Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior [...]

Case Presentation: A 50-year-old male healthcare worker with a past history of splenectomy secondary to EBV complications, mild persistent asthma, and type 2 diabetes mellitus presented to the emergency department with acute hypoxic respiratory failure secondary to COVID-19 pneumonia. He quickly progressed to septic shock with worsening hypotension, tachycardia, lactic acidosis, increasing oxygen demands, and [...]

Case Presentation: A 78-year-old man with medical comorbidities of CAD with PCI to LAD and LCx, persistent A. fib, COPD, HTN, and Type 2 Diabetes Mellitus was admitted to our hospital for worsening epigastric pain, nausea, and vomiting. Prior to the presentation, he was treated for an upper gastrointestinal bleed secondary to duodenal ulcers. Dabigatran [...]

Case Presentation: A 56-year-old male with a past medical history significant for hypertension and hyperlipidemia presented to the emergency department with progressively worsening dry cough, shortness of breath, and non-exertional pleuritic chest pain associated with chills, nausea, vomiting, diarrhea, and generalized bodyache for 2 weeks, worsened over last 24 hours. On evaluation, was found to [...]

Case Presentation: A 74 year-old man with coronary artery disease and hypertension, who was two weeks post-admission for cholangitis with biliary-tube placement and ATN, re-presented to our institution with weakness, subacute progressive abdominal distension, and diffuse abdominal pain in the setting of serosanguineous biliary tube output. He was febrile with a leukocytosis and started on [...]

Case Presentation: A 53 year old man with uncontrolled diabetes type 2, hypertension, obese, stage III chronic kidney disease, chronic lower extremity edema with venous stasis, and recurrent lower extremity cellulitis was admitted to a large Quaternary medical center with 2 days of fever, chills, left lower extremity swelling, redness and pain. Started when he [...]

Case Presentation: An otherwise healthy 21 year old woman presented to an outside hospital with developing headache, confusion, twitching, nausea and vomiting. Workup included an unremarkable head CT with LP consistent with aseptic meningitis. Viral meningoencephalitis was suspected, she improved and was discharged. She had recurrence of intermittent frontal headaches with associated dizziness, bilateral lower [...]

Case Presentation: A 77-year-old woman with a significant health history including metabolic syndrome, chronic obstructive pulmonary disease, ischemic cardiomyopathy, stage III chronic kidney disease and a recently diagnosed SARS-CoV-2 infection. She presented with sepsis and cardiorenal syndrome. On arrival, she was in acute respiratory distress with severe metabolic and respiratory acidosis, and in oliguric state, [...]

Case Presentation: A 47-year-old man with a history of metastatic colon cancer status post resection and rheumatoid arthritis presented to the emergency department with 4 days of fever, shortness of breath, fatigue and myalgias. He described fevers in a periodic pattern with spikes occurring about 3 times per day. He was found to be tachycardic [...]

Case Presentation: A 64-year-old male with a medical history of left-occipital stroke and alcohol use disorder presented with progressively worsening dizziness & weakness of his extremities ongoing for six months. The complaints were associated with numbness of fingertips and toes with gait instability resulting in repeated falls. He correlated the symptoms with starting baclofen (taking [...]