Case Presentation: A 46-year-old woman experienced difficulty swallowing while drinking coffee in the evening of her visit. Shortly afterward, she developed rapid swelling in the left neck region, accompanied by syncope, and was transported to a local hospital for emergency care. Blood tests and electrocardiography showed no abnormalities. However, a CT scan revealed swelling of [...]

Case Presentation: A 59-year-old man with well-controlled HIV and treated hepatitis C presented with polyarthralgia and rash. He noticed that his right arm, left wrist, first toe and knee were painful and erythematous. He reported one day of nausea and vomiting but had no respiratory, urinary, or visual symptoms. He denied recent infections, travel, or [...]

Case Presentation: A 65-year-old male with idiopathic pulmonary fibrosis (IPF) on immunosuppressive therapy, type 2 diabetes, and hypertension presented with fevers, abdominal pain, and generalized weakness. He was also noted to have a 40-pound weight loss over two months. He was recently admitted the month prior for mastoiditis and again two weeks earlier for similar [...]

Case Presentation: A 75-year-old male with a past medical history significant for coronary artery disease, paroxysmal atrial fibrillation on Eliquis, hypertension, and hyperlipidemia presented to the emergency room with complaints of left-sided weakness, more pronounced in the left upper extremity. Physical examination revealed an alert, oriented, and well-appearing gentleman with decreased strength in his left [...]

Case Presentation: A 20 year old female with no past medical history presented for fever. She developed fevers, intermittent rash, polyarthralgias and odynophagia prompting her to present to the ED. She was febrile to 38.1 C and heart rate was 126 beats per minute. A faint erythematous facial rash was noted on physical exam along [...]

Case Presentation: A 56-year-old male with history of opioid and cocaine use disorder without intravenous drug use presented to the emergency room with bilateral lower extremity swelling and shortness of breath for two weeks. A transthoracic echocardiogram was performed which showed an ejection fraction of 45%, grade II diastolic dysfunction, and severe aortic regurgitation. The [...]

Case Presentation: We present the case of a 70-year-old male with a medical history of atrial fibrillation, hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD), admitted for elective radiofrequency ablation for atrial fibrillation. In the immediate postoperative period, the patient became hypotensive, with a blood pressure of 60/40 mmHg, and developed tachycardia, with a heart [...]

Case Presentation: A 23-year-old male with no significant past medical history presented to an urgent care with six days of fevers, chills, and cough. He was diagnosed with influenza B and discharged home with supportive care. His symptoms continued to progress, and he developed pleuritic chest pain. He presented to the emergency department on day [...]

Case Presentation: We present a 25-year-old female with past medical history of right fibular hemimelia who presented with acute on chronic leg pain. She had a history of multiple prior limb lengthening surgeries complicated by Staphylococcus aureus infection with hardware removal. Patient endorsed weeks of worsening leg pain and cramping. Had been seen by orthopedic [...]

Case Presentation: A 62 year old homeless male with no significant past medical history presents to a large tertiary referral center after being found unresponsive by police. Vital signs: 99.2 F, HR 86, RR 17, BP 160/81. Labs: Lactic acid 2.9, WBC 26.35, CRP 150.60, urine drug screen negative. CT imaging revealed evidence of ureteral [...]