Case Presentation: : A 50-year-old African-American woman with history of hypothyroidism presented to the hospital with one week of sharp right orbital headaches, numbness, and itching. Associated symptoms included numbness from the eye to the mouth, pruritus, and dysphagia. Physical exam was remarkable for diminished pin prick and temperature sensation in the V1-V3 distribution on [...]

Case Presentation: This is a 65 y.o. male with PMHx significant for Monoclonal Gammopathy of Undetermined Significance (with prior negative skeletal survey and negative bone marrow biopsy), CKD stage III who presented with chief complaint of lethargy, bilateral extremity weakness, and dysarthria. Patient stated that he has been experiencing such symptoms for the past year, [...]

Case Presentation: A 78-year-old African American female with a history of hypertension, coronary artery disease, heart failure with reduced ejection fraction, chronic kidney disease (CKD) stage 4, and systemic sarcoidosis in remission, presented for an acute change in mental status with delusions, and memory loss for 1 week. She had a history of dysphagia with [...]

Case Presentation: 56-year-old male with a history of squamous cell cancer of forehead s/p Mohs surgery who was admitted from the outpatient cardiology stress lab after his EKG revealed complete heart block. Baseline TTE done during the initial part of the stress test revealed LVEF25-30%. Patient was asymptomatic on admission, hemodynamically stable with no laboratory [...]

Case Presentation: Patient is a 26 year old African American female with a history of asthmapresenting with acute left flank pain and severe shortness of breath. Chest x ray on admission discovered a large left pneumothorax with evidence of tension. Immediate chest tube was placed.Prior to admission she had several months history of worsening shortness [...]

Case Presentation: A 61-year-old male with biopsy-proven untreated pulmonary sarcoidosis presented with altered mental status and fever. He had recent admissions for occipital CVA after presenting with dizziness and blurred vision, and pulmonary emboli after presenting with fevers and dyspnea. Urinalysis and blood cultures were negative. (1-3)-B-d-glucan was elevated to 246 pg/mL (65 years), immunocompromise [...]

Case Presentation: A 22 year-old female from Guyana with no past medical history presented with shortness of breath, pleuritic chest pain, and dry cough x 5 months. She was treated for community-acquired pneumonia 6 months earlier, though her symptoms persisted. She had an exercise tolerance limited to one block, subjective fevers, malaise, and unintentional weight [...]