Case Presentation: A 47 year old man with asthma and a 30 pack-year smoking history presented with shortness of breath, chest tightness, and intermittent fevers for the past week. For the month prior to presentation he was vaping tetrahydrocannabinol (THC) daily. He had no sick contacts and no other drug use or occupational exposures. Initial […]

Case Presentation: A 47 year old man with asthma and a 30 pack-year smoking history presented with shortness of breath, chest tightness, and intermittent fevers for the past week. For the month prior to presentation he was vaping tetrahydrocannabinol (THC) daily. He had no sick contacts and no other drug use or occupational exposures. Initial […]

Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed […]

Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed […]

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 19-year-old man with no medical history presented to gastroenterology clinic with four days of nausea, vomiting, malaise, fevers, and epigastric pain. An esophagogastroduodenoscopy (EGD) was scheduled for the following day. The next morning, the EGD was cancelled when he was found to be to be hypoxemic on pre-procedure vital signs and was […]

Case Presentation: A previously healthy 46 year old Hispanic male was admitted to our hospital with 2 week history of bilateral throbbing finger pain, purplish discoloration, finger numbness, light headedness and 3 day history of black tarry stools. Three weeks prior to admission, he received his first dose of recombinant hepatitis B vaccine. One week […]

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, […]