Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical [...]

Case Presentation: A 30 yo female without significant medical history presented to hospital complaining of facial swelling and dyspnea on exertion of 3 days duration. She described increasing fatigue, nausea and throat discomfort but denied diarrhea, cough, sputum production, fever, chills, rigors, sweats or abdominal pain. The patient had attributed her symptoms to contact with [...]

Case Presentation: A 67 year-old woman presented with acute cough, fever, and hypoxia. SARS-CoV2 testing was positive, and she was treated with dexamethasone and remdesivir. Over the next two days, her serum creatinine increased from 0.6 to 3.0 mg/dL, platelet count decreased from 281 to 48 k/L, and hemoglobin decreased from 13.1 to 11.3 g/dL. [...]

Case Presentation: A 61-year-old man presented to his primary care provider’s office but could not recall reason for his visit. Over the past year, there had been numerous instances of similar forgetfulness, oftentimes upon completing routine activity without additional symptomatology. Medical history was notable for factor V Leiden, hypothyroidism, and transient ischemic attacks. Physical examination [...]

Case Presentation: A 68-year-old white male with a history of Factor V Leiden, deep vein thromboses (DVT), pulmonary embolism (PE), atrial fibrillation, and hyperthyroidism on warfarin therapy for 12 years presented to the emergency department (ED) with acutely worsening, bilateral, black, necrotic ulcerations of his lower extremities with associated edema, purpura, and progressive sloughing of [...]

Case Presentation: A 70-year-old Vietnamese gentleman without a significant past medical history was admitted to the hospital after a mechanical fall. Apart from facial pain related to the fall, the patient did not report any other symptoms. He was afebrile and hemodynamically stable. His physical examination was unremarkable. During his trauma evaluation, bilateral apical pulmonary [...]

Case Presentation: A 60-year-old woman with past medical history of Systemic Lupus Erythematous (SLE) on daily mycophenolate mofetil and hydroxychloroquine, Antiphospholipid Syndrome on warfarin, history of aneurysm s/p clipping and diabetes presented to an urgent care clinic due to severe headache and dizziness. During examination, she was noted to have hesitancy with neck flexion, prompting [...]

Case Presentation: We present the case of a 31 year old primigravida African American woman who presented to her post-partum follow up clinic visit two weeks after Cesarean section delivery of a preterm live infant at 29 weeks. She was found to be in hypertensive emergency (220/120 mmHg), with complaints of acute diffuse abdominal pain, [...]

Case Presentation: A 59-year-old female presented to the emergency department with a 5-day history of cough, chest pain, shortness of breath, and fever. She also reported nausea, vomiting, right upper quadrant abdominal pain and arthralgia. She denied any headaches. Past medical history was remarkable for gallstones. On physical exam, she appeared in moderate distress, was [...]

Case Presentation: A 78-year-old man with medical comorbidities of CAD with PCI to LAD and LCx, persistent A. fib, COPD, HTN, and Type 2 Diabetes Mellitus was admitted to our hospital for worsening epigastric pain, nausea, and vomiting. Prior to the presentation, he was treated for an upper gastrointestinal bleed secondary to duodenal ulcers. Dabigatran [...]