Case Presentation: A 78-year-old female with a history of CAD, hypertension, and asthma presented to the ED with fatigue, abdominal pain, diarrhea, and decreased urine output for three days. She recently returned from Southern France where she had overexerted herself in the heat. She was ill-appearing. Vital signs and exam were normal. Significant labs/imaging: Na [...]

Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated [...]

Case Presentation: We present a case of a 50-year-old male with a history of developmental disability and hypothyroidism who presented from a nursing home with fatigue and cough for three days. The patient was found to have a left upper lobe consolidation on chest x-ray consistent with pneumonia. Labs revealed neutrophilic leukocytosis. He was started [...]

Case Presentation: A 24-year-old woman with no medical history presented with eight weeks of nausea, vomiting, and fevers. Six weeks prior to admission she had a positive monospot test, positive EBV IgG, and negative EBV IgM. Two weeks prior, she developed cyclical fevers, night sweats, and weight loss. She presented to the ED due to [...]

Case Presentation: This case investigates the etiology of acute interstitial nephritis (AIN) in a metastatic melanoma patient who was transitioned from immune-checkpoint inhibitors (ICIs) to targeted BRAF-MEK inhibitors (BRAFi/MEKi). A 73-year-old man with cutaneous melanoma with lung metastases presented to the emergency room for generalized weakness, fevers, and renal failure. Six weeks prior to his [...]