Case Presentation: A 60-year-old woman with a history of diabetes, hypertension, and sleep apnea presented to the hospital with acute onset shortness of breath. Several months prior, she had undergone dental extraction that was complicated by poor wound healing. Unusually, the surgeon noted pus from the site of extraction but when further analyzed, it was [...]

Case Presentation: A 69-year-old woman presented for an elective multi-level lumbar laminotomy for the treatment of chronic back pain secondary to spinal canal stenosis. Her medical history included hypertension and hypercholesterolemia. She reported a history of depression, which was well controlled on paroxetine. She denied using drugs, stated she quit tobacco decades prior, and reported [...]

Case Presentation: A 67 year old male with a past medical history of recurrent pericarditis, hypertension, psoriatic arthritis, and gout presented with diffuse chest pain. Patient stated that the pain was substernal, 10/10, sharp in nature, and non-radiating. Pain was aggravated by exertion and alleviated with rest, nitroglycerin and morphine. Pain was associated with shortness [...]

Case Presentation: A 34 year old Caucasian male with a past medical history of untreated Crohn’s disease for 7 years, treatment naïve Hepatitis C, and intravenous drug abuse presented with a month history of gradually worsening bilateral eye pain and drainage. Physical exam revealed severe injection with drainage from conjunctiva and sclera of both eyes. [...]

Case Presentation: A 53 year old male with history of decompensated non-alcoholic steatohepatitis cirrhosis (with ascites and esophageal varices), chronic kidney disease stage 3, type 2 diabetes mellitus, colon adenocarcinoma (TNM stage: T3N1) s/p FOLFOX (folinic acid, fluorouracil, and oxaliplatin) and right hemicolectomy 3 years ago was admitted from the liver clinic for acute kidney [...]

Case Presentation: A 25-year-old female with a history of End Stage Renal Disease (ESRD) due to Focal Segmental Glomerulosclerosis (FSGS) status post cadaveric kidney transplant one year ago presented with acute rejection of the transplanted kidney, likely due to medication non-compliance. Renal biopsy demonstrated that the kidney was no longer salvageable, and she was started [...]

Case Presentation: A 34 year-old woman presented with 5 days of progressively worsening, throbbing left groin pain that radiated down her left thigh and was severe enough to limit ambulation. She denied injury to the area, fevers, chills, a history of arthritis or other autoimmune conditions, and intravenous drug use. Her past medical history was [...]

Case Presentation: An 84 year-old female with metastatic bladder cancer was admitted for a one month history of progressively worsening fatigue, bilateral ptosis, dysphagia, dyspnea, and lower extremity weakness. She was previously diagnosed with localized urothelial carcinoma in 2005 with recurrence in 2017 with pelvic metastases seen on surveillance imaging. She underwent chemotherapy, cystectomy, and [...]

Case Presentation: A 25 year old male with no past medical history was admitted for progressively worsening burning chest pain and shortness of breath associated with diaphoresis, nausea, vomiting, and left arm numbness. Initial electrocardiogram showed STEMI in the inferior and antero-lateral leads, and a troponin of 2.15. Emergent cardiac catheterization revealed a mid left [...]

Case Presentation: A 78-year-old female was referred to the ED from clinic for elevated creatinine and hyperkalemia after recent treatment of right lower extremity cellulitis with sulfamethoxazole/trimethoprim. Physical exam showed improving cellulitis and large area of ecchymosis on right wrist. The patient reports developing frequent large bruises without trauma for the previous two months. During [...]