Case Presentation: Patient is a 51-year-old man who presented with complaints of progressively worsening dyspnea, productive cough, sore throat and intermittent fevers of about 1 week. He has a past medical history of tobacco use. Initial vitals showed a temperature – 100.5F, heart rate – 118 bpm ,blood pressure – 119mmhg/60mmhg , respiratory rate – [...]

Case Presentation: A 20-year-old female with no past medical history presented to a rural hospital with shortness of breath, sepsis, and a several-day history of right-sided throat pain 2 weeks after a dental procedure. Chest x-ray demonstrated bilateral lung opacifications and blood cultures were positive for Streptococcus constellatus. She was started on broad-spectrum antibiotics and [...]

Case Presentation: A 54 year-old-woman presented with one week of progressive fatigue, shortness of breath, and productive cough.  Physical exam revealed fever of 101.6⁰ F, poor oral dentition, bilateral pulmonary crackles and left lower quadrant abdominal tenderness. Initial laboratory workup was remarkable for elevated procalcitonin which prompted initiation of broad spectrum antibiotics. Chest X-ray was [...]

Case Presentation: A previously healthy 77 year-old woman with a history of porcine mitral valve repair (MVR) presented with left knee pain.  Three weeks prior to admission she experienced general malaise and intermittent chills. She then fell resulting in left knee pain and presented three days later due to inability to walk. On examination, she [...]

Case Presentation: A 28-year-old female with a PMH of intravenous drug use (IVDA) and untreated hepatitis C presented to the ED with one-week history of painful, erythematous, and tender skin in both upper and lower extremities. She also endorsed myalgia, pleuritic chest pain, and last use of heroin the day prior. She denied fever or [...]

Case Presentation: A 22-year-old man with Asperger syndrome presented with five days of fever and acute confusion after an episode of pharyngitis. Vital signs were significant for T 39.3°C, HR 120/min, BP 93/57 mmHg, and RR 22/min with O2 sat 94% on 4L. Physical exam was remarkable for thick oral secretions, tenderness to palpation of [...]

Case Presentation: A 52 year old man with a PMHx of IVDU and HLD presents with a CC of “Cold Leg”. This was preceded by sudden onset numbness and weakness of his right foot and leg, inability to ambulate and severe pain in his thigh. He reported prodromal fevers, sweats and arthralgias. His last IVDU [...]

Case Presentation: A 58-year-old woman arrived to the emergency room complaining of fevers, chills, and confusion for two weeks. She has hypertension, complex psychiatric conditions including anxiety, depression, and alcohol use disorder. Her symptoms began 14 days ago with non-productive cough and headaches. During this time she also experienced fevers and chills. On physical examination, [...]

Case Presentation: A 44-year-old male with a past medical history of sleep apnea on CPAP, alcohol abuse, tonsillectomy, and deviated nasal septum (DNS) repair presented with generalized weakness, body aches, and headache. He denied nausea, vomiting, diarrhea, dysuria, hematuria, chest pain, and shortness of breath. There was no history of neck stiffness or photophobia. On [...]