Clinical Vignettes

//Clinical Vignettes

‘Dark cloud before a thunderstorm’- A tricky diagnosis of malignant peritoneal mesothelioma.

Case Presentation: A 58 year old female with past medical history of microcytic hypochromic anemia and thrombocytosis presented with progressive abdominal distention and pedal edema of 5 months duration. There was no significant history of [...]

By | 2018-03-19T13:05:20+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on ‘Dark cloud before a thunderstorm’- A tricky diagnosis of malignant peritoneal mesothelioma.

‘DIARRHEA, THE TIP OF THE ICEBERG’ A FATAL CASE OF ENTEROPATHY ASSOCIATED T-CELL LYMPHOMA

Case Presentation: A 67 year old woman presented with right upper quadrant abdominal pain and was diagnosed with acute cholecystitis. She underwent elective cholecystectomy, complicated by Clostridium difficile colitis. Despite treatment with oral Vancomycin, she [...]

By | 2018-03-19T13:24:40+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on ‘DIARRHEA, THE TIP OF THE ICEBERG’ A FATAL CASE OF ENTEROPATHY ASSOCIATED T-CELL LYMPHOMA

‘GANG’ING UP ON THE SKIN: AN 11-MONTH-OLD WITH ULCERATIVE SKIN LESIONS

Case Presentation: A previously healthy 11-month-old female was admitted to the hospital with new onset of skin lesions. One month prior to admission, her parents noticed “bumps on her bottom.” They initially thought the bumps [...]

By | 2018-03-19T13:17:55+00:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on ‘GANG’ING UP ON THE SKIN: AN 11-MONTH-OLD WITH ULCERATIVE SKIN LESIONS

‘HAIRY’ KIDNEYS AND PERICARDIAL EFFUSION: A DIAGNOSTIC DILEMMA

Case Presentation: A 61 year-old-female presented to an outside institution with worsening exertional dyspnea, chest pressure, and fatigue. Echocardiogram revealed a large pericardial effusion bordering on tamponade which was drained with great improvement of symptoms. [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on ‘HAIRY’ KIDNEYS AND PERICARDIAL EFFUSION: A DIAGNOSTIC DILEMMA

“POSSESSED” OR FLU SHOT ENCEPHALITIS? A RARE COMPLICATION OF THE INFLUENZA VACCINE

Case Presentation: A 62 year old woman with a history of hypertension suddenly developed a headache starting 3 days after receiving the influenza vaccine. The headache worsened and was associated with nausea, photosensitivity and vomiting. [...]

By | 2018-03-19T12:52:42+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on “POSSESSED” OR FLU SHOT ENCEPHALITIS? A RARE COMPLICATION OF THE INFLUENZA VACCINE

“An untimely wear and tear ” A case of spontaneous coronary artery dissection in a young female .

Case Presentation: A 32 year old female presented with 2 month history of acute onset pressure-like chest pain occurring after yelling at her children and radiating to the back. The symptoms recurred and become progressive [...]

By | 2018-03-19T13:01:52+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on “An untimely wear and tear ” A case of spontaneous coronary artery dissection in a young female .

“MY THYROID CAUSED THE STROKE”: A CASE OF HYPERTHYROIDISM TRIGGERING A STROKE IN PATIENT WITH MOYAMOYA DISEASE

Case Presentation: Stroke in young patients are fortunately less common but have a disproportionately large economic and healthcare impact by leaving the victims disabled before their most productive years. Here we present a case of [...]

By | 2018-03-19T13:06:16+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on “MY THYROID CAUSED THE STROKE”: A CASE OF HYPERTHYROIDISM TRIGGERING A STROKE IN PATIENT WITH MOYAMOYA DISEASE

A Distinct Clinical Entity? Two Cases of TAFRO Syndrome with Different Features

Case Presentation: Case 1: A 25-year-old female was transferred to our hospital with fever and systemic inflammation refractory to prednisolone treatment. Two weeks prior to the transfer, she was admitted to another hospital on account [...]

By | 2018-03-19T13:18:17+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on A Distinct Clinical Entity? Two Cases of TAFRO Syndrome with Different Features

A 50-YEAR-OLD MAN WITH MULTIPLE AND VARIED SYMPTOMS: HICKHAM VERSUS OCCAM – THE END-GAME

Case Presentation: A 50-year-old man visited our hospital with complaints of malaise, appetite loss, diarrhea, and arthralgia, all of which he had experienced for 5 days before the visit. Although he had been previously healthy [...]

By | 2018-03-19T15:44:41+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on A 50-YEAR-OLD MAN WITH MULTIPLE AND VARIED SYMPTOMS: HICKHAM VERSUS OCCAM – THE END-GAME

A BAD BITE: CAT BITE AS A RARE CAUSE OF THROMBOCYTOPENIC THROMBOTIC PURPURA (TTP)

Case Presentation: A 76-year-old female presented with generalized fatigue and purpuric rash over her left arm and both lower extremities. She also gives a history of cat bite 1 week back for which she did [...]

By | 2018-03-19T13:06:50+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on A BAD BITE: CAT BITE AS A RARE CAUSE OF THROMBOCYTOPENIC THROMBOTIC PURPURA (TTP)

A CASE OF ACUTE HEMOLYTIC ANEMIA FOLLOWING HIGH DOSE INTRAVENOUS IMMUNOGLOBULIN (IVIG)

Case Presentation: A 32-year-old African American male past medical history significant for recently diagnosed Guillain-Barre syndrome (GBS) was admitted for recurrent mechanical falls at home. One week prior to his admission, he was treated for [...]

By | 2018-03-19T13:23:56+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on A CASE OF ACUTE HEMOLYTIC ANEMIA FOLLOWING HIGH DOSE INTRAVENOUS IMMUNOGLOBULIN (IVIG)