Case Presentation: An 80 year-old man presented with one day of confusion, worsened cough, and subjective fevers. He had a productive cough since emigrating from Mexico six months ago, but no complaints of dyspnea. He had a history of diabetes and stable angina for the past year. On presentation, he was tachycardic with a temperature [...]

Case Presentation: A 24 year old male with a history of childhood asthma and COVID in 2021 presented to ED with worsening sore throat, fevers, tenderness of his mouth and gums, and mild lightheadedness. He was recently diagnosed with streptococcal pharyngitis and started on oral penicillin three days prior to presentation. He was on no [...]

Case Presentation: A 65-year-old woman with a history of early-stage breast cancer—was treated six years prior. She was subsequently admitted multiple times over the following years for pancytopenia, which was thought to be multifactorial—due to nonalcoholic steatohepatitis and auto-immune hemolytic anemia (AIHA). Therefore, she received a supportive blood transfusion, intravenous immunoglobulins, and rituximab for suspected [...]

Case Presentation: A 12-year-old healthy female presented for three weeks of abdominal pain, loose non-bloody stools accompanied by night sweats and an eight-pound weight loss. Initial exam was only significant for diffuse abdominal pain. An abdominal X-ray demonstrated a unique appearing paravertebral stripe which prompted a follow up MRI abdomen/pelvis. MRI imaging revealed a 5.8 [...]

Case Presentation: 76 year old female with a history of COPD, Asthma, Allergic Rhinitis, and GERD presented to the Emergency Department for evaluation of worsening fatigue, dysgeusia and weight loss. Given these symptoms, the patient’s allergist referred her for COVID-19 testing. The patient denied any respiratory or GI symptoms, and review of symptoms was only [...]

Case Presentation: A 22 year-old G1P1000 pregnant woman at 24 weeks presented with hypertensive urgency and newly diagnosed intrauterine growth restriction in the setting of pre-eclampsia. On admission her physical exam and laboratory data were unremarkable. The patient was admitted to maternal fetal medicine for closer fetal monitoring. On hospital day (HD) 9 she began [...]

Case Presentation: A 22-year-old female presented with diffuse abdominal pain and a past medical history of endometriosis managed with medroxyprogesterone acetate injections. She also reported a decreased appetite and hematuria. Six months earlier she presented with similar symptoms and was diagnosed with an endometriosis flare. On this admission, the heart rate was 131 bpm, with [...]

Case Presentation: A 69 year-old Mexican man with a history of polysubstance abuse presented to the hospital for fever and dysphagia of 4 weeks duration. CT of the chest taken at an outside facility showed a large esophageal mass with right hilar and left supraclavicular lymphadenopathy (Figure 1). Given concern for malignancy, an EGD with [...]

Case Presentation: An 82 year-old woman with history of stage five chronic kidney disease (CKD) presented with new onset of altered mental status, upper extremity tremors and slurred speech. Four days prior to presentation patient was diagnosed with urinary tract infection due to multidrug-resistant Pseudomonas aeruginosa, and was started on cefepime.  On the day of [...]

Case Presentation: A 26-year-old male without prior medical history was referred by a spine surgeon to the emergency department (ED) with weakness, numbness, and discoordination of the right leg, worsening over a four month period and resulting in multiple falls. He reported three weeks of urinary and bowel urgency and incontinence. He had a family [...]