Case Presentation: A 12-year-old male presented with right-sided headache for 5 weeks described as constant, throbbing, and radiating to his neck, waking him from sleep.  There was a reported 11 pound weight loss and right-sided tender cervical lymph nodes without fever or history of otalgia, otorrhea, or otitis media. He was evaluated by his pediatrician […]

Case Presentation: A 69 year old male with past medical history of hypertension and lumbar spinal stenosis presented with numbness of the first and second digits of the left hand that progressed to weak grasp over the previous 24 hours. On arrival, vital signs were normal. Exam was significant for a well appearing male in […]

Case Presentation: An 11-year-old girl presented to the Emergency Department with one week history of sore throat, 3 days of abdominal pain, headache, diarrhea and increasing dizziness over the last day.  She had been seen by her PCP 4 days prior to presentation and started on Amoxicillin for presumptive streptococcal pharyngitis.   In the waiting room […]

Case Presentation: A 57-year-old female with a history of herpes simplex virus was seen at Rheumatology clinic for 3 weeks of myalgias and arthralgias, positive rheumatoid factor and elevated inflammatory markers. By her first visit, her symptoms resolved. Review of systems revealed chronic sinusitis associated with nasal septal deviation and nasal polyps, which previously failed […]

Case Presentation: A 60 year-old woman with a history of chronic hepatitis C without cirrhosis and schizophrenia with paranoid delusions was admitted with severe progressive bilateral burning foot pain. She had a history of intermittent alcohol use and recent homelessness. She lacked a primary care doctor and sought care for her bilateral lower extremity pain […]

Case Presentation: A 43 year old male with a history of alcohol use disorder presented complaining of a 1 week history of sharp stabbing abdominal pain associated with diarrhea and fever, and a 15 pound unintentional weight loss over a month. He was tachycardic at 110 and febrile at 101.4 F, but normotensive. He had […]

Case Presentation: The patient is a 70 year-old male with history of superficial transitional cell bladder cancer status post transurethral resection of bladder tumor, chemotherapy, and multiple courses of intravesical BCG (Bacillus Calmette-Guerin) therapy– most recently 3 months prior to presentation. He presented with a 4 month history of bilateral hip and back pain with […]

Case Presentation: A 66 year-old woman presents with three weeks of acute onset bilateral lower extremity pain and foot weakness; two weeks of dyspnea, non-productive cough, epistaxis; and one week of oliguria and lower extremity edema. Her past medical history includes COPD, prior heavy tobacco use, and pre-diabetes. Medications and allergies are non-contributable. Her father […]