Case Presentation: A 47-year-old previously healthy female presented with several months of non-productive cough, head congestion, then developed progressive dyspnea on exertion, night sweats. She was initially treated for sinusitis as an outpatient. Physical exam demonstrated mild facial edema and reduced breath sounds in the right upper lobe. CT angiography revealed a large mediastinal mass […]

Case Presentation: A 58-year-old male with limited prior health care utilization with presumed longstanding untreated HTN, otherwise unknown medical history, presented to a rural hospital with lethargy, confusion, acute renal failure of unknown duration. His personal history is significant for being exposed to pigs and chicken. On exam, he had a left lower extremity wound […]