Case Presentation: Ms. M is an 80 yo female with DM 2, COPD and gout, initially admitted to a tertiary care medical center in 2019 for sepsis of presumed urinary origin. She was treated with ceftriaxone and rapidly improved. Her urine culture and blood cultures from admission remained negative on hospital day 3, so she [...]

Case Presentation: A 63-year-old Hispanic male with relapsed refractory IgD-kappa plasma cell myeloma on 5th line salvage chemotherapy and remote high-grade invasive papillary urothelial carcinoma / prostatic adenocarcinoma status post cystoprostatectomy three years prior was admitted to the hospital for evaluation of a fall and sepsis secondary to cellulitis. The patient reported that he noticed [...]

Case Presentation: An 80-year-old man presented with progressive worsening of altered mental status after a fall and right knee trauma. Four days prior he developed subjective fevers, chills and inability to walk after the fall. Past medical history was significant for diverticulitis complicated by diverticular abscess six months prior to admission. He was homebound, no [...]

Case Presentation: 87-year-old female presented with chronic low back pain for one month and a new onset fever for 2 days. Patient denied recent travel history, sick contact, chest pain, shortness of breath, urinary symptoms, abdominal pain, diarrhea, or weight loss. She denied lower extremity weakness, sensory abnormality, urinary or bowel incontinence, gait disturbance or [...]

Case Presentation: A 23-year-old man with no past medical history presented with 3-days of severe abdominal pain, nausea, vomiting and alternating episodes of constipation and watery diarrhea. He reported 2-year history of intermittent episodes of dark and blood-streaked bowel movements. He had no tobacco smoking, alcohol or recreational drug use history. Vital signs revealed temperature [...]

Case Presentation: An 83 year-old female with history of hypertension presented to the emergency department with altered mental status for the past 2 days. Family reported patient to have a low impact fall, 2 weeks prior. In route, patient was noted to be febrile at 101.7˚F. Upon arrival, vitals were stable. Patient was found to [...]

Case Presentation: A 51-year-old man with history of alcoholic cirrhosis presented with diarrhea, abdominal pain, fatigue and confusion for one week. Vitals were within normal limits, though the patient reported subjective fevers at home. Physical exam was notable for asterixis and ascites, and a paracentesis was performed. Cell count and culture of his ascitic fluid [...]