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: Hypereosinophilia (HE) is an abnormality noted on complete blood count that can have a myriad of causes. Identification of associated eosinophilia-related organ damage is important in the workup and treatment of this condition. Recognition requires a high degree of clinical suspicion from providers. We present a case of HE with end-organ damage that [...]

Case Presentation: An 18-year-old female with no medical history was evaluated at an outside hospital for erythematous rash on her forearms, abdominal pain, chest pain, and leukocytosis. Chest Computed Tomography revealed hilar adenopathy. Transthoracic echocardiography showed right atrial and right ventricular (RV) dilation with low ejection fraction (EF). She was then transferred to our institution. [...]

Case Presentation: A 44-year-old African American male with a history of sarcoidosis presented with shortness of breath, dry cough, and headaches for 10 days, previously treated for sinusitis with amoxicillin and clavulanate without improvement. He is an electrician and smokes 3 packs of cigarettes per week. He denied any history of asthma, eczema, or atopy, [...]

Case Presentation: 29 year old female presented with 3 days of low grade fever, chills, dyspnea, cough, nausea, headaches, night sweats and myalgias. She also had intermittent fatigue and dyspnea with exertion for the past 3 years. No sick contacts, recent travel, antibiotic use, or weight loss. Medical history included type 1 diabetes, depression, and [...]

Case Presentation: A 59 year old man presented to the ER with shortness of breath, non-productive cough and fever of 103○F. He was also being followed for an enlarging left tricep mass that has grown significantly in size for the past 2 months, currently at 11cm in diameter. CBC now revealed a WBC count of [...]

Case Presentation: 65-year-old female with a past medical history of hypertension and colonic diverticulosis presented to emergency department with progressively worsening dyspnea for two months. This was associated with orthopnoea and wet cough. Before presentation, she completed a course of Levofloxacin and steroids in an outpatient clinic. On examination, she was hypoxic with basilar crackles [...]

Case Presentation: A 76-year-old male was admitted to an outside hospital with several weeks of progressive dyspnea and wheezing. His past medical history was significant for ischemic cardiomyopathy, type 2 diabetes mellitus, and chronic kidney disease. His social history was significant for having lived in Somalia, Yemen, and Indonesia prior to immigrating to the United [...]

Case Presentation: A 63-year-old man with asthma, chronic rhinosinusitis, and fifty-pound weight loss in the past seven months, was admitted to the hospital for left parietal and right occipital stroke. Asthma was diagnosed in childhood and was well-controlled without recent exacerbation. Patient had focal right hand weakness of 4/5 strength, petechiae on the left lateral [...]