Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination […]

Case Presentation: A 46 year old male with a history of severe Crohn’s disease requiring several colon and small bowel resections and subsequent short gut syndrome was admitted for narcotic overdose and a lower gastrointestinal (GI) bleed. He had an indwelling Hickman catheter in the right internal jugular vein for total parenteral nutrition. He had […]

Case Presentation: AN 86 years old female with medical history of hypertension, hyperlipidemia and end stage renal disease presented to the emergency room with chest pain of 2 hours duration radiating to her back, jaw and left arm. Physical exam revealed normal vitals, blood pressure was equal in both arms. Cardiac and chest exams were […]

Case Presentation: A 74-year-old male with a past medical history of Stage III CKD and paroxysmal atrial fibrillation was initially taken to his PCP by his wife for changes in his mental status, trouble remembering things and following directions while driving. As his outpatient workup was ongoing, he also developed a fever with chills and […]

Case Presentation: A 63‐year‐old male nonsmoker with monoclonal gammopathy of undetermined significance and prostate cancer presented with 2.5 months of dysphagia, odynophagia, hoarseness, and midline neck swelling. Computed tomographic (CT) scan of the neck revealed a cystic mass extending inferiorly from the tongue base to the level of the thyroid cartilage, without lymphadenopathy. Fine‐needle aspiration […]

Case Presentation: A 22-year-old male with history of diabetes mellitus type I presents with 3 weeks of right inguinal pain with CT scan which showed a enlarged lymph node measuring 3.5 cm x 2.8 cm which was subsequently biopsied and showed necrotizing granulomatous lymphadenitis. He then presented with status epilepticus approximately 1 week after his […]

Case Presentation: RM is a 7-year-old African American male seen twice in 2 days in the emergency department. He had a 3 day history of fever to 39.7°C, right neck pain and swelling, vomiting, and diarrhea. He was diagnosed with cervical lymphadenitis and sent home with oral clindamycin, but he had persistent emesis, worsening neck […]

Case Presentation: A 69 year old man with history of Stage IV Mantle cell lymphoma on maintenance Rituximab presented to the emergency department with acute confusion and expressive aphasia. Patient was at his behavioral and functional baseline prior to this episode and there had not been any recent illnesses, medication changes or inciting events. Initial […]

Case Presentation: This is a 64 year old male with a past medical history of bipolar disorder without previous psychiatric admissions, type 2 diabetes mellitus, stroke and autoimmune encephalitis that presented to the emergency room from a subacute rehabilitation facility (month long stay since an L3-L4 discectomy) with altered mental status. While at the rehabilitation […]

Case Presentation: A 66-year-old female presented from the Dominican Republic with a 6-month-history of progressive weight loss, worsening confusion and inability to ambulate. On exam, she was alert and oriented to person only, pale but otherwise stable. Her neurological exam was pertinent for dysdiadokinesis and a positive Romberg sign. Her labs were notable for pancytopenia, […]