Case Presentation: A 62-year-old female with a past medical history of depression, obesity status postbariatric surgery, non-cardiac syncope and recurrent sinusitis presented to her primary care physicianfor further workup of her syncope. During this visit she was also complaining of continued left frontaland maxillary sinus pain for the past four weeks. She had recently completed [...]

Case Presentation: A 51–year–old female, with no significant past medical history, presented to the emergency room with dyspnea and swelling of the throat. The patient first began to experience shortness of breath two months prior to this encounter. At that time, the patient was evaluated in the emergency department of an outside hospital. Pulmonary embolus [...]

Case Presentation: Autoimmune Polyglandular Syndrome Type 2 is a rare syndrome, with a prevalence of 1.4 to 4.5 per 100,000, distinguished by an association between autoimmune thyroid disease, Addison’s disease, and/or Type 1 diabetes mellitus (Wang, 2016). It can be particularly challenging to diagnose, especially in a situation where the endocrinopathies develop simultaneously leading to [...]

Case Presentation: A 55-year-old male with no past medical history presented with 10 days of progressively worsening generalized weakness, malaise, and night sweats.The patient, employed as a landscaper, had been mowing grass and spraying rodenticides at a rural farm 3 weeks prior. Shortly after this incident, he awoke with a constellation of symptoms including fatigue, [...]

Case Presentation: A 44-year-old male patient with a history of vitiligo, presented with a chief complaint of lower extremity tingling and numbness sensation. Upon evaluation, the patient reported unintentional weight loss along with fatigue and frequent palpitation. A review of blood testing revealed an elevated TSH level, HbA1c, a low T4, Free T3, and vitamin [...]

Case Presentation: An 8-week pregnant G5P1041 24-year-old African American female with no past medical history presented with acute onset left-sided weakness, slurred speech, and paresthesia. Her symptoms started a day after taking one dose of misoprostol as morning-after pill. She used misoprostol multiple times previously with neither neurological nor cardiovascular symptoms. On physical examination, her [...]

Case Presentation: A 25-year-old male without medical history presented with right sided throat pain, fever and chills for 3 days. He also had a painful swelling behind his left ear for 4 weeks. In the emergency department, examination showed an erythematous and edematous right tonsil with local mass effect on the uvula with left-sided displacement [...]

Case Presentation: 71-year-old male with extensive smoking history was referred to the hospital by his PCP for new-onset severe hyponatremia of 117mMol/L. He denied any active complaints and initial physical examination showed an euvolemic male. Low serum osmolality of 245mOsm/kg but high urine osmolality of 309mOsm/kg and high urine sodium of 68mEq/L were suggestive of [...]

Case Presentation: A 76-year-old woman presented to the hospital with complaints of dyspnea and bilateral lower extremity edema. She had a past medical history of chronic kidney disease (CKD) stage 4 and inflammatory bowel disease with ileostomy and reported allergy to infliximab. IV furosemide was started for acute congestive heart failure. CTA chest was done [...]

Case Presentation: A 70-year-old man with a past medical history of HIV on antiretroviral therapy, chronic obstructive pulmonary disease, tobacco use disorder, and ischemic cardiomyopathy presented due to 2 weeks of headache and hemoptysis. On review of systems he noted chronic diplopia going on for the last few months. The initial examination did not note [...]