Case Presentation: A 29‐year‐old male with a history marijuana and cocaine use presented with abdominal pain of three weeks duration. The pain was associated with nausea, emesis, dark urine, night sweats and fever. He denied recent travel or sick contacts. On admission he was mildly tachycardic and afebrile. On physical exam he had left upper […]

Case Presentation: A 55-year-old female presented with headaches and intermittent fevers. On initial examination, she had left hand weakness. Laboratory findings revealed leukocytosis; brain MRI demonstrated multiple bilateral cerebral infarcts. Initial workup was concerning for embolic stroke which initiated our search for a cardioembolic source. No significant abnormalities were seen on transthoracic echo (TTE) and […]

Case Presentation: A 63-year-old man with a history intravenous heroin use disorder and chronic homelessness was readmitted for worsening right lower extremity pain secondary to recently diagnosed unprovoked bilateral deep vein thrombosis (DVT). He reported substernal chest pain without radiation and dyspnea but denied fevers, chills, weight loss or recent heroin use. His temperature was […]

Case Presentation: A 36 year‐old woman with history of asthma and hypertension presented with three weeks of rash, one week of gross hematuria, and acute onset dyspnea without hemoptysis or joint discomfort. She had been started on 60mg of prednisone without improvement as an outpatient for a possible vasculitis. Examination was notable for course crackles […]

Case Presentation: A 30 year old man with a history of type 1 diabetes mellitus and bioprosthetic aortic valve replacement (AVR) for endocarditis presented with 2 days of left eye pain and vision loss associated with fevers, headache, and nausea. He reported intravenous drug use (IVDU) 4 days prior to admission after 14 months of […]

Case Presentation: NZ is a 60 yo, Iraqi female with a past medical history of remote hemi‐thyroidectomy, who underwent a total thyroidectomy for Graves disease. She required one 2mg IV dose of calcium gluconate during the initial hospital stay for symptomatic hypocalciumia with a value of 7.5mg/dL on post‐operative day (POD) 1. She was discharged […]

Case Presentation: An 82-year-old female with past medical history of paroxysmal atrial fibrillation, hypertension, CKD stage 3, and recurrent Pseudomonas aeruginosa urinary tract infection was admitted to a cardiology inpatient service for generalized weakness and atrial fibrillation with rapid ventricular response.Her recurrent UTIs had been occurring monthly for the past year. She was noted to […]

Case Presentation: A 10-year-old male from China with prior history of a presumed parasitic infection was admitted for abdominal pain, vomiting, and diarrhea. Ten days prior to admission, he traveled to the United States and developed intermittent abdominal pain associated with non-bloody diarrhea and non-bloody, non-bilious emesis.  Review of systems was negative for fever, sick […]

Case Presentation: A 62-year-old Caucasian male presented to the hospital with complaints of fever, cough for 1 week. The patient was diaphoretic and also complained of malaise. He was admitted after a failed course of oral antibiotics due to suspected pneumonia. The patient denied any chest pain, dyspnea, or sputum production with the cough. Physical […]

Case Presentation: Our patient is a 19 year old female with no known medical history. She was studying engineering at a competitive university when she presented with seizures and altered mental status. History obtained from patient’s sister revealed that she had changes in her eating and sleeping patterns associated with academic decline for the past […]