Case Presentation: AN 86 years old female with medical history of hypertension, hyperlipidemia and end stage renal disease presented to the emergency room with chest pain of 2 hours duration radiating to her back, jaw and left arm. Physical exam revealed normal vitals, blood pressure was equal in both arms. Cardiac and chest exams were […]

Case Presentation: A 74-year-old male with a past medical history of Stage III CKD and paroxysmal atrial fibrillation was initially taken to his PCP by his wife for changes in his mental status, trouble remembering things and following directions while driving. As his outpatient workup was ongoing, he also developed a fever with chills and […]

Case Presentation: RM is a 7-year-old African American male seen twice in 2 days in the emergency department. He had a 3 day history of fever to 39.7°C, right neck pain and swelling, vomiting, and diarrhea. He was diagnosed with cervical lymphadenitis and sent home with oral clindamycin, but he had persistent emesis, worsening neck […]

Case Presentation: A 69 year old man with history of Stage IV Mantle cell lymphoma on maintenance Rituximab presented to the emergency department with acute confusion and expressive aphasia. Patient was at his behavioral and functional baseline prior to this episode and there had not been any recent illnesses, medication changes or inciting events. Initial […]