Case Presentation: An 11 year old boy was admitted to the hospital due to 4 days of headache and vomiting. He described the pain as constant, sharp, occipital/frontal in location, and worse in the morning and overnight, specifically with laying down. Treatment with ibuprofen and acetaminophen had not provided relief. 6 months prior to this [...]

Case Presentation: A 64-year-old male with past medical history of coronary artery disease, hypertension and weight loss of 20 pounds within 4 months presented to the hospital after he had a seizure-like activity of his upper body lasting around 10 minutes accompanied by altered mentation. Upon arrival to the emergency department, his symptoms had resolved. [...]

Case Presentation: Electrocardiograms (ECG’s) hold a strong diagnostic value in medicine. They are of particular usefulness when that can be extended to the prognostic arena. In a few cases, it offers particularly important information in the short term. One such finding is the presence of T wave alternans.  A 56 year old female with past [...]

Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats [...]

Case Presentation: A 56-year-old immunocompetent man with history of inhaled methamphetamine use, poor dentition and recent all-terrain vehicle (ATV) accident requiring chest tube, presented with 1 week of progressive hallucinations, who was found to have multiple ring enhancing brain lesions. Initially, he was afebrile with normal vitals, minimally responsive to noxious stimuli and moving all [...]

Case Presentation: Patient is a 61-year-old male found lying only partially clothed in a church courtyard brought in by EMS, hypothermic on arrival and tachycardic in the 130s. HRs improved with hydration and warming. Patient became verbally aggressive and threw himself on the floor multiple times. Initial troponin noted to be 4 peaking at 6.2. [...]

Case Presentation: A 65-year-old female with a history of sphenoid sinusitis status post recent fiberoptic endoscopic sinus surgery presented with one week of neck stiffness and two days of fever, headache, photosensitivity, and diplopia. Vital signs were: temperature 102.6, heart rate 82, respiratory rate 20, blood pressure 122/45 and 95% room air O2 saturation. Physical [...]

Case Presentation: A 63-year-old male with past medical history of hyperlipidemia and diabetes mellitus presented to an outside hospital with diplopia and new onset weakness, paresthesia, and numbness in bilateral lower extremities three days following a mild viral infection. The patient was discharged after two days without acute intervention following extensive negative workup including imaging, [...]

Case Presentation: A 36-year-old G9P9 Jehovah’s Witness female with no significant past medical history, presented to the emergency department with a 2-week history of postural headaches and double vision. Neurological examination was normal except for left abducens nerve palsy. CTA of the head was unremarkable, but an MRI of the head revealed diffuse smooth dural [...]

Case Presentation: We report a case of an asymptomatic 65-year-old Hispanic male with a left neck mass. Ultrasound and fine needle aspiration were compatible with thyroid cancer. He underwent a total thyroidectomy with modified radical left neck dissection. The tumor measured 5 x 3.5 x 2.7 cm, with complete involvement of the left thyroid lobule. [...]