Case Presentation: A healthy 3-year-old boy presented with 5 days of a scaly and crusting rash on the left side of his face that began as a few bumps on his left forehead (Image 1). He had no history of chickenpox, is up to date on immunizations including varicella, and has no family history of [...]

Case Presentation: A 70-year-old gentleman with past medical history significant for chronic hypoxic and hypercapneic respiratory failure from chronic obstructive pulmonary disease (FEV1 of 0.76 liters, 22% of predicted), hyperlipidemia, and hypertension presented with worsening exertional shortness of breath of four days duration. He also had dry cough. He denied fever, chills, chest pain, paroxysmal nocturnal dyspnea or [...]

Case Presentation: A 60-year-old woman with past medical history of Systemic Lupus Erythematous (SLE) on daily mycophenolate mofetil and hydroxychloroquine, Antiphospholipid Syndrome on warfarin, history of aneurysm s/p clipping and diabetes presented to an urgent care clinic due to severe headache and dizziness. During examination, she was noted to have hesitancy with neck flexion, prompting [...]

Case Presentation: 78 year old Asian female with a history of diabetes mellitus type II, hypertension, and recently diagnosed colon cancer presented with severe left ear pain and vesicular rash associated with left sided hearing loss and left facial paralysis. She endorsed decreased taste sensation as well as poor appetite resulting in twenty pounds of [...]

Case Presentation: A 58-year-old Spanish-speaking, uninsured man presents to primary care for a rash and is diagnosed with poison ivy and treated with prednisone. He eventually presents to the emergency department with ulcerative, crusting lesions of his right nasal ala, eyelid, scalp, philtrum, and lips. The lesions overlay a desquamative rash that covers his right [...]

Case Presentation: A 57 years old female with insignificant past medical history presented to emergency department for right sided chest and back pain for one week that was associated with skin lesions under right breast and adjoining area on the back consistent with herpes zoster rash. She also reported epigastric pain, nausea and vomiting. She [...]

Case Presentation: A 52-year-old man with HIV on HAART (CD4 count of 644) and recently treated early latent syphilis, was admitted for abdominal pain and hematochezia of 2 days duration. On exam, he had normal vital signs and diffuse tenderness to palpation but no rigidity or guarding. Labs were notable for hemoglobin drop to 11 [...]

Case Presentation: An 85-year-old female with a history of non-Hodgkin’s B-cell lymphoma on Ibrutinib is brought into the emergency department (ED) by ambulance for generalized, progressive weakness and recurrent falls. She was recently diagnosed with herpes zoster 2 weeks prior, on her right upper extremity and denies being started on any medication. She complained of [...]

Case Presentation: A 31-year-old man with rheumatoid arthritis (on adalimumab, methotrexate, and prednisone) presented with a 3-day history of fatigue, severe asymmetrical weakness of the lower extremities (left > right), and painful vesicular rash spanning multiple dermatomes in the left > right lower extremities (Image 1). There was no evidence of myelopathy or meningismus on [...]

Case Presentation: 83 year old female with a history of SLE, rheumatoid arthritis, B-cell lymphoma in remission, hypothyroidism presented with a 4 day history of atraumatic lower back pain, rash to left lower back, nausea, retching, few episodes of small volume, clear vomitus and fatigue. She also reported one year of 25 pound unintentional weight [...]