Case Presentation: A female in her late 50’s with past medical history of COPD, fibromyalgia, multiple psychiatric disorders presents to the emergency department with shortness of breath, cough for the past two months, and dyspnea on exertion. She was diagnosed with a COPD exacerbation and treated with Ceftriaxone and Azithromycin as well as systemic steroids […]

Case Presentation: A 24-year-old black male with a history of generalized epilepsy first diagnosed one year ago presented to the Emergency Department (ED) after one episode of a witnessed generalized tonic-clonic seizure. Upon arrival at the ED, he was at his baseline mental state. However, just moments later, he had another refractory generalized tonic-clonic seizure […]

Case Presentation: A 73 y/o male nursing home patient with known history of Hypertension, Atrial fibrillation and recent diagnosis of cholangiocarcinoma came to the hospital with complains of fever, chills and urinary retention. Initially diagnosed with urinary tract infection. The urine and blood cultures were positve for Enterococcus fecalis sensitive to vancomycin. Patient was admitted […]

Case Presentation: We present a 65-year-old, woman who had developed pseudomonas bacteremia after a complicated femoral artery thrombosis s/p transcatheter repair of the mitral valve. The patient was discharged home on a 6-week course of IV cefepime for concerns of possible mitral valve endocarditis. Within 2 weeks of discharge, the patient had been brought back […]

Case Presentation: A 67-year-old woman with a history of osteoporosis, GERD, diverticulitis, and osteoarthritis presented to the emergency department with altered mental status and a witnessed tonic-clonic seizure one day after receiving zoledronic acid (ZA) for treatment of osteoporosis. The seizure was refractory to medical management and she required intubation for airway protection. Labs were […]

Case Presentation: 44-year-old female with recent history of cognitive deficits, aphasia, and memory difficulty, who was initially treated with IV tPA with a therapeutic response at another institution. CT and MRI of the brain performed during that hospitalization were negative for acute intracranial process. Three months later she was referred to our institution by a […]

Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing […]

Case Presentation: A 16 year old obese female, with history of menorrhagia and iron deficiency, presented with five days of progressive left hip and thigh pain. The pain was described as sharp and radiating from the left hip to knee.  Hip flexion and ambulation made it worse.  Seven weeks prior, she started an OCP (oral […]

Case Presentation: A 70-year-old man with a history of human immunodeficiency virus (CD4 count 500) and alcoholism presented with 5 days of fever and cough, associated with headache and worsening altered mental status. He was febrile to 100F, tachycardic, hypotensive, extremely irritable, photophobic, and with positive nuchal rigidity. Laboratory findings showed a leukocytosis to 25. […]

Case Presentation: A 69-year-old Brazilian female who moved to the US in the 1990s with history of COPD, hypertension, and depression (treated 5 years ago with Seroquel) presented to the ER with 2 weeks of cough, diarrhea, and post-tussive emesis. The patient was febrile to 103 F, BP 96/58, tachycardic to 110, and hypoxic to […]