Case Presentation: A 38-year-old Caucasian male with no significant prior medical history presented with an acute CVA based on the presence of fatigue, blurry vision, ataxia, headache, and numbness. His MRI showed “multiple small foci of high DWI/ADC signal” in the bilateral cerebral and cerebellar hemispheres consistent with small acute infarcts. Unremarkable CTA brain/neck, ECHO, [...]

Case Presentation: A 79-year-old male with vasculopathy, hypertension, diastolic heart failure, and dialysis-dependent end stage renal disease presented after having hypotensive syncopal episodes during initiation of his last 3 outpatient dialysis sessions. Upon dialysis cessation, he quickly awakened fully oriented with a normal hemodynamics. On arrival, physical exam findings were unrevealing, as were a subsequent [...]

Background: There is literature to suggest there is a subtype of COPD patients in which eosinophils may play an important role. Data suggests that this subset of patient are more prone to develop exacerbations, but also have a higher likelihood of responding to inhaled corticosteroid therapy. The objective of this study is to determine if [...]

Case Presentation: 70-year-old male with remote past medical history of prostate cancer and COPD presented to the emergency department with new onset left side weakness along with left side facial droop. Patient underwent CT scan of the head which was negative and an MRI of the brain which showed multiple bilateral small strokes that raised [...]

Case Presentation: A 27 yo male with ulcerative colitis (UC) and childhood asthma presented with a dry cough, fever and weight loss for 6 weeks. One and a half years prior to admission, he was diagnosed with UC for which he was started on oral mesalamine 1.2 g/day. Prior to admission, he visited an outpatient [...]

Case Presentation: A 50-year-old Filipino man with poorly controlled type 2 diabetes mellitus presented with 4 days of fever, abdominal pain and distention. He endorsed unintentional weight loss of 30lbs over the last year as well as a chronic cough. The physical exam was notable for bibasilar lung crackles and abdominal distention with diffuse tenderness [...]

Case Presentation: A 67-year-old male with a past medical history of peripheral arterial disease, a chronic left lower extremity wound, and type 2 diabetes mellitus was admitted from vascular surgery clinic for osteomyelitis of the left lower extremity. He underwent multiple procedures by the podiatry service including a trans-metatarsal amputation. Intraoperative bone cultures returned positive [...]

Case Presentation: A 76-year-old man presented with two weeks of dyspnea on exertion and left lower extremity pain and swelling. He reported associated orthopnea, paroxysmal nocturnal dyspnea, and weight gain. He had COPD and OSA. He was diagnosed eight weeks prior to presentation with suspected hypereosinophilic syndrome after an admission with left pleural effusion. Thoracentesis [...]

Case Presentation: A 39yo M with no past medical history and taking no medications, presented with 9 months of cough, dyspnea, chills, weight loss, nausea and diarrhea. He had no fever, chest pain, rashes, arthralgias, headaches, abdominal pain, weakness, oral or genital ulcers. He had no recent travel, had no family history of TB or [...]

Case Presentation: A 14-year-old male with history of juvenile ankylosing spondylitis (JAS) and asthma presented to the hospitalist service with four weeks of fever, weight loss, dyspnea, wheezing and cough. He was admitted one week prior for treatment of bilateral pneumonia and was continued on antibiotics after discharge for a ten day course. He had [...]