse was recently ill with symptoms of an upper respiratory infection. Review of [...]

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: An 18 year old female with a history of cirrhosis due to autoimmune hepatitis on immunosuppressants presented with acute low back strain. On presentation, her vital sign was remarkable for heart rate of 129 bpm. Physical exam revealed splenomegaly with mild pedal edema and low back tenderness. Laboratory evaluation showed a hemoglobin of [...]