Case Presentation: 76 year old female with a history of COPD, Asthma, Allergic Rhinitis, and GERD presented to the Emergency Department for evaluation of worsening fatigue, dysgeusia and weight loss. Given these symptoms, the patient’s allergist referred her for COVID-19 testing. The patient denied any respiratory or GI symptoms, and review of symptoms was only [...]

Case Presentation: 47-year-old African American incarcerated male presented with headache, new seizures, and blurry vision. Spinal fluid showed high protein, lymphocytes, mildly elevated adenosine deaminase, and low glucose. AFB, bacterial, fungal and viral studies were negative. MRI revealed severe basilar meningitis with enhancing nodular density. RIPE (Rifampicin, Isoniazid, Pyrazinamide, Ethambutol) was started, followed by RI [...]

Case Presentation: Patients presenting with melena are often found to have an upper gastrointestinal source: melenic stool on exam has a likelihood ratio of 25 for upper gastrointestinal bleed (1). But what if repeated endoscopies are unimpressive? Mr. S is a 75 year old male with a history of atrial fibrillation on apixaban for three [...]

Case Presentation: Neisseria meningitidis, a gram-negative diplococcus, is widely known for causing meningitis and septicemia. However, its potential to trigger rare cardiac manifestations, such as pericarditis, often goes unrecognized. These atypical presentations can mimic common cardiovascular emergencies like myocardial infarction or pulmonary embolism, creating significant diagnostic challenges.A 44-year-old male with a history of type 2 [...]

Case Presentation: A 75 year old with a presented with a chief complaint of fever. The patient reported headache, dizziness, myalgia, dyspnea, constipation, and denied nausea. On assessment, the patient was mildly febrile and tachycardic with other vital signs within normal limits. The remainder of the exam demonstrated normal cardiovascular, respiratory, abdominal exam and gross [...]

Case Presentation: A 43-year-old African-American ex-smoker with a history of biopsy-proven multisystem sarcoidosis in remission, morbid obesity, and pulmonary hypertension presented with left lower quadrant pain and was found to have multiple ventral hernias containing bowel loops without any obstruction on CT scan, following which she was discharged with outpatient surgery follow-up. Prior to contrast [...]