Case Presentation: A 56-year-old healthy man who presents with three days of fatigue and bilateral thigh pain. He was born in Puerto Rico but lives in Boston and had no recent travel. He denies alcohol or drug use. He works as a cook at an urban restaurant. Admission vitals and physical exam are unremarkable. Initial [...]

Case Presentation: A 58 year-old undomiciled man with no known medical history presented with three days of anorexia, malaise, abdominal pain, nausea and decreased urine output. His exam was notable for scleral icterus. Initial lab work was remarkable for sodium 133 mEq/L, BUN 132mg/dL, creatinine 8.82 mg/dL, platelet 64 K/uL, total bilirubin 6.4 mg/dL, and [...]

Case Presentation: Mr. D is a 60-year-old male building superintendent with a history of asthma and moderate alcohol use disorder who presented with six days of fatigue. Later, he developed headache, substernal pleuritic chest pain, epigastric and RUQ abdominal pain, nausea, vomiting, and weight loss of around 20 pounds in a week. The patient reported [...]

Case Presentation: A 68-year-old woman with an unknown past medical history presented to the emergency department after a bystander who had previously seen her sleeping in a park noticed her looking unwell. Her vital signs were normal. She endorsed moderate, bilateral leg pain. Exam was notable for scleral icterus. While alert and oriented, she was [...]

Case Presentation: A 62-year-old male from a major urban city in Northeast US with history of hypertension and type II diabetes mellitus presented with fevers and thigh pain for three days. He had no recent travel history, sick contacts, or bug bites. Physical examination was notable for injected conjunctiva. Lab work revealed leukocytosis, thrombocytopenia, acute [...]