Case Presentation: An 80 y/o Hispanic man with past medical history significant for COPD, ascending aortic aneurysm s/p graft repair 10/06, and recent biventricular pacemaker implantation 4/16 due to third-degree heart block presented with dyspnea, productive cough, orthopnea and fever to 103 F in 5/16. Physical examination revealed III/VI diastolic murmur, bilateral pulmonary rales, peripheral [...]

Case Presentation: 87-year-old female presented with chronic low back pain for one month and a new onset fever for 2 days. Patient denied recent travel history, sick contact, chest pain, shortness of breath, urinary symptoms, abdominal pain, diarrhea, or weight loss. She denied lower extremity weakness, sensory abnormality, urinary or bowel incontinence, gait disturbance or [...]

Case Presentation: The patient is a 36 year-old man with no significant past medical history who presented with 1.5 months of worsening left sided low back pain and sciatica that rapidly progressed to bilateral leg weakness. Three days prior to presentation, he lost his ability to ambulate and had an episode of fecal incontinence associated [...]

Case Presentation: A 24-year-old male with no significant past medical history presented with five days of abdominal pain and lower extremity aching. He also reported subjective fevers, headache, emesis, and decreased appetite with a five-pound weight loss. On initial presentation, he was febrile to 100.9°F and physical exam was notable for diffuse abdominal pain, tender [...]

Case Presentation: A 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient lives mainly in Texas, but goes to Mexico during winter time for a couple of months. He denied tobacco abuse, [...]

Case Presentation: A 66-year-old Caucasian man presented to his primary care physician with significant fatigue and night sweats associated with 30-pound weight loss, headaches, and dyspnea on exertion. He reported the onset of symptoms one week after returning from a hunting trip in Georgia where he caught and cleaned wild boar. After this initial outpatient [...]