A Case of the Unseen: Klebsiella Pneumonia Pyogenic Liver Abscess with Pneumonia and Septic Endophthalmitis in a Non-Asian U.S. Resident

Case Presentation: A 53 year old Russian man with no significant past medical history initially presented to an ophthalmology clinic with two days of progressively worsening, near-total left visual field loss associated with a one-week [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on A Case of the Unseen: Klebsiella Pneumonia Pyogenic Liver Abscess with Pneumonia and Septic Endophthalmitis in a Non-Asian U.S. Resident

A Super-Antigen-Mediated Mimic of Acute Appendicitis

Case Presentation: A 23 year-old man with schizophrenia presented to the emergency department complaining of nausea, vomiting, headache, and subjective fever, followed by acute onset of right lower quadrant abdominal pain. His medications included chlorpromazine [...]

By | 2017-04-17T12:10:00+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on A Super-Antigen-Mediated Mimic of Acute Appendicitis

Angina of Abdominal Origin

Case Presentation: Exercise-induced chest pain is a hallmark of coronary artery ischemia. When unusual ischemic symptoms predominate however, they point to rare extrathoracic vascular compression syndromes. A 28-year-old Caucasian man reported worsened daily left-sided chest and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Angina of Abdominal Origin

Bulls-Eye Marks the Spot: Lyme Carditis Presenting As Rash and Presyncope

Case Presentation: An otherwise healthy 58 year-old female presented to the emergency department (ED) from her primary care physician’s (PCP) office with new onset bradycardia, heart block, and a progressive rash. Two weeks prior at [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Bulls-Eye Marks the Spot: Lyme Carditis Presenting As Rash and Presyncope

Lower Extremity Necrotizing Fasciitis: An Unusual Presentation of Perforated Sigmoid Diverticulitis

Case Presentation:    A 72y/o female with PMH of sigmoid diverticulitis, myasthenia gravis on chronic prednisone, presented with 3-4days of progressively worsening pain and swelling of the left buttock and leg. Physical exam was significant [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Lower Extremity Necrotizing Fasciitis: An Unusual Presentation of Perforated Sigmoid Diverticulitis

More Than Just the “Terrible Twos”: A Case of Resistant Hsv Encephalitis

Case Presentation: A two-year-old boy presented with several weeks of increasing irritability and developmental regression. His parents reported that he often displayed aggressive behavior and screamed inconsolably. They also noticed gait instability and vocabulary loss. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Clinical Vignettes Abstracts, Finalist, Pediatric|Comments Off on More Than Just the “Terrible Twos”: A Case of Resistant Hsv Encephalitis

Putting the Pee in Pregnancy: A Case of Gestational Diabetes Insipidus You Don’t Want to Miss

Case Presentation: A 44 year old female at 38 weeks of gestation (G3P1) was admitted after spontaneous rupture of membranes. She had an uneventful pregnancy, except for mild polyuria noted two weeks prior. Gestational diabetes [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Putting the Pee in Pregnancy: A Case of Gestational Diabetes Insipidus You Don’t Want to Miss

The Mysterious Dance: A Rare Case of Delayed Onset Diabetic Striatopathy

Case Presentation: A 77 year old black female presented to our emergency department due to worsening involuntary movements of her left arm and leg for the past two weeks. The movements were choreiform and hemiballistic [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on The Mysterious Dance: A Rare Case of Delayed Onset Diabetic Striatopathy

The Smoking Woman

Case Presentation: A 27 year-old woman who is approximately 10 weeks pregnant presents with 8 week history of dry cough, shortness of breath, and mediastinal pain, worsened dramatically in the last 3 days. She was [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on The Smoking Woman