Case Presentation: Case 1: A 3-year-old female with no significant past medical history presented with a 5-week history of recurrent fevers as well as bilateral lower extremity pain with difficulty to ambulate. Imaging of the femur revealed focal lucencies in the proximal femoral shaft. The leading diagnosis at admission was malignancy given the length of [...]

Case Presentation: The patient is a 51 year old female with a past medical history of asthma, who presented with worsening, constant, right-sided frontal headaches for 1 month. Her headaches were associated with periorbital swelling and tenderness to palpation and swelling of her right scalp near a scar from a trauma 28 years ago. A [...]

Case Presentation: A 68-year-old patient with history of type 2 diabetes (A1c 9.5%) was admitted to the podiatry service following a partial fifth ray resection for osteomyelitis. Bone cultures grew MRSA and ID recommended 6 weeks of IV daptomycin due to an allergy to vancomycin. His post-op course was complicated by multiple days of recurrent [...]

Case Presentation: A 71-year-old female with metastatic thyroid cancer status-post (s/p) radioiodine ablation and total thyroidectomy on oral chemotherapy, chronic kidney disease stage IV s/p deceased donor kidney transplant in 2019 on oral immunosuppression, presented with weakness, gastrointestinal symptoms, and acute-on-chronic dysphagia. While dysphagia work-up was ongoing, patient was noted to have right wrist swelling, [...]

Case Presentation: A 69 year old male was brought to the emergency department from a rehabilitation facility with altered mental status. Two months ago, he had been admitted for lumbar osteomyelitis for which he was started on Vancomycin and Cefepime and was discharged to a rehabilitation facility. After six weeks of therapy, he was more [...]

Case Presentation: A 25 year old woman with history of asthma presented to the emergency department with one week of sore throat, cough, shortness of breath, nausea, vomiting, and diarrhea. Upon arrival, she was hypotensive, tachycardic, tachypneic, febrile, and was found to have leukocytosis, elevated lactate, procalcitonin, and creatinine prompting concern for septic shock. She [...]

Case Presentation: Our vignette is of a 14-year-old female who presented to the emergency room for complaints of right elbow pain and swelling. Patient underwent open reduction internal fixation (ORIF) for right elbow fracture when she was 2-years old. The hardware was removed successfully after the fracture healed. Since then, the patient had 3 fractures [...]

Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced [...]

Case Presentation: A previously healthy, vaccinated 9-year-old female on amoxicillin for recent Group A strep pharyngitis presented to the emergency department with a 10 day history of daily fevers and severe right lower quadrant abdominal pain limiting her ambulation and activity level. She denied any headaches, nausea, vomiting, hip pain, knee pain, or traumatic injuries. [...]

Case Presentation: A 58-year-old man with a history of type 2 diabetes mellitus (A1c 9.1%), recurrent ear infections presented to hospital with left ear pain, facial weakness, and sudden vision loss. The patient had frontal and left-temporal headaches for several months thought to be secondary to migraines or temporal arteritis. A temporal biopsy had been [...]