Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness [...]

Case Presentation: A 37-year-old previously healthy woman developed nausea, non-bloody vomiting and abdominal cramping a few hours after eating a beef chili followed by two episodes of self-limiting “chocolate” colored diarrhea. She presented three days later with persistent nausea, increasing fatigue and lethargy. Vital signs included a heart rate of 99/minute, blood pressure of 117/74 [...]

Case Presentation: The patient is a 76-year-old male with a PMHx of DM2, HTN and HLD who presented with a complaint of bloody urine in addition to fevers and chills for a day. He denied any past history of bloody urine. The patient also pointed out that he has had a new painless right lower [...]

Case Presentation: 68 y.o. male presented with a purpuric rash, petechia, and suspected vasculitis. Past medical history included Hypertension, Non-Alcoholic Fatty Liver disease, Obstructive Sleep Apnea, Depression/Anxiety, DM type II and obesity. Significant presentations included pruritic rash and petechiae that started about a month before the presentation, worsening dyspnea, intermittent hemoptysis, and worsening bilateral pedal [...]

Case Presentation: A 29-year-old male with no significant past medical history was admitted with 10 days of persistent fevers, cough, shortness of breath that worsened with exertion, weight loss, nausea, and vomiting. The patient had no history of travel to any TB-endemic areas, was in a monogamous relationship with his wife, denied IVDU, and had [...]

Case Presentation: A 48-year-old woman presented with a history of intermittent abdominal pain for eight years, with an extensive workup that had been negative. She ended up being labeled as having irritable bowel syndrome. The pain was localized to the epigastrium, was present during most of the day, but was aggravated by large meals. Upon [...]

Case Presentation: A 24 year-old man with past medical history significant for tobacco, marijuana, and e-cigarette use presented to the emergency department for hemoptysis, dyspnea, cough with pleuritic chest pain, and subjective fevers. Twenty-four hours prior to presentation, the patient endorsed first-time use of a street-purchased e-cigarette cartridge containing tetrahydrocannabinol (THC). The patient had acute [...]

Case Presentation: IgA Vasculitis, formerly known as Henoch-Shönlein Purpura, is a systemic vasculitis most often seen in children. We present a case of a 28 yo obese man who presented to his primary care physician with complaints of fever, chills, nausea, vomiting, and sore throat for twelve hours. He was diagnosed with viral gastroenteritis and [...]

Case Presentation: A 19 year old female with history of marijuana use presented with subacute, progressive shortness of breath. Productive cough began two weeks prior to presentation. She was diagnosed with atypical pneumonia and received azithromycin from her outpatient provider. After two days without improvement in symptoms, she presented to a nearby hospital with acutely [...]

Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. [...]