Trial

by Susan McDiarmid | Jun 2, 2022 | Uncategorized

A 48-year-old HIV positive homeless male is brought to the emergency room by EMS after being found under a highway overpass complaining of a 10/10 bilateral squeezing headache that has progressed over the last 9 days.

by Scott Geller | May 17, 2022 | Infectious Disease

On physical exam, he is confused, febrile at 102.1 0F, and nauseated. A lumbar puncture is performed that demonstrates a normal CSF opening pressure, an elevated WBC count with lymphocytic predominance, decreased glucose, and an elevated protein count. The CSF is sent...

A 53-year-old male presents with a three-day history of fever, nonproductive cough, and worsening dyspnea on exertion.

by Scott Geller | May 17, 2022 | Infectious Disease

His past medical history is pertinent for hypertension, hyperlipidemia, diabetes, and a renal transplant 4 years ago for which he currently takes Tacrolimus (Prograf) daily. On physical exam, he is febrile, and you note diffuse wheezing and scattered rhonchi in the...

A 25-year-old female with no past medical history presents to your office complaining of a fever and rash for the past 3 days.

by Scott Geller | May 16, 2022 | Infectious Disease

She states she first noticed her fever three days ago after waking up and with some associated headache and muscle aches. The following day she developed a rash initially on her trunk that spread over the course of two days to involve her flanks, thighs, feet, and...

A 49-year-old male with history significant for obesity, hypertension and hyperlipidemia presents with acute pain in his first metatarsophalangeal joint.

by Scott Geller | May 16, 2022 | Musculoskeletal System

He describes the joint as feeling stiff and it is erythematous, swollen and tender on exam. He notes his brother just opened a craft brewery and he has been drinking more beer as of late. He also reports he was recently started on hydrochlorothiazide for his...