Case Presentation: A 60-year old woman with a history of chronic lower extremity wounds presented to the emergency department after sustaining a right lower extremity injury from an unknown mechanism one week ago. In experiencing housing and financial instability, she was sleeping on park benches and wrapping the wound in newspapers and fabrics. She noticed [...]

Background: More than 71,000 people are non-fatally injured by firearms annually in the US and forced to deal with the aftermath and sequela of surviving a gunshot wound (GSW). The social determinants of health (SDOH) needs in this vulnerable population are poorly understood, particularly at the time of discharge. Following up with healthcare providers after [...]

Case Presentation: We present the case of a 46-year-old male from Guyana with a history of type-2 diabetes mellitus who presented with cellulitis of his left foot.  He is a rice farmer working in brakish water environments and had sustained a laceration on the left medial surface of his foot. Five days prior to admission, [...]

Case Presentation: A 63-year-old gentleman with a past medical history of hypertension and remote history of left middle finger burn injury. He was admitted to the hospital with a 2-month history of painless left third finger wound. The wound started as a small mass and progressively enlarged. He reported more than 30-year history of an [...]

Case Presentation: A 55 year old male presented with a 1-week history of severe fatigue, constipation, and diffuse abdominal pain. He reported 1 year of progressive diffuse joint pains, numbness and tingling of bilateral upper and lower extremities, and global muscle weakness recently necessitating use of a wheelchair. He had no past medical history, and [...]

Case Presentation: 87-year-old man with a past medical history of wild type ATTR cardiac amyloidosis and atrial fibrillation, presented with a progressive right lower extremity ulcer. The wound initially started as a “pinhole” after dropping a toothpaste cap on the calf and progressed in the next three months despite multiple courses of antibiotics and wound [...]

Case Presentation: An 80-year-old female with a history of atrial fibrillation on warfarin, type 2 diabetes mellitus, vitamin D deficiency, and CKD stage III presented as a transfer for further management of a worsening left lower extremity ulceration. Onset was 2 weeks prior without any concordant symptoms of infection and was initially evaluated by her [...]

Case Presentation: Common variable immunodeficiency (CVID) is a primary immunodeficiency characterized by hypogammaglobulinemia and heterogenous manifestations. We present a 67-year-old woman admitted inpatient for fluctuating mental status changes along with intermittent fevers and diaphoresis for several months. Her medical history is notable for congestive heart failure, obstructive sleep apnea, and chronic abdominal pain in the [...]

Case Presentation: A 28-year-old female with a known history of seropositive rheumatoid arthritis presents with a non-healing ulcer on her right ankle. She received local wound care and antibiotics for three months prior to this admission. She also complained of increasing pain and stiffness in the small joints of hands and feet as well as [...]