Case Presentation: Lyme disease a multisystem disease, occurring globally is caused by the spirochete borrelia burgdorferi and transmitted by the Ixodes tick.(6) The incidence of Lyme carditis (LC) is rare with reported incidences of 4%- 10% but recent studies showing 0.3% to 4% with high grade AV block is the most common presentation.(5,2) We present [...]

Case Presentation: A 44-year-old female with a past medical history of uncontrolled type 2 diabetes mellitus (hemoglobin A1c 16.5%), hypertension, and obesity presented to the emergency room (ER) for left sided facial swelling after a mosquito bite. Physical exam revealed swelling, erythema, and tenderness and she was diagnosed with facial cellulitis, for which she was [...]

Case Presentation: A 71 year old man with a past medical history of end-stage renal disease on hemodialysis, hyperlipidemia, and diabetes mellitus presented with 5 days of weakness, dry cough, and dyspnea after missing multiple dialysis sessions. His vitals were stable and his exam was notable only for trace lower extremity edema. Notable labs included [...]

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 78 year old male with a past medical history of recurrent pleural effusion and COPD who presented with dyspnea and lower extremity edema. Vitals on presentation were as follows: pulse 86 bpm, blood pressure 96/50 mmHg, 93% on room air. Physical exam revealed 2+ pitting edema in bilateral lower extremities, lungs clear [...]