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: An 86-year-old male with small bowel carcinoid tumor, complicated by heart disease (CHD), severe tricuspid (TR) and pulmonary regurgitation (PR), right-sided heart failure, atrial fibrillation, and end-stage renal disease on hemodialysis, presented with new-onset dyspnea. His oxygen saturations ranged from 70-88%, improving to 92% with high-flow nasal cannula. Physical exam demonstrated cachexia, pansystolic [...]

Case Presentation: A 78-year-old female with dextrocardia presented to the hospital from her outpatient dermatologist for hypotension, hypoxia, and altered mental status. She became diaphoretic, dyspneic (SpO2 78%), and hypotensive with systolic blood pressure in the 80s after applying topical lidocaine for a microneedling procedure. Initial exam noted diaphoresis, diffuse facial erythema and flushing, orolabial [...]