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: 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 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: 73 year old male with solitary kidney due to prior renal cell carcinoma and splenic marginal zone lymphoma currently treated with chlorambucil presented to the emergency department with acute kidney injury. He complained of red “kool-aid” urine and lower extremity rash. The rash was non-blanching, erythematous, papular and present on his ankles and [...]

Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness [...]

Case Presentation: A 55-year-old female with history of hypertension, fibromyalgia, systemic lupus erythematosus, radiculopathy, anxiety disorder, and childhood varicella presented to an outside hospital for new onset altered mental status. She was diagnosed with acute non-hemorrhagic stroke of the right occipital lobe and anterior right frontal lobe without known cause or findings suggestive of vasculitis [...]

Case Presentation: A 69-year-old male with a history of bladder cancer, adult-onset asthma, and stage IIIa chronic kidney disease, presented to his PCP and was found to have an elevated WBC. Upon further questioning, the patient reported non-productive cough, rhinorrhea, sinus congestion, malaise, myalgia, and arthralgia. He was started on supportive care for a suspected [...]

Case Presentation: A 57-year-old Japanese woman with a history of atopic dermatitis and recurrent cystitis presented to our hospital with a 4-week history of intermittent fever with chills, unlocalized mild headache, appetite loss, and 6-kg weight loss. Four weeks earlier, she developed fever without any localized symptoms, except for a mild headache. Her symptoms did [...]