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: A 10 year old female presented to the emergency department with 2 days of rapidly progressive left eye pain, purulent drainage, foreign body sensation, painful eye movements and left sided headache. Physical exam revealed moderate left eyelid edema with tenderness, conjunctival injection and copious purulent discharge. She had no leukocytosis or neutrophilia. CT [...]

Case Presentation: A 42-year-old female with past medical history of systemic lupus erythematosus (SLE) presented to the emergency department with two days of severe polyarthritis in her left wrist, right knee, and lower back. On admission, physical exam was notable for joint swelling and limited range of motion in the wrists, elbows, and knees. Bilateral [...]

Case Presentation: 48-year-old female with past medical history of cirrhosis secondary to HBV (on entecavir) and EtOH, decompensated by hepatic encephalopathy and ascites, coronary artery disease s/p stenting to LAD in 2009 presented to the hospital with abdominal pain and distension for a 1-week duration. She stated that the pain radiated to her back and [...]