Case Presentation: A 79-year-old man with a past medical history of congestive heart failure, hypertension, hyperlipidemia, prior Clostridium difficile ( C. difficile ) infection presents with multiple episodes of foul smelling diarrhea. Physical examination revealed a well-nourished, well developed male with a normal exam. Vital signs were remarkable for a blood pressure of 84/47 mm […]

Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. […]

Case Presentation: A 27-year-old man with metastatic gastroesophageal junction adenocarcinoma presents with five weeks of progressively worsening bilateral thigh pain. Admission exam is notable for a normal neurological exam. Labs are notable for CSF with malignant cells. Brain and spine MRI reveal diffuse leptomeningeal carcinomatosis. During his hospitalization, the patient develops dizziness and leg weakness […]

Case Presentation: Ms. Y. is a 61‐year‐old salad bar chef with a medical history of dyslipidemia and osteoporosis who was admitted with fever, chills, hot flushes, and extreme fatigue for 2 days. On the day of her admission, she also experienced epigastric pain, shortness of breath, chest pain, diaphoresis for a short duration, and a […]