Case Presentation: A 51 y/o male active smoker, presented with sudden onset of dizziness, confusion, right arm weakness, and numbness. He also reported left-sided chest pain and mild headache five days ago. The examination revealed decreased sensation and strength (3/5) in the right upper extremity. Labs notable for leukocytosis=22k/uL (60% eosinophils), high sensitivity troponin 440ng/L, […]

Case Presentation: A 65‐year‐old African‐American male with past medical history of hypertension, hyperlipidemia and degenerative disc disease, was admitted with left foot twitching and spasms for a week. On examination he was noticed to have hyperesthesia in left calf with increased resting muscle tone and hyperkinetic movements. Power was decreased with intact reflexes. Rest of […]

Case Presentation: A 45-year-old woman presented to Emergency Department (ED) with a 1-weeks history of a sore throat, sinus congestion and dry cough. She was diagnosed with an upper respiratory tract infection and treated with amoxicillin/clavulanic acid. After 3 doses, she developed a high-grade fever and pink confluent pruritic maculopapular rash on arms and legs […]

Case Presentation: A 64-year old female with aspirin-exacerbated respiratory disease (AERD) with severe persistent asthma who had previously undergone aspirin desensitization now taking aspirin 650mg in the morning and 325mg at bedtime presented for total knee arthroplasty (TKA). The surgeon preferred cessation of aspirin 1 week preoperatively and a maximum dose of 325mg daily postoperatively […]

Case Presentation: A 63-year-old man with asthma, chronic rhinosinusitis, and fifty-pound weight loss in the past seven months, was admitted to the hospital for left parietal and right occipital stroke. Asthma was diagnosed in childhood and was well-controlled without recent exacerbation. Patient had focal right hand weakness of 4/5 strength, petechiae on the left lateral […]