Case Presentation: A healthy 19-year-old female presented to the emergency department with 6 days of progressively worsening fever, chills, body aches, sore throat, and a negative outpatient work-up for COVID, influenza, RSV, strep, and monospot. She appeared in acute respiratory distress, reporting new pleuritic chest pain, trismus, severe right neck pain, and tender lymphadenopathy. Her [...]

Case Presentation: A 34-year-old, un-domiciled, woman with T1DM, hypertension, hypothyroidism, polysubstance use disorder, and depression presented with nausea, vomiting, and diffuse abdominal pain for 24 hours. She had run out of her long-acting insulin one month prior and was substituting with short-acting insulin until she ran out of that as well two days before admission. [...]

Case Presentation: A 65-year-old woman with a history of migraines without aura and mild asthma presented to a Wisconsin emergency department with a two-day history of fevers and altered mental status following a five-week stay in Colorado. Symptoms included subjective fevers and urinary incontinence in addition to neurological concerns such as confusion, forgetfulness, and difficulty [...]

Case Presentation: A 53-year-old female with Stage IV diffuse large B cell lymphoma (DLBCL) with Myc and Bcl2 rearrangements. Chemotherapeutic regimens were initially successful at achieving remission, but her disease ultimately progressed. The patient elected to pursue CD19-directed Chimeric Antigen Receptor (CAR)-T therapy (axi-cel), and hospital admission was planned for the duration of therapy. The [...]

Case Presentation: A 35-year-old female patient with a medical history significant for symptomatic uterine fibroids presented after a syncopal episode. Patient had experienced chronic abdominal pain throughout the past year, but she noted that the pain acutely worsened at the time of her syncopal episode. She also endorsed nausea, vomiting, and new abdominal distension. She [...]

Case Presentation: A 66-year-old male presents as an urgent new patient evaluation to rheumatology with new complaints of abrupt bilateral hand and foot swelling for six weeks with difficulty flexing fingers and toes. The swelling remained constant throughout the day, not improving with activity or rest. The patient was recently seen by his primary doctor [...]

Case Presentation: A 60-year-old male with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus presented to the emergency department with a progressive lower extremity rash, abdominal discomfort, and diarrhea. The patient was hospitalized five days prior for lower extremity cellulitis and was discharged on clindamycin. After discharge, he developed a bilateral lower extremity [...]

Case Presentation: A 64-year-old male presented to the Emergency Department with fevers, anorexia, flank pain and two months of progressive oral sores diagnosed as refractory oral candidiasis by his outpatient provider. Comorbidities included hypertension and obesity (body-mass-index 70). Labs revealed an elevated white blood cell count (14,000/L). Bilateral pyelonephritis was diagnosed on computed tomography. Broad [...]

Case Presentation: The patient is a 66-year-old female with a past medical history of asthma-COPD overlap (ACO) with recent exacerbation who presented with sudden-onset severe dyspnea. Patient was intubated for ACO exacerbation three weeks prior to admission and was started on heparin for deep vein thrombosis prophylaxis with platelet at 293, 000/microliter. At the rehabilitation [...]

Case Presentation: A 70-year-old female with a medical history of fibromyalgia on Duloxetine, Systemic Lupus Erythematosus, and Paget’s disease admitted to the hospital for altered mentation was found to have elevated ALT 54 U/L, AST 63 U/L, normal bilirubin, and gamma glutamyl transferase. The mild elevation in Alkaline Phosphatase (ALP) 175 U/L was secondary to [...]