Case Presentation: 56-year-old male with no significant medical history presented to our hospital with progressive monocular vision loss, initially referred by ophthalmology for new diagnosis of uveitis. He initially noticed blurring of vision in his right eye about one month prior to presentation. His ophthalmologist started him on a combination of atropine and Difluprednate eye […]

Case Presentation: A 45‐year‐old woman with history of daily intravenous heroin use presented with one week of fatigue, generalized body pain and subjective fevers. On presentation, she was febrile, tachycardic and hypotensive. There was tenderness to palpation along the thoracic and lumbar spine, pain with range of motion of the left shoulder and track marks […]

Case Presentation: A 73-year-old male presented with acutely worsening left eye pain, lacrimation and swelling which had progressed over 3 days. He reported non-traumatic acute onset of left eye blindness 3 weeks prior to that, with no associated headache, fevers, chills or other constitutional symptoms. The patient had early cataracts, and an otherwise uneventful ocular […]

Case Presentation: A 54 year‐old woman with a history of Nissen Fundoplication presented with two weeks of worsening chronic epigastric pain and one day of fever. For two years, she had recurrent episodes of epigastric and right upper quadrant pain, characterized as sharp, “hunger pains,” occasionally radiating to her right scapula and associated with nausea. […]

Case Presentation: A 31-year-old man presented to the ED with one week of worsening cough, headaches, and abdominal pain. Initial laboratory evaluation revealed a total bilirubin level of 15.6 mg/dL, ALP 181 U/L, ALT 518 U/L, AST 829 U/L. Lipase and GGT were within normal range. Chest x-ray and abdominal ultrasound showed no abnormalities. He […]

Case Presentation: A 47year old Caucasian man came to the emergency room with of fever, severe headaches, severe body aches and pain for 4days. Headaches worsened and he developed photophobia on day 5. He was taking Bactrim for an infected left arm wound which he stopped after these symptoms started. On examination, he was acutely ill looking, […]

Case Presentation: We report a 12 year old girl who presented with a burning rash on the left forearm for 2 hours. The child noticed an insidious burning sensation and saw redness of the skin over her forearm. No other lesions or concurrent symptoms were noted. There was no history of trauma or burns. On […]

Case Presentation: A 40-year-old man with untreated HIV presented with two weeks of worsening nausea, headache and diplopia. In addition, the patient had some confusion limiting his ability to recall pertinent medical history other than several years ago he was treated for a fungal brain infection. He denied any fevers, weight changes, abdominal pain, or […]

Case Presentation: A 34 year old Filipino male with a past medical history of recently diagnosed Human Immunodeficiency Virus (HIV) and Tuberculosis (TB), presents to the emergency room on October 30th 2018, complaining of intermittent lower extremity weakness and pain that had began in July of 2018. He initially began experiencing pain in his feet […]

Case Presentation: A 55-year-old male with a history of hypertension and bipolar disorder presented with abdominal and groin pain, and unintentional 40lb weight loss over the past 4 months. Furthermore he reported fevers, chills, hematuria, and dysuria. On physical exam he had right upper quadrant abdominal tenderness, bilateral hard and immobile inguinal lymph nodes, and […]