Case Presentation: We report a case of a 35-year-old pregnant female with a history of type 2 diabetes complaint with only dulaglutide but not insulin, hypertension, and hyperlipidemia who presented with a two-day history of chills, shoulder pain, and reduced range of motion. She had a history of chronic left shoulder pain managed with intra-articular [...]

Case Presentation: A 50-year-old male with history of HIV with undetectable viral load on ART presented to the emergency department for evaluation of left eye blurriness, ptosis, and ophthalmoplegia. History was notable for emergency department and outpatient ophthalmology visits one month prior resulting in a diagnosis of cranial nerve six palsy. MR angiography was unremarkable. [...]

Case Presentation: A 53-year-old female with history of two recent admissions for idiopathic pericarditis presented with several days of increasing chest pain, dyspnea, and lightheadedness. During her first admission three months prior, she underwent urgent pericardiocentesis with pericardial drain placement for early cardiac tamponade. Fluid cytology results were unremarkable. Cardiac computed tomography demonstrated a focal, [...]

Case Presentation: Background: Diquat is an active ingredient found in many herbicides, it is rare but a serious cause of poisoning.1 Diquat poisoning often occurs as a result of an accident or suicide attempt.2 Despite its potency, diquat poisoning is relatively rare, with only 30 cases reported in the United States between 1968 and 1999.3 However, the mortality rate was [...]

Case Presentation: A 70-year-old male presented with generalized fatigue and worsening shortness of breath with exertion. A diagnosis of acute exacerbation of heart failure was made. Initial evaluation with echocardiogram and MRI raised suspicion for amyloidosis. A PYP scan was performed, which was not suggestive for transthyretin amyloidosis (ATTR). Serum free light chain (sFLC) testing [...]

Case Presentation: Lemierre’s disease is a rare and deadly infection caused by the Fusobacterium species which results in bacterial pharyngitis that spreads through pharynx soft tissues into the carotid arteries, resulting in widespread bacteremia and thrombosis. Outcomes are reliant on early diagnosis and initiation of treatment, with mortality rates as high as 20%. The rarity [...]

Case Presentation: A 33-year-old man sought medical evaluation due to an ongoing cough which had persisted following infection with COVID-19. His chest xray (CXR) was negative at that time and he was discharged with symptomatic treatment. He presented again five months later due to persistent cough non-responsive to symptomatic treatment and underwent another CXR which [...]

Case Presentation: The patient is a 52 year old male with a history of GERD on omeprazole therapy. In the period of one month, the patient developed significant exertional symptoms without any evidence of concomitant illness. The patient sought out further work up and evaluation by a cardiologist. Due to the presenting symptoms, an echocardiogram [...]

Case Presentation: A 66-year-old male with a history of neuromyelitis optica (NMO) on rituximab, paraplegia, knee arthroplasty with prior prosthetic joint infections, and chronic urinary catheter complicated by frequent UTI’s with prior growth of Pseudomonas, methicillin-resistant S. aureus (MRSA), E. coli, and Proteus, presented with fever and purulent urine. He was insensate below the umbilicus [...]

Case Presentation: An 81-year-old woman was referred with a 1-month history of subacute progressive bilateral leg edema and a 1-week history of pain and inflammation in both lower legs. She had no history of fever or weight loss. Physical examination revealed pitting bilateral edema with tenderness. No heart murmurs or jugular venous distention were noted. [...]