Case Presentation: 43-year-old patient with Down syndrome, intellectual disability and unrepaired atrioventricular canal defect with Eisenmenger syndrome presented with coffee ground emesis and worsening respiratory status. Home medications included metoprolol and folic acid. Patient lived in a foster home and an accurate history was not available. On examination BP was 88/60 mm hg, HR was [...]

Case Presentation: A 35-year-old male with a history of chronic alcohol use disorder, tobacco use, and malnutrition presented to the emergency department with a few days of yellow discoloration of the eyes. He denied fevers, headache, chest pain, shortness of breath, abdominal pain, nausea, vomiting, dark or bloody stools, or urinary pain. He drank two [...]

Case Presentation: A 66-year-old female with a history of Cerebrovascular accident, diabetes, hypertension, chronic kidney disease, and osteoarthritis, presents to the hospital for worsening acute neck pain which had woken her up in the night a week prior. She had had minimal to no relief with Tylenol or Flexeril and her neck pain had continued [...]

Case Presentation: A healthy 34-year-old female presented to the hospital with severe left lower extremity pain. Patient endorsed 4 days of progressively worsening left upper thigh and hip pain that caused her to become bed bound, prompting her to come in. She also reported fevers, chills, cough, and myalgias but denied vomiting, diarrhea, numbness, or [...]

Case Presentation: A 34-year-old African American female with no significant past medical history presented to the emergency room complaining of intermittent palpitations associated with dizziness and dyspnea on exertion for six weeks. She had similar symptoms a year prior, which had resulted in a syncopal episode, however work up at that time was insignificant. Three [...]

Case Presentation: The patient is a 61-year-old male theatre director who presented with chronic diarrhea associated with a 50-pound weight loss, fatigue, and weakness. His past surgical history was notable of a Whipple’s procedure done 10 years ago for a symptomatic duodenal mass causing nausea and vomiting, later found to be benign in nature. Patient [...]

Case Presentation: Neuroendocrine tumors encompass a range of presentations, with pheochromocytomas (PCCs) accounting for most cases. PCCs are catecholamine-secreting tumors arising from the adrenal medulla, while paragangliomas (PGLs) represent a rarer subset (15-20%) originating from extra-adrenal chromaffin cells. Symptoms, including episodic or sustained hypertension, arise from catecholamine excess. Rarely, PGLs can present with intracerebral hemorrhage [...]

Case Presentation: A 29-year-old Black female presented with abdominal pain, nausea, vomiting, and diarrhea. Her history was notable for a hospitalization three months prior for Streptococcus pneumoniae meningitis with associated septic arthritis of the hip requiring long term antibiotics. On examination she was afebrile with reassuring vital signs. Her abdomen was distended with notable diffuse [...]

Case Presentation: AH is a 46-year-old female originally from Senegal with a history of unexplained syncope post loop recorder placement who presented with a two-week history of a nonproductive cough and two months of shortness of breath that acutely worsened. CT chest showed multiple large areas of parenchymal disease, predominantly ground glass opacity and peripheral [...]

Case Presentation: Learning Objectives: – To recognize ehrlichioisis as a possible cause of aseptic meningitis – To understand activities that increase the risk of tick-borne diseasesCase Presentation:A 69-year-old Black man presented to a Louisiana hospital with a two-day history of falls, intermittent disorientation, lower extremity weakness and pain, and urinary retention. He denied skin changes, [...]