Case Presentation: Gradenigo’s Syndrome, an extremely rare complication of untreated otitis media, is characterized by suppurative otitis media, pain in the distribution of the trigeminal nerve, and abducens nerve palsy (1). Its pathophysiology involves spread of bacterial infection from the middle ear to the petrous apex of the temporal bone and surrounding structures. Untreated, it [...]

Case Presentation: 60 year old African American man with history of HTN, HLD, and mitral valve regurgitation presented to the ER complaining of 2.5 weeks of progressively worsening right eye pain and swelling. He originally saw his primary care physician, who prescribed him eye drops. However, the swelling got worse, so his PMD referred him [...]

Case Presentation: A 48-year-old female with past medical history including obesity, T2DM, and tobacco use presented with right eye swelling, pain, and vision loss. She began noticing a dark spot in her right eye about three months prior, which progressed to a pressure-like sensation. A CTA of head and neck showed cavernous sinus hyperdensity. MRI [...]

Case Presentation: A 45 y/o Asian Male from Vietnam with PMH of treated pulmonary tuberculosis 10 years ago upon immigration to the US, presented to the ED with 3-day history of fever, abdominal pain, nausea and vomiting. He denied recent travel or use of antibiotics. On exam he had fever 102.2, tachycardia, scleral icterus and [...]

Case Presentation: A 78-year-old female with a history of uterine carcinosarcoma diagnosed two years ago presented to the ED with a primary complaint of orbital swelling, blurry vision, and diplopia OS. One week prior, she received her 5th and 1st cycle of Pembrolizumab and Zometa infusion, respectively for her uterine carcinosarcoma. Three days status post, [...]

Case Presentation: A 26-year-old male with no significant history presented with two days of fevers, headaches, myalgias, and confusion. On arrival to the hospital, he was febrile to 104.5F, responsive to commands but lethargic. He was warm, diaphoretic, with no nuchal rigidity and negative Kernig and Brudzinski signs. Neurological and ophthalmologic exams were noncontributory. Laboratory testing showed a [...]

Case Presentation: A 65-year-old Vietnamese man presented to the Emergency Department after a scleral defect was noted in his right eye by optometry. He reported four months of floaters and one month of worsening vision and light sensitivity in the right eye. No recent trauma.Ophthalmology exam showed visual acuity of 20/25 in the right eye [...]

Case Presentation: A 50-year-old male with history of HIV with undetectable viral load on ART presented to the emergency department for evaluation of left eye blurriness, ptosis, and ophthalmoplegia. History was notable for emergency department and outpatient ophthalmology visits one month prior resulting in a diagnosis of cranial nerve six palsy. MR angiography was unremarkable. [...]