Case Presentation: A 30 year old man with a history of type 1 diabetes mellitus and bioprosthetic aortic valve replacement (AVR) for endocarditis presented with 2 days of left eye pain and vision loss associated with fevers, headache, and nausea. He reported intravenous drug use (IVDU) 4 days prior to admission after 14 months of […]

Case Presentation: NZ is a 60 yo, Iraqi female with a past medical history of remote hemi‐thyroidectomy, who underwent a total thyroidectomy for Graves disease. She required one 2mg IV dose of calcium gluconate during the initial hospital stay for symptomatic hypocalciumia with a value of 7.5mg/dL on post‐operative day (POD) 1. She was discharged […]

Case Presentation: A 21 year-old male with history of untreated Hepatitis C and intravenous drug use presented with acute right-sided weakness, fevers and altered mental status. Exam was significant for word-finding difficulty, asymmetric pupils, and 4/5 right-sided upper extremity and facial weakness. Labs were remarkable for leukocytosis. Brain MRI demonstrated expansile process involving the left […]

Case Presentation: A 60-year-old woman presented with non-healing bilateral lower extremity ulcers. She had a history of systemic lupus erythematosus (SLE) treated with prednisone, azathioprine, methotrexate, and hydroxychloroquine. She previously took warfarin for treatment of a deep vein thrombosis (DVT), but was switched to apixaban after developing a purpuric rash. On presentation, her right calf […]