Case Presentation: A 66-year-old male with history of Diabetes Mellitus Type 2, benign prostatic hyperplasia status-post transurethral resection of the prostate, anxiety, rhinorrhea with recent nasal endoscopy, and chronic natural killer lymphocytosis (NKL) who presented with three days of fever, chills, body aches, joint pain, headaches, and myalgias. On admission patient had fever, tachycardia, hypotension, [...]

Case Presentation: A 59-year-old man with no significant past medical history presented with 3-5 days of left-sided neck pain and swelling. Physical exam was notable for enlargement of the left side of his neck that was tender to palpation. He had no fever, dental carries, pharyngeal erythema, cervical nor supraclavicular lymphadenopathy. His laboratory analysis was notable [...]

Case Presentation: A 65-year-old female with a history of sphenoid sinusitis status post recent fiberoptic endoscopic sinus surgery presented with one week of neck stiffness and two days of fever, headache, photosensitivity, and diplopia. Vital signs were: temperature 102.6, heart rate 82, respiratory rate 20, blood pressure 122/45 and 95% room air O2 saturation. Physical [...]

Case Presentation: A 66-year-old Caucasian female presented with persistent fever (38.7 degrees Celsius) and non-productive cough with onset 4 weeks prior, and despite 2 courses of antibiotics, she developed right-sided neck swelling and pain about 2 weeks prior to admission.  Significant medical history included Immunoglobulin G (IgG) deficiency that was diagnosed nine months prior, and [...]

Case Presentation: A 51 year old female with a history of schizophrenia, COPD, and obstructive sleep apnea presented to hospital with complaints of generalized fatigue and acute onset of right-sided extremity weakness. The patient’s family members noted progressive lethargy and confusion on the day of admission. Family members reported the patient’s difficulty with ambulation and [...]

Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was [...]

Case Presentation: A 59-year-old female with a history of hypertension and hyperlipidemia presented to the ED with severe left lower quadrant abdominal, pelvic pain, and nausea. CT of the abdomen/pelvis showed findings of acute diverticulitis. She was admitted and managed medically with bowel rest and IV ciprofloxacin and metronidazole. She was discharged on oral antibiotics. [...]

Case Presentation: A 25 year old woman with history of asthma presented to the emergency department with one week of sore throat, cough, shortness of breath, nausea, vomiting, and diarrhea. Upon arrival, she was hypotensive, tachycardic, tachypneic, febrile, and was found to have leukocytosis, elevated lactate, procalcitonin, and creatinine prompting concern for septic shock. She [...]

Case Presentation: A healthy 22-year-old presented with four days of acute onset emesis, jaundice, and fever. Four days prior to presentation, the patient ate fried chicken and rice for lunch. Four hours later he had twelve episodes of non-bilious non-bloody vomiting, without associated diarrhea or abdominal pain. Over the next three days, he developed progressive [...]

Case Presentation: A 22-year-old man with Asperger syndrome presented with five days of fever and acute confusion after an episode of pharyngitis. Vital signs were significant for T 39.3°C, HR 120/min, BP 93/57 mmHg, and RR 22/min with O2 sat 94% on 4L. Physical exam was remarkable for thick oral secretions, tenderness to palpation of [...]