Case Presentation: A 19-year-old male with a past medical history of malaria and recent immigration to the U.S. from Somalia presented with a witnessed episode of tonic-clonic seizure. He had no history of seizure disorder, recent trauma, new medications, alcohol use, fevers or chills. He was afebrile with stable vital signs. Physical exam including neurological [...]

Case Presentation: A 39-year-old Zimbabwean male with a past medical history of hepatic schistosomiasis complicated by cirrhosis and pancytopenia presented to the ED with 7 days of abdominal pain and generalized weakness. The patient exhibited similar symptoms 8 months prior and had taken furosemide and spironolactone ever since, with no other home medications. Physical exam [...]

Case Presentation: An 18-year-old male with a history of Hepatitis B presented to the ED with 1 month of low-grade fevers, bilateral lower extremity arthralgias (knees, hips, lumbar spine), and 5 days of rectal bleeding. Originally from Guinea, he recently emigrated from Nicaragua. He reported 9/10 joint pain, which started in the left foot and [...]