Background: Septic arthritis (SA) of native joints has an incidence rate of 4-12 per 100,000 person-years. In 2012, there were 36, 539 hospitalizations for SA in US non-VA hospitals and costed the US healthcare system $2.85 billion. Such data has not been reported for US VA-healthcare System. SA has a mortality of 4-13%. Among survivors [...]

Case Presentation: A 55-year-old Hispanic male with PMH of hypertension presented to the emergency department (ED) with a 2-week history of flu-like symptoms including malaise, fever and chills, anorexia, dry cough and night sweats. In the ED he was found to be lethargic, short of breath, and had abdominal distention accompanied by urinary and bowel [...]

Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed [...]

Case Presentation: A 70 year male presented to the emergency department with complaints of worsening fatigue, abdominal distension, abdominal pain, dyspnea, and increased lower extremity edema. He had been diagnosed with pancreatic cancer 3 months ago and recently started on chemotherapy. An abdominal CT scan revealed massive ascites and multiple liver abscesses essentially replacing the [...]

Case Presentation: A 46-year-old Guatemalan male with a past medical history of hypertension, type 2 diabetes mellitus, iron deficiency anemia, and chronic ethanol use presented with intermittent fevers, bright red blood per rectum, loose bowel movements, and significant unintentional weight loss. Physical examination revealed right upper quadrant tenderness and conjunctival pallor but was otherwise unremarkable. [...]

Case Presentation: A 34-year-old man with a recent history of perforated appendicitis was admitted with a 2-week complaint of nausea, vomiting, abdominal pain and fever. His past history only included an appendectomy 6 months prior, with no history of intravenous drug use, prior diverticulitis, or biliary disease. On exam, he was febrile to 101.1°F, tachycardic, [...]

Case Presentation: A 72-year-old woman with breast cancer treated with lumpectomy and radiation in 2021, diverticulosis diagnosed by colonoscopy in 2018, and recent dental work, presented to the emergency department with cough, congestion, diarrhea, dizziness, and an episode of near-syncope. Two days prior to presentation she tested positive for COVID-19 and was prescribed nirmatrelvir / [...]

Case Presentation: A 61-year-old male with no known past medical history presented with one week history of generalized malaise and exertional dyspnea. He had undergone a dental procedure six weeks ago. He drank alcohol occasionally but denied smoking or illicit drug use. On admission, he was febrile (Temp 101.6F), tachycardic (HR 113), tachypneic (RR 25) [...]

Case Presentation: A 74-year-old gentleman presented with right upper quadrant pain, nausea, fever, and chills for one-week duration. Initial workup showed simple hepatic cyst and subsequently was discharged with oral antibiotics. The patient returned a week later for persistent right upper quadrant pain and high-grade fevers. No prior history of jaundice, weight loss, intravenous drug [...]