Case Presentation: Severe peripheral disease with arterial thrombosis can present as bilateral leg paralysis and extreme pain. Caution must be exercised to exclude vascular pathology ( in addition to neurologic differentials), to avoid premature closure of diagnosis and to avoid catastrophic outcomes. One such rare disorder is Leriche syndrome, whereby, patients develop aortoiliac thrombotic occlusion, [...]

Case Presentation: A 56-year-old male with history of opioid and cocaine use disorder without intravenous drug use presented to the emergency room with bilateral lower extremity swelling and shortness of breath for two weeks. A transthoracic echocardiogram was performed which showed an ejection fraction of 45%, grade II diastolic dysfunction, and severe aortic regurgitation. The [...]

Case Presentation: A 34-year old male with a history of acquired immunodeficiency syndrome (CD4 count 268 cells/µL, viral load 31 copies/mL) and Kaposi’s sarcoma presented with two days of diarrhea, abdominal pain, and a new rash on his hands. He had unprotected sexual intercourse with a new partner a few days prior to admission. On [...]

Case Presentation: An 18 year old female with a history of cirrhosis due to autoimmune hepatitis on immunosuppressants presented with acute low back strain. On presentation, her vital sign was remarkable for heart rate of 129 bpm. Physical exam revealed splenomegaly with mild pedal edema and low back tenderness. Laboratory evaluation showed a hemoglobin of [...]

Case Presentation: We present the case of a 70-year-old male with a medical history of atrial fibrillation, hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD), admitted for elective radiofrequency ablation for atrial fibrillation. In the immediate postoperative period, the patient became hypotensive, with a blood pressure of 60/40 mmHg, and developed tachycardia, with a heart [...]

Case Presentation: A 50-year-old female was admitted with shortness of breath, cough and fevers. Her past medical history was significant for breast cancer undergoing active neoadjuvant chemotherapy with doxorubicin and cyclophosphamide. She was hypoxic requiring 2L of oxygen via nasal cannula and febrile to 39.0°C. Labs revealed a WBC of 12.0 x 109/L (4.5-11.0 x [...]

Case Presentation: 18-year-old female college student with a past medical history of polycystic kidney disease, febrile seizures and treated Kawasaki’s disease presented with bilateral lower extremity muscle weakness, which was acute and uniform without any patterns such as ascending or descending quality. The severity of the symptoms lead to patient’s inability to ambulate without support [...]

Case Presentation: A 23-year-old male with no significant past medical history presented to an urgent care with six days of fevers, chills, and cough. He was diagnosed with influenza B and discharged home with supportive care. His symptoms continued to progress, and he developed pleuritic chest pain. He presented to the emergency department on day [...]

Case Presentation: The patient was a 28-year-old male with past medical history significant for polysubstance abuse including alcohol and opiates, as well as chronic DVTs on coumadin, who originally presented to the hospital for recurrent pancreatitis. Two weeks into his admission, he abruptly became hypotensive (MAP < 65mmHg), tachycardic, and hypoxemic (SpO2 < 88% on [...]

Case Presentation: We report a 32 yr old HIV positive lady who presented with acute onset right thoracic multi-dermatomal herpes zoster and ipsilateral upper and lower limb weakness. She had been on HAART since 2002 but stopped her medications for few months prior to presentation. Her examination was significant for right side localized vesicular rash [...]