Case Presentation: A 19-year-old, 22-week pregnant woman with no significant past medical history presented with cough, fever, myalgia, abdominal pain and diarrhea for two weeks. On admission, she was febrile to 101.2 F and tachycardic with HR of 110-120 bpm. Physical exam revealed right upper quadrant (RUQ) tenderness upon palpation and one vesicular genital lesion. […]

Case Presentation: A 36‐year‐old Caucasian male presented to the emergency room with several days of fatigue, emesis, abdominal pain, and dyspnea. He denied any recent travel but noted that he lived in an apartment with 6 dogs and 1 kitten. His physical examination and initial blood work were unremarkable except for a mild leukocytosis and […]

Case Presentation: A 44-year-old Hispanic male presented with a two-month history of sudden onset, severe left lower extremity burning pain associated with edema, erythema, and intermittent paresthesia, limiting his daily activities. His symptoms were initially localized to the first metatarsophalangeal joint and the plantar surface of the left foot. However, on presentation, his symptoms extended […]

Case Presentation: A 20 year-old female presented to the emergency department with a one-week history of fever, neck swelling, and sore throat. A rapid streptococcal antigen screen was negative, and she was diagnosed with viral upper respiratory tract infection and discharged home from the ED. She followed up with her primary care provider and physical […]

Case Presentation: A 25-year-old female with a history of End Stage Renal Disease (ESRD) due to Focal Segmental Glomerulosclerosis (FSGS) status post cadaveric kidney transplant one year ago presented with acute rejection of the transplanted kidney, likely due to medication non-compliance. Renal biopsy demonstrated that the kidney was no longer salvageable, and she was started […]

Case Presentation: A 17-year-old female with no past medical history was admitted to a tertiary care children’s hospital with acute onset of abdominal pain, nausea, emesis, oral ulcers, and vaginal rash. She was sexually active with the last unprotected encounter nine days prior to presentation. She endorsed dysuria but denied vaginal discharge. The patient was […]