Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats [...]

Case Presentation: A 34-year-old morbidly obese man with a history of recurrent headaches was admitted to the hospital with two months of rapidly progressive bilateral vision loss, weight gain, and lower extremities (LE) and scrotal swelling. An eye exam revealed severe papilledema in both eyes. Labs revealed brain natriuretic peptide 588 pg/ml and chest X-ray [...]

Case Presentation: Many patients are being treated with biologic therapies for autoimmune diseases in the outpatient setting. It is critical for the hospitalist to recognize these patients as immunosuppressed and generate a broad differential when they are admitted to the hospital. The patient in this case was a 35-year-old male with a past medical history [...]