Case Presentation: A 40-year-old Caucasian male with a past medical history of polysubstance abuse, with a preference for cocaine, presented to the emergency department complaining of right groin pain. He was diagnosed with purulent cellulitis and broad spectrum intravenous antibiotics were initiated. Initial blood work found low WBC (3.7 x 103/mcL), with a low neutrophilic […]

Case Presentation: , A 21 year‐old Caucasian man with no significant past medical history was referred for night sweats and fatigue. The patient denied foreign travel, sick contacts, dental appointments and risky sexual encounters. Physical examination revealed a young man with with stable vital signs with a loud blowing systolic murmur heard best at cardiac […]

Case Presentation: An 80-year-old Korean gentleman with a past medical history of hypertension and dyslipidemia presented with a one week history of right eye ptosis and diplopia. He denied head/eye trauma, headaches or loss of consciousness. Also denied focal weakness of limbs, numbness/parasthesias, speech changes, or seizure activity. He reported no other symptoms. Distant smoking […]

Case Presentation: A 36-year old male with a history of paraplegia secondary to a motor vehicle accident and long-standing polysubstance abuse presents to the ED for worsening facial wounds that first appeared two years ago. The patient states the most recent lesion on the upper back appeared two months ago and was preceded by cocaine […]