Case Presentation: An 89-year-old man with coronary artery disease, hypertension, and osteoarthritis presented with acute-onset severe posterior neck pain, with no viral prodrome. The patient reported experiencing generalized weakness and associated headache, but denied any fevers, chills, cough, myalgia, joint pain, ulcers or rashes. Additionally, he did not report any photophobia, phonophobia, changes in vision, [...]

Case Presentation:   A 76-year-old female was admitted from an outside hospital for concern for osteomyelitis of her cervical spine.  She had previously had a week of neck pain with limited range of motion due to pain.  She was treated for E. coli sepsis following positive blood and urine cultures, but her neck pain persisted.  Upon transfer, [...]

Case Presentation: A 73 year-old woman with a history of recurrent pancreatitis, severe osteoarthritis presented to the ED with acute pancreatitis. On hospital day 3 she noted right shoulder pain, similar to her chronic arthritis but worse in intensity. Her examination did not reveal any abnormalities; she had severely limited ROM of motion due to [...]

Case Presentation: A 95-year-old man with hypertension, benign prostatic hyperplasia, irritable bowel syndrome, and a recent herpes zoster ophthalmicus infection presented to the emergency department (ED) with fevers. The patient had been well until 3 days prior, when he developed a temperature of 103°F followed by severe pain in the neck radiating to both shoulders. [...]