Case Presentation: A previously healthy 42 year-old man was admitted with acute abdominal pain. He described onset of periumbilical pain on the morning of admission, resolving after an episode of non-bloody, non-bilious emesis. Later that day, he developed a severe, sharp, constant and non-radiating left lower quadrant pain associated with emesis. He denied fevers, chills, [...]

Case Presentation: A 38-year-old male patient with a history of intravenous drug use was transferred from an outside hospital after initial presentation with persistent fevers, episodic flushing and swelling in right hand and forearm. Workup at the other hospital included blood cultures positive for unspeciated yeast, and a transthoracic echocardiogram with normal ejection fraction (65%) [...]

Case Presentation: A 37 year old female with a past medical history of Hypertension, Ischemic Cardiomyopathy (EF=40-45%), Systemic Lupus Erythematosus, and Antiphospholipid Antibody Syndrome presented to the Emergency Department with complaints of pleuritic chest pain that had been persistent for two days duration which radiated down her left arm. Initial laboratory workup noted a normal [...]

Case Presentation: A 63 year-old man with diabetes mellitus, hypertension, and GERD presented from an outside hospital with bilateral upper extremity paralysis, paresthesias, and neck pain which started minutes after sneezing. Vital signs were stable and neurologic examination was remarkable for bilateral upper extremity strength of 0/5 with absent reflexes and reduced sensation to pinprick. [...]

Case Presentation: A 36 y/o African American female with a history of hypertension, possible congenital right renal atrophy, and endometriosis, presented with a two-day history of severe left flank and abdominal pain similar to her prior endometriosis flares. She noted no personal or family history of thromboembolic disorders. On physical exam, vitals were significant for [...]

Case Presentation: A 73-year-old woman with a history of coronary artery disease and remote cervical cancer presented to the hospital with a two-month history of progressive leg weakness and confusion. Over the course of six weeks, symptoms progressed to flaccid paralysis and loss of sensation in both legs. Magnetic resonance imaging (MRI) demonstrated enhancing hemorrhagic [...]