Case Presentation: A 92 year old female with a PMH significant for occipital neuralgia, glaucoma, cataracts, HTN, HLD, chronic lower extremity edema, and GERD presented to the ED with complaints of headache, cough, congestion, and RUQ pain. She had no history of tobacco or drug use. Her medications included Gabapentin, Tylenol, Tramadol, Losartan, Simvastatin, Lasix, [...]

Case Presentation: A 49-year-old man with a history of ulcerative colitis presented to the emergency department (ED) with progressive symptoms of fever, myalgias, night sweats, and diffuse abdominal pain. He recently completed a course of ciprofloxacin, metronidazole, and prednisone after developing fever following his infliximab infusion. In ED, his physical exam was unrevealing. Laboratory results [...]

Case Presentation: A 37-year-old male with a history of intravenous drug use (IVDU), recurrent skin infections, and treated hepatitis C presented to the ED with 4 days of loose bloody stools, nausea, chest pain with radiation to the back, and tender nodular lesions on his bilateral forearms. He denied recent IVDU.Initial exam, vitals, and labs [...]

Case Presentation: A 50-year-old man with chronic alcohol use (10 beers per week) presented with three months of malaise, lower extremity edema, and 20-pound weight loss. Physical exam revealed jaundice, macroglossia, 2/6 apical systolic murmur, lung crackles, abdominal distension, and bilateral lower extremity pitting edema. Initial labs were notable for hemoglobin of 2.3 g/dL, MCV [...]

Case Presentation: 41 y/o male with DM1, ESRD on HD, calciphylaxis and anemia presented with worsening pain, malodor and bleeding of his left thigh. He was recently diagnosed with calciphylaxis in this region. Exam revealed a large unroofed blister with surrounding dark-colored skin (Figure 1). CT of the left thigh showed gas in the anterior [...]

Case Presentation: History: A 67-year-old male with a complex medical history, including HIV on HAART, Type 2 diabetes mellitus (T2DM), stage III CKD with microalbuminuria, severe aortic stenosis treated with TAVR, and post-procedural complete heart block managed with a dual-chamber pacemaker, presented to the emergency department with right-sided abdominal pain. This pain, described as cramping, [...]

Case Presentation: A 26-year-old male presented to the ED with a 2 day history of shortness of breath, bilateral lower extremity edema, wet cough, and orthopnea. He reported a viral upper respiratory illness 1 prior, which resolved within 5 days with symptomatic management using Nyquil. On arrival, he was visibly dyspneic with vital signs showing [...]

Case Presentation: A 75-year-old male with a history of gastrointestinal bleeding (GIB) due to angiodysplasia, aortic stenosis (AS) status post TAVR, moderate-severe mitral regurgitation (MR), CKD, GERD, and atrial fibrillation not on anticoagulation presented due to lightheadedness for 1 day when standing up, and fatigue for a few weeks. He also reported dark brown stools [...]

Case Presentation: This is the case of a 39-year-old male with a past medical history of vitiligo presenting for anemia found on outpatient labs. He has a history of anemia on labs 5 years ago that was never evaluated. For the past week, he reported fatigue and dyspnea on exertion. He reported episodes of significant [...]

Case Presentation: A 21-year-old female with a past medical history of nephrotic syndrome, due to membranous nephropathy, presented to the emergency department (ED) with symptoms of left sided flank pain and shortness of breath. The patient was previously seen in the ED with similar symptoms 2 weeks prior and was diagnosed with pneumonia and discharged [...]