Case Presentation: A-28-year-old male with history of asthma and bipolar disorder presented to our hospital with a 10-day old, painful rash on bilateral lower extremities. History was significant for flea bites that occurred a day before the rash started. The rash started off as 3/10 petichae on both legs, but over 2 days it rapidly […]

Case Presentation: A 71 year-old woman with hypothyroidism and primary biliary cirrhosis presented with one month of progressive memory impairment and confusion. Prior to presentation, she had no memory deficits and was sufficiently managing her activities of daily living. She was up-to-date on routine age-appropriate cancer screening and was not taking any immunosuppressive drugs. Her […]

Case Presentation: A 69 year-old man presented after experiencing fatigue and fever for two days. He complained of accompanying dyspnea with decreased exercise tolerance and new four-pillow orthopnea. He had a history of myocardial infarction, coronary artery disease status-post multi-vessel coronary artery bypass graft, heart failure with reduced ejection fraction with an implantable cardioverter defibrillator […]

Case Presentation: An 11 year old obese male with sickle cell trait presented with 4 months of right-sided leg pain. His pain had begun as right thigh pain, progressed to his hip and was now involving his lower back. The pain severely impeded his ADLs. He reported a 30 lbs weight loss over this period […]

Case Presentation: A 64-year-old male with a history of aortic valve stenosis status post bioprosthetic valve replacement nine months prior, paroxysmal atrial fibrillation on warfarin, and extremely poor oral hygiene presented to the hospital with acute onset of vertigo and left sided weakness. An acute cerebellar infarction was diagnosed despite a therapeutic INR on admission. […]

Case Presentation: 65 year old man with history of end stage renal disease, ischemic cardiomyopathy, paroxysmal atrial fibrillation, diabetes presented with complaints of rash in his bilateral legs for four days. Few days later, he noticed petechial rash involving bilateral ankles and feet that started on the left side and did spread to involve bilateral […]

Case Presentation: A 76 y/o Korean American man presented with fever, chills, poor appetite, fatigue and dark colored urine. He often hikes in the woods but does not remember any tick or insect bites. He denies any recent blood transfusion or any recent travel outside of PA. At the time of initial presentation, he had […]

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 […]