Case Presentation: A 50 year-old African American male with type 2 diabetes requiring insulin, end stage renal disease on peritoneal dialysis, coronary artery disease, infertility, chronic pancreatitis, alcohol use disorder, and recent influenza presented with fever and cough. He was afebrile, hypotensive, tachycardic, and tachypneic with a leukocytosis and bibasilar consolidations on chest x-ray. He […]

Case Presentation: A 22 year old gentleman with no past medical problem presented with a gradually increasing swelling of his right forehead. He had a minor bump on a car door in the same area 2 weeks ago. He was evaluated in an urgent care & sent home on analgesic. As the swelling continued to […]

Case Presentation:      A  26 year old man without significant medical history presented  on October 10, 2014 with 24 hours of severe abdominal pain. He was found to have severe pancreatitis with multiorgan failure requiring pressors for hypotension and intubation for respiratory failure.  Laboratory data included a lipase of 1953, a gapped metabolic ketoacidosis acidosis […]

Case Presentation: Coccidioidomycosis is a highly variable disease endemic to the southwest with 60% of infected individuals remaining asymptomatic or suffering mild respiratory illness. Less than 1% of cases result in life-threatening dissemination with immunocompromised hosts being most at risk. We present a rare case of multifocal disseminated coccidioidomycosis (DC) in an immunocompetent young male […]

Case Presentation: 79 yo. female with PMH of A. Fib on Warfarin, HFpEF, Hypertension,PVD, CKD-III who presented to the hospital with generalized weakness and recent falls. Reported gradual decline over about 1 month before admission. She reported that symptoms started with “stomach flu” about 4 days prior with chills, nausea, and abdominal pain. She complained […]

Case Presentation: A 62 year old woman with a history of left ventricular outflow tract obstruction presented with acute onset of shortness of breath and flash pulmonary edema. She was gently diuresed with improvement, and on the following day was noted to be agitated and paranoid with hallucinations. Further history was taken from her daughter […]

Case Presentation: A 25-year-old previously healthy male presented with two weeks of right arm and leg weakness, paresthesia, difficulty walking, and low-grade fever. Head CT revealed two masses in the superior left cerebral hemisphere. Head MRI showed two intensely enhancing masses measuring 2.6 x 2.7 cm and 1.6 x 1.7 cm with marked surrounding edema […]

Case Presentation: A 59 year-old male with a past medical history of Type 1 muscular dystrophy presented to the emergency room with acute onset of chest pain. The patient reported he had some mild abdominal and epigastric pain the night prior, but in the morning, it became intolerable chest pain. The pain was described as […]