Case Presentation: 32 year old male with diabetes,hypertension,migraine transferred from outside hospital for evaluation of diplopia,blurry vision,vertigo,imbalance & headaches.The patient’s symptoms began 8 months ago that gradually progressed to intractable retroorbital frontal headaches,nausea,dizzinness,intermittent slurring of speech,weakness in both legs & gait disturbances He was admitted several times to the outside hospital where a MRI brain […]

Case Presentation: A 92-year-old women with a medical history of hypertension, type 2 diabetes, and surgical resection of colon and renal cancer presented to the emergency department with high-grade fever and purulent sputum. She visited her primary care physician with the complaint of fever 5 days prior to visiting our hospital and was prescribed antibiotics […]

Case Presentation: A 43‐year‐old female was admitted to our hosipital experiencing fever, cough, dyspnea, generalized lymphadenopathy and weight loss. She had been examined previously in another hospital and subsequently treated for community acquired pneumonia for 5 weeks. Her past medical history included repeated episodes of pneumonia treated with antibiotics, with the last episode being one […]

Case Presentation: A 45 year-old gentleman with a history of recurrent alcoholic pancreatitis complicated by pancreatic pseudocyst presented to the hospital after three episodes of hematochezia. Ten days prior, he had undergone endoscopic transgastric metal stent placement between his pseudocyst and stomach, followed 6 days later by pseudocyst drainage with necrosectomy. After 3 days, he […]

Case Presentation: 56-year-old man with past medical history of abdominal aortic aneurysm surgery was brought to the Emergency Room for change in mental status and having bloody vomitus and melenic stool. On admission, abdominal exam was unremarkable, blood pressure was 110/77 mmHg, heart rate 103/min, Temperature 99.8 °C, Respiratory rate 20 per minute, hemoglobin 11.1 […]

SHM Clinical Abstract ‘She’s Just Not That Interested’ Case Presentation: Patient is a previously healthy 7-week old Hispanic female who presented to an emergency department with cough, congestion and decreased PO intake x 7 days. Baby had an unremarkable prenatal course and normal delivery. Mother was strictly breastfeeding the patient had normal growth and development. […]

Case Presentation: This is a 58 year old male with a past medical history of MDD, GAD, history of polysubstance abuse, history of enterococcus bacteremia complicated by aortic valve endocarditis status post valvular replacement and hemorrhagic stroke who was admitted to the hospital for urosepsis. Of note, this patient was previously hospitalized for Lactobacillus bacteremia […]

Case Presentation: A 66-year-old male with a past medical history of rheumatoid arthritis (RA), on chronic prednisone and methotrexate, presented to our institution with a 4-day history of loose watery diarrhea, subjective fevers, rhinorrhea and nasal congestion. He reported anorexia and malaise. On admission, the patient met SIRS criteria with a heart rate > 90 […]

Case Presentation: A 47-year-old male presented with a five-day history of intermittent frontal and retro-orbital headaches, blurry vision, photophobia associated with redness, tearing and pain of the left eye. His medical history was remarkable for HIV on HAART (last CD4 cell count 1022cells/μL) and chronic kidney disease. He had a history of unprotected anal sex […]

Case Presentation: A 77-year-old caucasian man with a known history of hypertension, hyperlipidemia and tobacco abuse initially presented to the hospital with chest pain for five days. He was diagnosed with an anterior wall ST elevation myocardial infarction (STEMI). He underwent cardiac catheterization with drug-eluting stent placement to the left anterior descending coronary artery. Subsequent […]