Case Presentation: A previously healthy 8 month old female presented to the emergency department (ED) with diarrhea and an unusual diaper rash. Her symptoms began 6 days prior to presentation with fever and congestion. She was initially diagnosed with a viral upper respiratory infection and bilateral otitis media and was prescribed cephalexin. She later developed [...]

Case Presentation: A 63-year-old Hispanic male with relapsed refractory IgD-kappa plasma cell myeloma on 5th line salvage chemotherapy and remote high-grade invasive papillary urothelial carcinoma / prostatic adenocarcinoma status post cystoprostatectomy three years prior was admitted to the hospital for evaluation of a fall and sepsis secondary to cellulitis. The patient reported that he noticed [...]

Case Presentation: A 55-year-old man with type 2 diabetes mellitus, metastatic renal cell carcinoma to brain and bone despite left nephrectomy and multiple cycles of chemotherapy and recent immunotherapy with nivolumab presented 3 weeks post whole brain radiation treatment (WBRT) with 4 days of right arm pain and swelling. He visited upstate New York prior [...]

Case Presentation: A 43-year-old male with a past medical history of Atrial Fibrillation on Warfarin, Stage III Chronic Kidney Disease, and Chronic Systolic Heart failure (EF 15%) presented to the ED with diarrhea and dyspnea. He was found to be in Atrial fibrillation with Rapid Ventricular Response with CHF exacerbation and shock, and he was [...]

Case Presentation: A 51-year-old woman with multiple medical co-morbidities including morbid obesity with body mass index of 84, hepatitis C cirrhosis, urinary retention requiring chronic indwelling foley catheter and bilateral non-obstructing renal calculi presented from her nursing home with altered mental status, tachycardia, hypotension, and urinalysis findings consistent with urinary tract infection. She had a [...]