Case Presentation: A 36 year-old otherwise healthy female presented with six days of acute flu-like symptoms, myalgias, persistent fever and chills associated with abdominal bloating and vomiting for three days. Physical exam was notable for temperature of 103 F, sinus tachycardia and mild tenderness at the left upper quadrant on deep palpation. Labs were notable [...]

Case Presentation: A 40-year-old Caucasian male presented with a recent diagnosis of stage IV metastatic duodenal adenocarcinoma. Given the metastatic disease, after duodenal stent placement, the patient started on adjuvant mFOLFOX6 chemotherapy. During the second day of the first cycle of chemotherapy, the patient suddenly experienced complete right-sided weakness, headache, confusion, and slurred speech. He [...]

Case Presentation: A 22-year-old healthy female presented in April 2021 for abdominal pain during menstruation. Vital signs and workup with blood counts, metabolic, pregnancy, and sexually transmitted infection panels were unremarkable. Urinalysis showed nitrites, pyuria, bilirubin, and urobilinogen. Ultrasound and CT of the abdomen/pelvis were unremarkable. She was diagnosed with cystitis and prescribed cefuroxime. Urine [...]

Case Presentation: A 76-year-old female with past medical history of hypertension, recent intracranial hemorrhage (ICH) in the left cerebellar hemisphere with subsequent craniotomy, and newly found 6.5 mm aneurysm in the right middle cerebral artery (MCA) was directly admitted for an elective diagnostic cerebral angiogram to further evaluate her aneurysm. At baseline, patient was alert [...]

Case Presentation: A 75-year-old woman presented to our hospital with general fatigue as her chief complaint. She had experienced fatigue for four days prior to admission and developed a fever three days earlier, prompting her to visit a prior doctor. Initial blood tests revealed leukopenia, and she was prescribed antibiotics and antipyretics. However, as the [...]

Case Presentation: A 90-year female with a recent onset of vancomycin induced hypersensitivity reaction presents to the ED with sepsis and generalized disseminated rash. She recently underwent a surgery that was complicated with pseudomonas infection and was treated with vancomycin and Zosyn. However, she developed a pruritic, erythematous macular rash on her abdomen and vancomycin [...]