Case Presentation: A 71-year-old man with history of coronary artery disease, aortic stenosis status post transcatheter aortic valve replacement (TAVR) two years ago, and ankylosing spondylitis presented to the emergency department for evaluation of 3 days of subjective fevers, worsening generalized weakness requiring one-person assist for ambulation, and tachycardia on his smart watch in the [...]

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: 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: The patient is a 59-year-old female with medical history notable for dysautonomia utilizing Hickman catheter for home fluids. The day before presentation, the patient was febrile and then was found down by a family member. Upon awakening, she had word-finding difficulties prompting emergency room presentation. On arrival to the ED she was in [...]

Case Presentation: A 44-year-old male with a history of opioid use disorder and intravenous drug use (IVDU) presented to the emergency department with chest pain and malaise. On presentation, his temperature was 103.3 degrees Fahrenheit, blood pressure was 86/58 mmHg, and heart rate was 157 beats per minute. The initial electrocardiogram showed multi-lead ST-elevations and [...]