Case Presentation: A 23–year–old African American Midwestern gentleman with history of subaortic stenosis repair had presented to the Emergency Department (ED) with complaints of pain and swelling in the left ankle, left chest wall and left hand, night sweats and weight loss. Examination was significant for low grade fever, tachycardia and tender swellings in the [...]

Case Presentation: A 78–year–old man presented with a 3–week history of suprapubic post–prandial abdominal pain, fevers, and anorexia. Two weeks prior he was admitted for acute mental status changes, fatigue, and anorexia, with diagnosis of transient ischemic attack and urinary tract infection. He was discharged on hospital day 3 and completed a five–day course of [...]

Case Presentation: A previously healthy 27–year–old Caucasian male presented with acute onset of right sided flank pain, nausea, vomiting and mild fever for approximately 5 days. He denied any abnormal urinary symptoms and has no prior history of nephrolithiasis. He was afebrile and normotensive at presentation; WBC 11,900, BUN 9 and creatinine 0.9. Urinalysis was [...]

Case Presentation: A 23–year–old gentleman presented with a 2–week history of cough, epistaxis, hemoptysis and shortness of breath on exertion, loss of appetite, fatigue, nausea and dysgeusia. He denied rash or arthralgias and reported normal urinary output. He was a migrant worker from Mexico without formal access to healthcare, and denied use of illicit drugs. [...]

Case Presentation: A 43–year–old man with recently diagnosed HIV/AIDS on HAART presented for further evaluation of worsening jaundice, abdominal pain and weight loss. He developed immune reconstitution syndrome following the initiation of HAART, and had concurrent disseminated MAI, CMV and HIV–related Cholangiopathy. Prior care included cholecystectomy, ERCP, Stent placement and hepatobiliary workup for reported irregular [...]

Case Presentation: A 50–year–old Caucasian female with no prior respiratory ailments presented with worsening non productive cough and exertional dyspnea for 4 months. She denied fevers, weight loss or lower extremity swelling. She reported an 18 pack year history of ongoing smoking. She was prescribed multiple courses of antibiotics, oral steroids and bronchodilators with no [...]

Case Presentation: A 27–year–old female with a h/o headaches presented to the ED with complaint of thunderclap headache that was the worst of her life. It was nine of 10 in severity and was located in bilateral frontal and occipital region. It was associated with photophobia, nausea and vomiting. Vital signs were normal and labs [...]

Case Presentation: A previously asymptomatic 46–year–old male presented with acute onset of sharp right upper quadrant (RUQ) pain. Patient denied nausea, vomiting, fever or similar symptoms before. The patient is Lebanese and had moved to USA 5 years ago. He appeared not to be fluent in English. At presentation patient was stable, afebrile but in [...]

Case Presentation: A previously healthy 19–year–old female, presented with 1 day of fever, severe occipital headaches, nausea, vomiting, diarrhea, severe myalgias and polyarthralgias. She is attending her spring semester in college while living in a dormitory. Initially, patient was tachycardic, afebrile and normotensive, but in a matter of hours she became hemodynamically unstable with profound [...]

Case Presentation: A 51–year–old female with history of anxiety, depression, and tobacco abuse was admitted to the ICU due to severe respiratory distress, hypoxia, productive cough, fever and chills. Her symptoms began 8 days prior with a mild productive cough. It progressively worsened to a persistent cough with thick green sputum streaked with blood, associated [...]