Case Presentation: 33 yo Caucasian female with a PMH of Graves’ thyrotoxicosis and recurrent acute pancreatitis was admitted for suspected pancreatitis. She presented with acute onset epigastric pain radiating to back. She denied any associated symptoms. Exam showed yellowish discoloration of skin and epigastric tenderness. Recent ultrasound was negative for cholelithiasis or gallbladder wall thickening [...]

Case Presentation: A 64-year-old male presented to the Emergency Room with one week of worsening productive cough, fevers (Tmax 103F), vomiting, diarrhea, and malaise. His past medical history was significant for Rheumatoid Arthritis (RA), treated with etanercept, hydroxychloroquine, leflunomide and sulfasalazine. On physical examination, he was febrile, normotensive with tachycardia, and tachypneic with diminished breath [...]

Case Presentation: A 25-year-old African American male with no significant medical history presented to the hospital with a new-onset skin rash. Over a month, he noticed a migratory pruritic rash growing on his trunk, arms and legs. He also experienced intermittent high-grade fevers, sore throat, and diffuse symmetrical joint pain. On arrival, patient was noted [...]

Case Presentation: A 71-year-old man with history of coronary artery disease, aortic stenosis status post transcatheter aortic valve replacement (TAVR) two years ago, and ankylosing spondylitis presented to the emergency department for evaluation of 3 days of subjective fevers, worsening generalized weakness requiring one-person assist for ambulation, and tachycardia on his smart watch in the [...]

Background: Palliative care (PC) is a multidisciplinary consult service aimed at ensuring goal-concordant medical care while optimizing patient/family support. Prior studies have illustrated that palliative care consultation can be associated with a significantly shorter length of stay but without significant change in mortality or disposition. Utilization of standard high-risk descriptive criteria or “triggers” that uniformly [...]

Case Presentation: A 38-year-old male with presumed seronegative rheumatoid arthritis (RA), irritable bowel syndrome with diarrhea (IBS-D), and reported Lyme disease (negative serology) presented with acute dyspnea, pleuritic chest pain, and chronic relapsing fevers. Initial treatment with broad-spectrum antibiotics failed, and he developed acute hypoxic respiratory failure, requiring transfer to the Medical Intensive Care Unit [...]

Case Presentation: A 58-year-old woman arrived to the emergency room complaining of fevers, chills, and confusion for two weeks. She has hypertension, complex psychiatric conditions including anxiety, depression, and alcohol use disorder. Her symptoms began 14 days ago with non-productive cough and headaches. During this time she also experienced fevers and chills. On physical examination, [...]

Case Presentation: A 63-year-old female with past medical history significant for myasthenia gravis managed with azathioprine (AZA) presented with recurrent fevers, shortness of breath, malaise and night sweats for one week after attending a funeral in Pennsylvania. She denied any sick contacts, hiking, animal exposure, tick bites, or rashes. She was seen outpatient and her [...]