Case Presentation: An 87-year-old male presented to the emergency department following a syncopal episode, preceded by one week of generalized weakness, poor oral intake, and acute left leg pain. His medical history included heart failure with preserved ejection fraction (HFpEF), atrial fibrillation (AFib), chronic kidney disease (CKD) stage IV, rheumatoid arthritis (RA) managed with chronic [...]

Case Presentation: A 50-year-old female with history of seropositive rheumatoid arthritis, peptic ulcer disease, and chronic idiopathic pancreatitis status post Whipple procedure presented with one-week history of nausea, vomiting, and diarrhea. Her symptoms began prior to a cruise vacation, though she denied any other recent travel or sick contacts. The patient endorsed similar episodes up [...]

Case Presentation: A 67-year-old female with a 37-year history of seropositive rheumatoid arthritis (RA), managed with tocilizumab for the past two years, presented with a 3-month history of intermittent cough and blood-streaked sputum. Additional symptoms included generalized weakness, shortness of breath, intermittent low-grade fevers, chills, and night sweats. She denied unintentional weight loss, lightheadedness, dizziness, [...]

Case Presentation: A 50 year old obese female with a past medical history of rheumatoid arthritis, bilateral DVT and PE 4 years ago on apixaban, hypothyroidism, fibromyalgia, and chronic migraines presented to the emergency department with daily fevers, shortness of breath, and anxiety for one week. She reported persistent chest heaviness and productive cough of [...]