Case Presentation: A previously healthy 56-year-old female with mitral valve prolapse presented to a Georgia hospital with several days of headache and chest pain. Six weeks prior to admission (PTA), she visited her family ranch in west Texas for three weeks. One week PTA, she developed fever, myalgias, fatigue, and pleuritic chest pain. Her chest [...]

Case Presentation: A 39 year-old female from Sudan with no medical history presented with recurrent fevers. She had been discharged 3 days prior after a workup for the cause of her fevers was unfruitful. This workup had included blood and urine cultures, viral hepatitis serologies, anti-nuclear antibodies, rheumatoid factor, HIV antibodies, Quantiferon tuberculosis testing, stool culture, [...]

Case Presentation: A 52-year-old man with a past medical history of hypertension, hyperlipidemia, and type 2 diabetes mellitus presented to the emergency department (ED) with complaints of two weeks of nausea, vomiting, abdominal fullness and distension, full-body fatigue, and myalgias. He was also noted to be febrile and jaundiced. Abdominal ultrasound findings were consistent with [...]

Case Presentation: A 33-year-old male with sporadic alcohol use presented with acute epigastric pain. Acute pancreatitis was diagnosed based on abdominal pain, elevated lipase, and imaging findings of pancreatic inflammation. Initial management included intravenous fluids and pain control. During his hospitalization, he developed acute transaminitis. An abdominal ultrasound revealed cholelithiasis without biliary or pancreatic duct [...]

Case Presentation: A 63-year-old man presented with fever for 1 week and bilateral leg pain. He was found to have bilateral deep vein thrombosis (DVT) and treated with heparin drip, then Eliquis, but fever and leukocytosis (14-20k/mm3) persisted. Extensive workup—computed tomography (CT) scans of his chest and abdomen/pelvis, magnetic resonance imaging of his spine, nuclear [...]

Case Presentation: A 62 year old homeless male with no significant past medical history presents to a large tertiary referral center after being found unresponsive by police. Vital signs: 99.2 F, HR 86, RR 17, BP 160/81. Labs: Lactic acid 2.9, WBC 26.35, CRP 150.60, urine drug screen negative. CT imaging revealed evidence of ureteral [...]