It's Not a Horse or Even a Zebra! a Rare Cause of a Common Condition

Case Presentation: A 40‐year‐old G9P8 Yemeni woman with hypertension and diabetes mellitus at 32 weeks of pregnancy presented to the emergency room with 11 days of left otalgia and facial droop. She also had intermittent [...]

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Raising the Red Flags

Case Presentation: A 45‐year‐old woman presented with 5 months of progressive right lumbar back pain radiating to the right abdomen. She denied any history of trauma or neurological symptoms. Associated symptoms included hot flashes, diaphoresis, [...]

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A Pill for Every Ill—know the Better and Bitter!

Case Presentation: A 20‐year‐old white man was admitted with a 2‐week history of intermittent right flank pain. Abdominal CT showed a 2‐mm nonobstructing stone in the lower pole of the left kidney and a 3‐mm [...]

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Case Report: Factitious Breast Cancer with Pancytopenia Secondary to Cyclophosphamide

Case Presentation: A 29‐year‐old white woman with a stated a history of stage 1 breast cancer was admitted for pancytopenia secondary to cyclophosphamide. The pancytopenia was discovered when a complete blood count (CBC) was drawn [...]

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Agitation and Encephalopathy in a 16 Year Old: An Unusual Presentation of Subdural Empyema and Pott's Puffy Tumor

Case Presentation: The patient is a 16‐year‐old male who was transferred to a tertiary‐care center after being evaluated in a local emergency department (ED) for acute onset of confusion and agitation. He was restrained by [...]

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Acute Eosinophilic Pneumonia Secondary to Daptomycin: A Potentially Fatal Adverse Drug Reaction

Case Presentation: A 78‐year‐old man with no history of lung disease presents with increasing dyspnea on exertion. Two weeks prior to presentation, the patient underwent endovascular stenting of his left femoral artery that was complicated [...]

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Neurotoxicity Resulting from Prolonged Metronidazole: A Case Report

Case Presentation: A 64‐year‐old Hispanic retired truck driver with type 2 diabetes mellitus presented with a 1‐week history of left foot pain. His initial blood cultures were positive for Klebsiella species. MRI findings were consistent [...]

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Cupid's Arrow: Real or a Contaminant?

Case Presentation: A 63‐year‐old woman with history of bariatric surgery, gastroparesis, daily emesis, on parenteral nutrition, aortic insufficiency, and mitral regurgitation (presumed secondary to past use of anorectic drugs) was admitted with fever, lethargy, orthostatic [...]

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Community‐Acquired Methicillin‐Resistant Staphylococcus Aureus Prostatic Abscess

Case Presentation: A 50‐years‐old diabetic man presented with cough, fever, weight loss, malaise, and diffuse abdominal pain of 2 weeks’ duration. He denied dysuria, recent hospitalization, sick contacts, or visits to any long‐term care facility. [...]

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Mixed Connective Tissue Disease Leading to Cardiac Tamponade

Case Presentation: A 10‐year‐old African American male presented with progressive chest pain, dyspnea, and fever. One month prior, the child was hospitalized for fevers associated with right knee pain and swelling. Arthrocentesis revealed leukocytosis but [...]

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Ocular Syphilis: Staring Straight at You

Case Presentation: A 54‐year‐old heterosexual man presented with a 4‐month history of progressive photophobia of the left eye. He denied any diplopia, pustule discharge, and visual field defects. Four months previously, he was treated with [...]

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Calciphylaxis in a Patient Without Chronic Kidney Disease: A Case Report and Review of the Literature

Case Presentation: This is a 65‐year‐old woman with history of Crohn's disease and prolonged surgical hospitalization 14 weeks prior to admission for perforated colon secondary to diverticulitis requiring lower anterior resection with end‐ileostomy. Her course [...]

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Yersinia Enteritis: A New Look for an Old Friend

Case Presentation: A 17‐year‐old white boy was admitted for 12 days of high fevers, nonbloody diarrhea, mild hearing loss, and a 5‐kg weight loss. He denied sick contacts or recent travel and had no significant [...]

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Idiopathic Ovarian Vein Thrombosis

Case Presentation: A 32‐year‐old African American woman presented to the emergency room (ER) with a 1‐week chief complaint of right lower‐quadrant abdominal pain that was sharp in nature and exacerbated by movement. There was no [...]

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A Care Coordination Model of Unit‐Based Staffing: A Paradigm Shift in Hospital Medicine

Background: The evolving political and regulatory climes in recent times pose several challenges to hospital medicine. There is a need for a “consumer‐driven” approach to health care that emphasizes both quality of care and consumer [...]

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