Case Presentation: A 27 y/o M presented after an episode of confusion and abnormal behavior. Patient reported 1 week of intermittent headaches, nausea, emesis, and dizziness. He had no sick contacts or recent travel. Family history was significant for SLE. On exam he had diffuse weakness but was otherwise neurologically intact without meningeal signs. Initial [...]

Case Presentation: An 84-year-old male with a past medical history of hypertension, type two diabetes mellitus, and left herpes zoster ophthalmicus treated three months prior presented to the hospital with two days of worsening confusion and altered mentation. Initial Computed Tomography (CT) of the head revealed no evidence of acute infarction. Initial serologic workup revealed [...]

Case Presentation: This is the case of a 55-year-old female with history of asthma who presented with chief complaint of abdominal pain. The patient endorsed an 8-month history of intermittent stomach discomfort that acutely worsened to severe RUQ pain, nausea, and diarrhea. Social history was notable for recent travel to China and herbal supplement use. Patient’s outpatient [...]

Case Presentation: A 61-year-old woman presented to the Emergency Department (ED) with weakness. She had multiple falls over two months, including a presumed mechanical fall on the stairs that caused a nasal fracture two weeks prior to presentation. The patient had difficulty getting out of her car and climbing the stairs in her home and [...]

Case Presentation: A 73-year-old male with a past medical history of hypertension, benign prostatic hypertrophy, gastroesophageal reflux disorder, latent tuberculosis, and no smoking history presented with 4 days of chills, dyspnea, diarrhea, and dysuria. Initial vital signs were notable for SpO2 88% on room air and HR 110s. Labs were notable for VBG with slight [...]

Case Presentation: A 54 year-old woman with history of pulmonary embolism and deep vein thrombosis (with prior placement of inferior vena cava (IVC) filter on apixaban) presents with recurrence of hematemesis and dark stool. This was her third hospitalization with GI bleed requiring transfusion in the last few weeks. Her prior work up included multiple [...]

Case Presentation: A 78 year old female with history of gastroesophageal reflux disease, gastritis, hypothyroidism, hypertension, and chronic kidney disease stage 3 was admitted to our tertiary care hospital with complaints of chest pain, bloating, nausea, and feeling of food getting stuck in the epigastric region. She had a longstanding history of gastritis and epigastric [...]

Case Presentation: 59 year-old male with history of hypertension, presented with right arm weakness and slurred speech for 15 minutes. He reported feeling difficulty grabbing items while at the grocery store with his cousin and after starting to slur his words, EMS was called. Upon exam in the emergency department, he regained full strength in [...]

Case Presentation: An 88-year-old woman with history of hypertension and hyperlipidemia presented to the ED after a fall. She denied trauma or loss of consciousness at the time of the event. Prior to the fall, she denied palpitations, chest pain, dizziness, or other prodromal symptoms. She denied prior events. She attributed her fall to swelling [...]

Case Presentation: A 36-year old male with a history of paraplegia secondary to a motor vehicle accident and long-standing polysubstance abuse presents to the ED for worsening facial wounds that first appeared two years ago. The patient states the most recent lesion on the upper back appeared two months ago and was preceded by cocaine [...]