Case Presentation: Spontaneous spinal epidural hematoma (SSEH) is a hematoma that happens without an insult. Although a rare entity, it can result in spinal cord compression. Etiologies include anticoagulant therapies, coagulopathies, blood dyscrasias, pregnancy, and vascular malformations (1). We present a case of SSEH in the setting of heparin and clopidogrel use during a vascular [...]

Case Presentation: This is the case of an ex-41 2/7 week baby girl, born to a 28 year old G4P0 now 1 mother via cesarean section for arrest of descent. Early in pregnancy, the mother endorsed occasional marijuana use and had one urine toxicology screen positive for marijuana. Subsequent urine drug screens were all negative, [...]

Case Presentation: An 86-year-old male with a past medical history of bladder cancer, status post Bacillus Calmette-Guerin (BCG) therapy 12 months prior, presented to the ED with three months of progressively worsening back pain and weight loss. He denied cough, fever, night sweats, dysuria, recent travel, history of farming, exposure to cattle, or consumption of [...]

Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a [...]

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 51 year old male with history of obesity, spinal stenosis, and gout presented with 1 week of worsening low back pain with bilateral radiculopathy. He had no bladder or bowel incontinence, or other neurologic compromise. He was afebrile, with normal vital signs. Lab data was significant for WBC 25 x 10^9/L, hemoglobin [...]

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: A 34-year-old male with history of methamphetamine use presented with a one-week history of neck, shoulder, and wrist pain, intermittent radiculopathy, fevers, chills, myalgias, and arthralgias, and a one-day history of confusion. He denied rash, urinary symptoms, diarrheal illness, IV drug use, recent travel, and new sexual contacts. On admission, he was afebrile, [...]

Case Presentation: 48-year-old man with past medical history of AIDS, unknown recent CD4 count presented to the ED complaining of slurred speech and disorientation for 3 days associated with fever and generalized body ache. Patient was admitted for stroke workup (CTH, CTA head/neck, and MRI brain) which resulted negative and there were also concerns for [...]

Case Presentation: A 42-year-old female presented with two days of fever, dysuria, and hematuria, associated with upper and lower back pain, body aches, and anorexia. She had no significant past medical history and no recent surgical procedures. She denied tobacco, alcohol, and intravenous drug use. The exam was significant for suprapubic pain and left costovertebral [...]