Case Presentation: 81 year old male presents to ER with complaint of ‘almost passing out, whenever he sings at the church’. He further complains of an episode of lightheadedness two days back, while singing. He feels fine and is asymptomatic in‐between the episodes, while he is not singing. He denies chest pain, shortness of breath, […]

Case Presentation: 60-year-old African American male with history of polyarticular tophaceous gout, chronic back pain related to DDD, HTN, CKD stage III, HIV on HAART, COPD presented with worsening back pain of 1-week duration associated with progressive lower extremity weakness and inability to walk. Low back pain was noted as sharp, stabbing in nature radiating […]

Case Presentation: A 60‐year‐old male with a history of type 2 diabetes mellitus and hypertension presented with nausea, vomiting, malaise and bilateral lower extremity weakness. He was found to have tubercular osteomyelitis with spinal cord compression at the level of T1‐T2 and underwent a T1‐ T3 laminectomy, decompression of the spinal cord and C4 to […]

Case Presentation: A 65-year-old man with a past medical history of gout and chronic pancreatitis complicated by pseudocyst presented with bilateral lower leg swelling, erythema, and pain for few weeks. The rash was also associated with bilateral lower extremity nodules that would spontaneously open and discharge white material. He was seen and treated in the […]