Case Presentation: A 25 year-old woman with severe persistent asthma, chronic self-resolving episodes of hemoptysis, history of miscarriage, and iron deficiency anemia secondary to heavy menses presented with sub-acute worsening shortness of breath and hemoptysis despite adherence to home inhalers. Patient had multiple prior hospitalizations requiring intubation for asthma exacerbations, complicated by hemoptysis. Upon presentation, […]

Case Presentation: A 25 year-old woman with severe persistent asthma, chronic self-resolving episodes of hemoptysis, history of miscarriage, and iron deficiency anemia secondary to heavy menses presented with sub-acute worsening shortness of breath and hemoptysis despite adherence to home inhalers. Patient had multiple prior hospitalizations requiring intubation for asthma exacerbations, complicated by hemoptysis. Upon presentation, […]

Case Presentation: A 38-year-old African male with no medical history presented to the emergency department with chronic, intermittent epigastric abdominal pain. Physical exam revealed a diminished left radial pulse but was otherwise unremarkable. Labs were notable for an elevated C-reactive protein (CRP) to 23.7 mg/L (normal

Case Presentation: A 33‐year‐old Indian male presented with low grade fevers and drainage from a recurrent wound infection in the back of his head. Medical history was significant for a skull fracture after a fall, requiring a metal plate insertion 16 years prior. Admission vitals confirmed hemodynamic stability. Physical exam revealed a loud pulmonic heart […]

Case Presentation: A 62‐year‐old HIV positive Caucasian Male presented with 4‐day history of sudden onset, severe abdominal pain. Patient also had decreased appetite, nausea. He was passing flatus. His last CD4 count was 612 a month ago. On abdominal examination, there was tenderness around the umbilicus. Abdominal and pelvic CAT scan with contrast showed superior […]

Case Presentation: An 86 years old male with a history of pulmonary fibrosis, HTN, CHF, RA, valve replacement presented after left eye transient visual loss and exertional dyspnea. He reported an episode of painless vision loss in the left eye, felt like a grey curtain was pulled down over his left eye and lasted about 30 seconds. He […]

Case Presentation: A 62‐year‐old right‐handed female with history of idiopathic interstitial lung fibrosis status post lung transplant with new lung nodules, long‐standing hypertension and hyperlipidemia developed new‐onset neurologic deficits following CT‐guided lung biopsy. During the procedure, she experienced sharp chest pain, and immediately after, lost consciousness. Upon regaining consciousness, her neurologic exam was remarkable for […]

Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from […]

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 […]