Case Presentation: A 48-year-old female with spina bifida was admitted for sepsis secondary to sacral osteomyelitis. She improved with broad-spectrum antibiotics, and her antibiotic regimen was narrowed to Zosyn (piperacillin + tazobactam) to complete a 6-week course. On hospital day 12, discharge was delayed pending insurance approval of an air mattress for home. Three days […]

Case Presentation: A 48-year-old female with spina bifida was admitted for sepsis secondary to sacral osteomyelitis. She improved with broad-spectrum antibiotics, and her antibiotic regimen was narrowed to Zosyn (piperacillin + tazobactam) to complete a 6-week course. On hospital day 12, discharge was delayed pending insurance approval of an air mattress for home. Three days […]

Case Presentation: A 75 year old woman with past medical history of hypothyroidism presented with weakness and the sensation of “large folds of skin” on the bottom of her feet. Pertinent physical exam findings included conjunctival pallor, nonspecific diffuse abdominal tenderness, and hyperpigmented macules of the dorsal finger tips and soles, which were also new […]

Case Presentation: 53 year‐old Hispanic male with history of recently diagnosed coronary artery disease, hypertension and diabetes mellitus presented with one day of abdominal pain followed by painful hematochezia. The abdominal pain was described as intermittent and colicky followed by tenesmus. The initial bloody stool had mixed bright blood and was followed by smaller bowel […]

A case of wegner with C-ANCA, anti GBM+ with preserved kidney  function in a 22 year old Case Presentation: 22 years old male, Jehovah’s witness  with no past medical history. He was in a normal state of health before presentation to the emergency department for 3  days of fever,shortness of breath,cough and mild hemoptysis. He […]

Case Presentation: A 64-year-old Middle-Eastern man with a history of rheumatic heart disease status post mechanical mitral Starr-Edwards ball-in-cage valve (in 1968), atrial flutter on coumadin and prior ischemic stroke with residual blindness presented with 4 days of “bloody” urine. Physical exam was significant for scleral icterus, an unchanged holosystolic murmur, and the observation of […]

Case Presentation: A four month-old boy presented with abdominal distension.  His parents had noted increasing abdominal size over several weeks.  They also reported a diaper rash for two months and nasal congestion for one month. They denied fever, cough, emesis or diarrhea.  The patient was adopted, born full term in another state.  Birth mother had […]

Case Presentation: Few spider bites are medically significant. A 24-year-old African American woman presented with malaise, fever, nausea, and myalgias. She reported a sharp pain on her lower back the night prior that at first felt like burning before progressing to pain. Her initial vitals were T 101, HR 120, BP 141/117. Physical exam revealed […]

Case Presentation: Use of synthetic illicit drugs, including marijuana, is on the rise. Commonly these drugs are laced with additives, many of which can have severe hematologic effects, to enhance the drugs’ euphoric effects. Here we describe a case of spontaneous hemorrhage after ingestion of marijuana laced with brodifacoum. A 25-year-old male presented with bilateral […]

Case Presentation: 81 year-old man with a history of atrial fibrillation on Warfarin and bioprosthetic aortic and mitral valves presented with dark urine and shortness of breath. He described progressive shortness of breath and reduced exercise tolerance, unable to walk upstairs to his apartment. His urine had become “the color of eggplant”. On exam, he […]