Case Presentation: A 82-year-old male was admitted for generalized weakness lasting several weeks. Past medical history consisted of dilated cardiomyopathy status-post AICD, remote history of large B-cell lymphoma, chronic headache and dizziness for years with worsening over the last several months. Patient’s presentation was notable for low grade fever and hypotension. Physical exam showed a [...]

Case Presentation: Case 1: 30 year old woman with uncontrolled T1DM, CKD, recurrent VTE, HTN, recurrent C.Diff, developed leg pain, fever and leukocytosis. Imaging, extensive rheumatology work up and biopsy revealed diabetic myonecrosis, also noted MDRO UTI and C diff colitis treated with ertapenem, ceftriaxone and oral vancomycin. Persistent high grade fever and leukocytosis called [...]

Case Presentation: A 54-year-old female presented with painful swelling in the left lower extremity. She had a similar complaint over 30 years ago when she was on oral contraceptives and was eventually diagnosed with a deep venous thrombosis(DVT) in the left leg. Vitals showed an oral temperature of 36.7degree celsius , heart rate of 76, [...]

Case Presentation: A 24 year old Hispanic male with history of ESRD due to presumed medullary cystic disease who underwent DDKT x2 first in 2/2011 complicated by acute vascular rejection with loss of transplant, then again in 11/2011 which was complicated by antibody mediated rejection in 2015 that was treated with plasmapheresis developed a subacute [...]

Case Presentation: A 33-year-old man presented with acute progressively worsening diplopia for two days duration. He also developed dysarthria, difficulty swallowing, generalized muscle weakness, and shortness of breath which prompted him to seek medical attention. He was bradycardic, but otherwise afebrile and normotensive. On exam, he was diaphoretic while taking shallow breaths. Neurological exam was [...]

Case Presentation: A 29 year old female presents with one week of sudden onset double vision. She reports accompanying dark spots in her vision, photosensitivity, and some unsteadiness with walking. The patient’s friend noted that her eyes were “crossed” the morning of admission. Past medical history is significant for alcohol abuse and anxiety with a [...]

Case Presentation: A 62 year old female with a history of vitiligo, remote bilateral silicone breast implantation, and latent tuberculosis presented with 3 months of B-symptoms, weight loss, and polyarthalgias attributed to a new diagnosis of rheumatoid arthritis. Physical exam was significant for diffuse tender lymphadenopathy most notably at the supraclavicular nodes and a fixed [...]

Case Presentation: A 69-year-old man with a history of chronic obstructive pulmonary disease was admitted with fevers and altered mental status (AMS). He reported 6 months of fevers, with confusion and shortness of breath. He denied cough and sputum production, but endorsed a 20lb unintentional weight loss. He had no history of immunosuppression, imprisonment, or [...]

Case Presentation: A 25-year-old woman with history of childhood asthma presented with 1 week of fever, dry cough and chest discomfort. She also had non-bloody diarrhea, nausea and vomiting. On review, she admitted vaping THC and CBD products for the past 9 months. She was afebrile with HR 115 bpm, BP 130/61 mmHg, RR 18/min [...]

Case Presentation: An 82 yo F with history of HTN, HLD, anemia, and atrial fibrillation presented to the ED with right-sided weakness and aphasia. She was subsequently found to have an acute left MCA stroke, which was treated with thrombectomy. She was not on anti-coagulation for her atrial fibrillation due to history of GI bleed [...]