Case Presentation: A 37-year-old male auto-mechanic, with a history of tobacco use, presented with acute right-sided pleuritic chest pain. He was diagnosed with musculoskeletal pain and discharged from the ED. Several days later he returned with dyspnea, dry cough, fever and diaphoresis. He revealed that he recently tried vaping marijuana (THC) oil. Vital signs were […]

Case Presentation: This is a 20 year old woman who was 20 weeks pregnant and had am OHCA . She was resuscitated and had return of spontaneous circulation although with a Glasgow coma Scale of 3 upon arrival to the emergency department. After adequate discussion with the family explaining the risks and benefits of therapeutic […]

Case Presentation: A 55 year old white male with a history of post traumatic seizure disorder and hemorrhagic stroke with residual left hemiparesis presented after having been found down following a generalized tonic‐clonic seizure the previous night. The patient did not complain of chest pain or discomfort at any point in time. His only complain […]

Case Presentation: A 25-year-old female with no significant past medical history presented to the emergency room with chest pain and shortness of breath. She was febrile to 40 degrees Celsius and tachypneic. Physical exam was notable for bilateral crackles in her lower bases. Her social history indicated former marijuana use and current e-cigarette use (Juule, […]

Case Presentation: 47-year-old male with past medical history of fibromyalgia, hypertension, and mild asthma presented with shortness of breath during a double red cell donation (DRCD). DRCD is a procedure where two packs of whole blood are taken from a donor, and plasma is separated from them, this plasma is then transfused back to the […]

Case Presentation: A 34 year old male presented with severe, progressive lower back pain over two years. He described the pain as sharp, 8/10 pain, radiating to the right buttock and thigh, unrelieved by over‐the‐counter pain medication. The patient complained of intermittent numbness, tingling, and weakness of the right lower extremity. A thorough neurologic exam […]

Case Presentation: 23 year old male with history of 8 years of vaping presents with 3 days history of fever, tachypnea, diarrhea, nausea. On initial presentation he had signs of sepsis with hypoxia.Vitals: TMax – 102.7, PR – 119, BP 124/82, RR 28.Labs-WBC-14,800, N- 92%, L 1%, Hb 13.2, Platelets 276, Na 132, K – […]

Case Presentation: A 53 year old gentleman presented to the emergency department with acute left arm weakness and altered mental status with difficulty with memory and performing activities of daily living. His past medical history was significant for neurosyphilis (treated with two weeks of IV penicillin G 7 months prior to presentation) chronic hepatitis C, […]

Case Presentation: A 19 year old female with history of marijuana use presented with subacute, progressive shortness of breath. Productive cough began two weeks prior to presentation. She was diagnosed with atypical pneumonia and received azithromycin from her outpatient provider. After two days without improvement in symptoms, she presented to a nearby hospital with acutely […]

Case Presentation: We report a case of outflow tract ventricular septal defect (VSD) manifesting in adulthood with aortic and pulmonary valve infective endocarditis (IE) from Gemella morbillorum. A 33-year-old male presented with fever, night sweats, fatigue and dyspnea for 4 months. Cardiovascular examination revealed a loud to-and-fro murmur with a palpable thrill and water hammer […]