Case Presentation: : A 60-year-old male with history of emphysema was admitted to the hospital because of   worsening dyspnea, cough with yellow sputum production, fever and night sweats.The patient was hospitalized 9 days before this admission and was treated with levofloxacin and methylprednisone for acute exacerbation of COPD. Of note patient had a CT of [...]

Case Presentation: A 61-year male presents with complaints of a cough and progressive dyspnea for over a week. Pertinent history included a Tuberculosis (TB) infection over thirty years ago with an unclear treatment course. Social history was positive for a 40 pack-year smoking history. On presentation, he was tachycardic, hypoxic and tachypneic. Physical exam was [...]

Case Presentation: A 58 year-old female with a history of pre-DM, HTN, cholelithiasis s/p cholecystectomy, and GERD presented to the clinic with a chief complaint of odynophagia. Symptoms began 3-4 days prior and were located primarily in the lower chest. The pain started abruptly with no precipitating factor and, while not worsening, was not improving. [...]

Case Presentation: A 63- year-old man with a history of seizures, hepatitis C infection and multiple spinal fusion surgeries presented to the emergency room (ER) for the evaluation of back pain. Back pain was said to have commenced 3 days prior to presentation. Pain was mainly located in the lumbar region, dull in nature, rated [...]

Case Presentation:  A 32 year old female with history of gestational diabetes presented with fevers, chills and swelling of the left breast. She delivered a healthy boy 2 weeks prior to admission by cesarean section. She had difficulty breastfeeding and developed pain, swelling and purulent drainage from the breast. She was prescribed dicloxacillin for mastitis, [...]

Case Presentation: A 80 year-old man with past medical history of frontotemporal dementia and seronegative rheumatoid arthritis (RA) presented with a maculopapular rash that started two weeks ago on his back that progressed to his chest, abdomen, neck, face, scalp, and arms. Physical exam also showed oral mucositis. For his RA, he had been on [...]

Case Presentation: A 63-year-old man with a history of intravenous drug use (IVDU) and non-ischemic cardiomyopathy presented with one month of fevers, night sweats, and chest pain. Exam was notable for tachycardia (HR = 128), tachypnea (RR = 25), hypoxia (O2 Sat = 85% on RA), accessory muscle use, and crackles to the mid-lungs bilaterally. [...]

Case Presentation: The patient is a 50-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, heavy alcohol use, and one pack per day tobacco use who presented with epigastric abdominal pain, an episode of hematemesis, and a three-week history of nosebleeds and bloody sputum. After admission, the patient described the pain [...]

Case Presentation: A 29-year-old woman with a past medical history of mild intermittent asthma treated with albuterol and morbid obesity status post gastric sleeve surgery presented to the emergency department with sharp epigastric pain of two days duration. The patient was initially seen at an urgent care center and empirically treated for gastritis with omeprazole, [...]

Case Presentation: A 39-year-old female with a history of primary sclerosing cholangitis status post-liver transplant in 1986 on cyclosporine, ankylosing spondylitis, Monoclonal gammopathies with undetermined significance, and migraines presents with progressive headaches, fevers (up to 101 F), and neck stiffness over the past 2 weeks. She was found to have photophobia, meningismus, and a positive [...]