Case Presentation: A previously healthy 39-year-old female presented with symptoms of nausea, vomiting, generalized fatigue, and lightheadedness for a couple of days. The physical examination was unremarkable. Labs showed an elevated N-terminal pro-BNP, troponin T, and C-reactive protein. A urine drug screen was positive for amphetamines. ECG initially showed mild sinus tachycardia and right bundle-branch [...]

Case Presentation: The patient, a 52-year-old female with a history of migraine, presented with persistent right-sided migraine without aura. She developed akathisia shortly after receiving Prochlorperazine. Her symptoms improved with Diphenhydramine, and she was discharged home.She returned to the ED the same evening due to the progression of her symptoms. Neurological examination showed binocular diplopia, [...]

Case Presentation: A 60-year-old man presented with four days of right upper quadrant pain and right flank pain. He had a past medical history that included hypertrophic cardiomyopathy with pacemaker and ICD, hyperlipidemia, atrial flutter, hypertension, prior pulmonary embolism status post IVC filter, and a known renal cyst first identified greater than ten years prior. [...]

Case Presentation: 54-year-old male with history of stroke, seizures, neurogenic bladder, and spine surgery presented with increasing left sided weakness, trouble swallowing, unintentional 67-pound weight loss, headaches and double vision. On exam, he had bilateral upper extremity weakness, partial ptosis, diplopia, right eye ocular palsy, right eye gaze restriction in supraduction and abduction. Complete blood [...]

Case Presentation: We present the case of a 53-year-old male with hypertension presented to the emergency department with progressively worsening of altered mental status. Family reported fatigue, poor appetite, confusion, slow responses, social withdrawal, missing work. Patient experienced slowing of thought process, soft speech, déjà vu (events replaying over and over again in mind). He [...]

Case Presentation: A 31-year-old male with a past medical history of opiate use disorder and presumed Granulomatosis with polyangiitis (GPA) on chronic prednisone was admitted for lower extremity edema, sore throat, hemoptysis, and dyspnea. He also reported a progressively worsening mouth ulcer for the past 6 months. He was found to have bilateral lower extremity [...]

Case Presentation: An 82-year-old male with a history of hypertension, COPD, ischemic stroke, mild carotid stenosis, and hyperlipidemia presented with expressive aphasia, dysarthria, confusion, and left-sided weakness following a coughing spell. CT angiography revealed an acute infarct in the right posterior cerebral artery (PCA) territory, along with an irregular ruptured plaque in the proximal right [...]

Case Presentation: An 86-year-old female with a history of atrial fibrillation, hyperlipidemia, and recurrent pneumonia presented with worsening dyspnea, productive cough, and significant oxygen dependency. CT imaging revealed bilateral dense consolidations and nodular infiltrates, raising suspicion for malignancy, cryptogenic organizing pneumonia, or aspiration-related pathology. Despite broad-spectrum antibiotics and steroids, her clinical condition remained refractory. Bronchoscopy [...]

Case Presentation: A 28-year-old female from Mexico with AIDS and prior Mycobacterium bovis (M. bovis) infection treated with rifampin, isoniazid, ethambutol (RIE), complicated by lumbar osteomyelitis due to suspected medication non-adherence, presented with acute onset headache and photophobia. On admission, CD4 T-cell count was 28/μL and HIV viral load was 75,200 copies/mL. Cerebral spinal fluid [...]

Case Presentation: A 22-year-old woman with history of recurrent sinusitis was admitted with hypoxia, shortness of breath, severe subacute odynophagia, and dysphagia. She was given cefuroxime by her otolaryngologist for a suspected sinus infection earlier in the month, with no effect. She then developed white plaques over her lips and tongue and a severe cough. [...]