Case Presentation: A 77-year-old male with a history of systolic heart failure, aortic stenosis (AS) status post transcatheter aortic valve replacement (TAVR) 5 months prior, chronic kidney disease, and type 2 diabetes mellitus was brought to the emergency room after a fall at home. He started experiencing a pain on his chronic right great toe [...]

Case Presentation: A 69-year-old female with a history of Takotsubo cardiomyopathy, atrial fibrillation on Amiodarone since 2 months prior, type 2 diabetes who presented to the primary care clinic due to shortness of breath. She was diagnosed with community-acquired pneumonia 3 weeks ago that was treated with Doxycycline without improvement. She continued to spike fevers [...]

Case Presentation: 38-year-old female with past medical history of SLE and chronic cutaneous lupus was transferred from a community hospital for evaluation of progressively worsening rash. Patient was recently started on a Z-Pak for URI and Diflucan for yeast infection. She started experiencing itching around her neck and the following day noticed a rash around [...]

Case Presentation: A 67 year old female patient with diffuse large B-cell Lymphoma with extensive nodal disease involving the lower thorax, abdomen, pelvis and central nervous system (CNS) presented with generalized weakness, acute confusion and fevers. Her recent treatment history included systemic chemotherapy with dose adjusted etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, rituximab (DA-EPOCH-R) and intrathecal [...]

Case Presentation: A 57-year old man was found down at home one day prior to admission. Three days prior, he experienced intermittent “stabbing” chest pain and dizziness. Past medical history was significant only for multiple sclerosis treated with Copaxone. On admission, he was afebrile, heart rate 113bpm, blood pressure 104/71 mmHg, respiratory rate 19 breaths [...]

Case Presentation: A 43-year-old Japanese man without significant past medical history presented with one month of progressive malaise, fevers, chills, and swollen, painful lymph nodes on the right side of his neck. Prior to coming to our hospital, he was seen in an emergency department and was given a course of penicillin for presumed adenitis [...]

Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to [...]

Case Presentation: A 58-year-old male patient was brought by EMS after he was found to have an episode of syncope preceded by nausea, vomiting, dizziness while he was on his way to the supermarket. His past history was significant for hypertension, end stage kidney disease on chronic hemodialysis, and a recent diagnosis of stage IV [...]

Case Presentation: 51-year-old Hispanic male with past medical history significant for SLE treated with Plaquenil for the past four years and Idiopathic thrombocytopenia (ITP) requiring splenectomy presented with one-week history of hematuria and worsening bilateral flank and abdominal pain. Physical examination revealed petechiae on bilateral lower extremities and edema. Laboratory data was significant for a [...]

Case Presentation: A 27-year-old African American female with recent diagnosis of SLE and pending initiation of treatment presented to the outpatient clinic with nausea and vomiting. She was sent to the ED after failing symptomatic treatment for 7 days. In the ED she was found to have fever, tachycardia, periorbital swelling, and tender right submandibular [...]