Case Presentation: A 30-year-old previously healthy man presented with one week of fatigue, malaise, and confusion, complaining of dull neck pain. In the ED he became acutely agitated and combative, eventually requiring sedation and intubation for altered mental status. Initial vitals were normal, with BP 130/85 and HR 66, but then patient developed a fever [...]

Case Presentation: A 23 year-old man with no prior medical history presented with witnessed syncope.  Patient was playing basketball when he suddenly collapsed, initially unresponsive, regaining consciousness after minutes.  No seizure activity was observed.  VS were BP 116/71, HR 55, RR 16, O2sat 100% RA.  ECG showed sinus bradycardia with right axis deviation.  Physical exam [...]

Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left [...]

Case Presentation: This is a 49 year old female, with no significant medical history, who started having intermittent fevers, night sweats, and fatigue 11 months prior. She reported a temperature of 100.4°F with cough and rhinorrhea, diagnosed as bronchitis with an elevated CRP of 40 mg/L. She reported some improvement with azithromycin but continued to [...]

Case Presentation: 36-year-old female with no past medical history presents with vomiting and abdominal pain after eating a meal. Symptoms were accompanied by diaphoresis, dizziness, and palpitations. On arrival to the hospital, patient’s vital signs were stable. Labs were significant for WBC 11 K/cumm, AST 64 U/L, ALT 47 U/L. Computed tomography of the abdomen/pelvis [...]

Case Presentation: A 60-year-old man presented with several days of diarrhea, fevers, and syncope. Past medical history was significant for recurrent syncopal episodes, all of which occurred during febrile illnesses. Review of systems was negative for chest pain or other cardiac symptoms. His vital signs were normal except for a temperature of 39°C. ECG showed [...]