Case Presentation: A 41-year-old male presented to the ER two days after sudden-onset vision loss in his right eye while driving which he described as a “round black spot the size of a large clock.” This prompted him to stop his car and get out, after which he felt off-balance for 10 minutes. The vision [...]

Case Presentation: A 44-year man with history notable for illicit drug use (amphetamine, cocaine), poorly controlled HIV (CD4 count 387, HIV quantitative PCR with a viral load of 188,000) and anaphylaxis with penicillin use presented with a 1-day history of sore throat along with a 1-month history of a warm, diffuse, symmetric, non-pruritic, non-vesicular, maculopapular [...]

Case Presentation: A 45 year-old man with no past medical history presented with recurrent nausea, vomiting, and abdominal pain. He had previously been admitted for nausea and vomiting and was diagnosed with gastritis and discharged home with pantoprazole. It initially improved but he began experiencing postprandial nausea and vomiting again 3-4 weeks ago. His intermittent [...]

Case Presentation: A 24-year old woman presented to the emergency department with three days of decreased vision after she sustained blunt trauma to her face during a physical altercation. Social history was notable for methamphetamine use and unprotected sexual activity with multiple partners. Physical exam demonstrated right-sided periorbital swelling and tenderness, pupils were equal, round, [...]

Case Presentation: A 60 year old woman with a history of substance abuse and unclassified dementia presented to the emergency department following 2 weeks of acute functional decline and being found unresponsive at home. She had experienced progressive cognitive decline over the prior 2 years, becoming increasingly forgetful and less talkative. She was diagnosed with [...]

Case Presentation: A 58 year old man, who has sex with men, presented with three weeks of blurred vision. During this period he also noted fevers, malaise, and headache. Physical exam revealed a patchy erythematous scalp rash with associated alopecia. Fundoscopic examination revealed anterior uveitis bilaterally. Serum RPR was positive, with a titer of 1:64, [...]

Case Presentation: Syphilis is known as the “Great Imitator” for good reason. With its insidious onset and nonspecific presentation, it is often mistaken for other diagnoses or overlooked altogether. Here, we describe a case of an isolated facial nerve palsy as a rare manifestation of neurosyphilis. A 53-year-old man presented to urgent care with acute-onset [...]

Case Presentation: A 51-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (CKD) presented to the hospital following a fall at home. The patient described a disease course that started six months prior with bilateral knee weakness and shooting pains that progressed to severe gait imbalance and inability to ambulate. [...]

Case Presentation: A 57-year-old female presented with a three-month history of confusion and weight loss secondary to decreased oral intake, with three weeks of new onset paranoia. Family reported she exhibited disorganized behavior and hallucinations, associated with urinary incontinence, unsteadiness, dysphagia, and odynophagia. Medical history was negative for psychiatric illness or STI. Her family history [...]

Case Presentation: A 72-year-old HIV-negative male with a past medical history of neurosyphilis who received two complete 2-week regimens of IV Penicillin G and one IM Penicillin, was admitted due to a recurrence of blurry vision and gait instability. The patient’s symptoms started with dizziness noted since last year, which then progressed to gait instability [...]