Case Presentation: A 31-year-old female with history of generalized anxiety disorder (GAD), morbid obesity, and eight weeks status-post sleeve gastrectomy presented with 50-pound weight loss and mental status changes. Other symptoms included nausea, vomiting, and [...]
Case Presentation: A 65 year old African American male with a past medical history of non-obstructive CAD and chronic hepatitis C with cirrhosis presented to the emergency room with one episode of hematochezia. Vital signs [...]
Case Presentation: A 29-year-old African-American female presented with two weeks of left neck swelling and fever. Over four months, she had noted fatigue, cough, night sweats, and an unintentional 12-pound weight loss. Two empiric [...]
Case Presentation: A 90 year old female, with diabetes mellitus type 2, hypertension and osteoporosis presented to our emergency room with altered mental status for 5 days. The patient had been treated for jaw osteonecrosis [...]
Case Presentation: 59 year old female presented to the emergency department complaining of two weeks of atraumatic, painful bruising to her lower extremities, right shoulder, and lower back. She was unable to bear weight on [...]
Case Presentation: A 57-year old man presented with a painful rash for 3 weeks. He had no medical history besides a 10-year history of a generalized intermittent rash, which had never been this extensive or [...]
Case Presentation: A 71 year-old woman with a past medical history of hypertension was admitted with generalized fatigue, weakness, and decreased concentration and memory for a week and a half. During this time, she also [...]
Case Presentation: A 24-year-old man with no known past medical history presented with a one week history of nightly fevers to 38.8-39C. Two weeks prior to presentation, he spent the weekend at Fire Island in [...]
Case Presentation: Ms. S is a 64 year old woman recently diagnosed with multiple myeloma following a hip fracture and repair, who was transferred from an outside hospital for hematochezia. She was admitted to the [...]
Case Presentation: A 33 year-old female with a history of alcohol abuse presented to our emergency department with a four day history of abdominal pain, nausea, and vomiting. This was preceded by intake of 1/5 [...]
Case Presentation: An 82 year-old woman with past medical history of diabetes and hypertension presented with left lower extremity swelling and fever for 1 day. The patient noted gradual development of leg swelling over 24 [...]
Case Presentation: A 46-year-old Hispanic male with no significant past medical history presents with acute onset of headache, nausea, and vomiting for the past day, preceded by six months of progressively worsening peripheral vision and [...]
Case Presentation: A 42-year-old African-American G8P5 woman with no significant past medical history developed tongue swelling the day after a preterm labor induction due to hydrops fetalis. The swelling initially resolved on the same day [...]
Case Presentation: A 40 year old woman with history of stroke at age 35 was admitted from an outside hospital with a CT-PE scan showing diffuse “osteoblastic” lesions and bilateral axillary lymphadenopathy. She complained of [...]
Case Presentation: 45-year-old male presented with complaints of progressive shortness of breath, dry cough and pleuritic chest pain for the last 3 weeks. He was homeless, HIV-positive since 1992 but noncompliant with HAART. On physical [...]
Case Presentation: A 29-year-old female presented with right femoral fracture after twisting her leg. One month prior she saw orthopedic surgery for foot pain. She was referred to endocrinology after DEXA scan showed severe osteoporosis [...]
Case Presentation: A 61 year old male with a history of hiatal hernia, paroxysmal atrial fibrillation on aspirin, hypertension, and diverticulosis presented with non-bloody emesis and blood-tinged diarrhea. He reported many sick contacts with similar [...]
Case Presentation: A previously healthy 77 year-old woman with a history of porcine mitral valve repair (MVR) presented with left knee pain. Three weeks prior to admission she experienced general malaise and intermittent chills. She [...]
Case Presentation: A 30-year-old woman with a history of a renal transplant for lupus nephritis presented with ten days of painful urination, pain over her transplanted kidney, and “hawaiian punch” urine. She also complained of [...]
Case Presentation: A 58 year-old Hispanic woman presented to an outside hospital with a one-day history of right upper quadrant abdominal pain. The pain was 8/10 in severity, sharp in nature, and radiated to her [...]
Case Presentation: A 74 year old female with a history of atrial fibrillation presented to the emergency room due to a 1 week history of respiratory distress. She was tachypneic (respiratory rate = 24) and [...]
Case Presentation: A 64-year-old man with a past medical history of coronary artery disease, type 2 diabetes, hyperlipidemia, and hypertension presented to the Emergency Department with severe, sharp, crampy abdominal pain. The pain was associated [...]
Case Presentation: A generally healthy 36 year old female began experiencing stiffness in her lower back with persistent aching pain. The discomfort progressively worsened over several weeks prompting multiple emergency room visits. She began to [...]
Case Presentation: A 91 year-old male with a PMH of prostate cancer status post transurethral resection of the prostate and external beam radiation therapy twenty years prior, radiation prostatitis, intermittent hematuria, and chronic constipation presented [...]
Case Presentation: A 59-year-old male with a bicuspid aortic valve presented to the hospital with a syncopal event. One week earlier, a transesophageal echocardiogram (TEE) done for preoperative assessment had confirmed a heavily calcified bicuspid [...]
Case Presentation: A 47-year-old Caucasian woman presented with severe vomiting and abdominal pain for three days. Her past medical history revealed that she was diagnosed in 2010 with ulcerative colitis proctitis and was recently started [...]
Case Presentation: Patient 1. A 71-year-old woman with no significant past medical history presented to the emergency department with 3 weeks of general malaise and subjective fevers after a trip to Connecticut. Her exam was [...]
Case Presentation: A 68 year old male with a history of end stage renal disease (ESRD) on hemodialysis, s/p cardiac transplant for refractory ischemic cardiomyopathy, and Cerebrovascular accident presented to the emergency department (ED) with fevers, lethargy and penile discharge. In [...]
Case Presentation: A 24-year-old female without significant medical history was admitted with acute substernal, non-pleuritic chest pain accompanied by dyspnea, palpitations, and restlessness. She denied active illicit drug use, but admitted to taking amphetamine/dextroamphetamine (Adderall), [...]
Case Presentation: A 19 year old female with systemic lupus erythematosus presented to a community hospital with hemoptysis. Bronchoscopy showed diffuse alveolar hemorrhage. She developed tachycardia and hypoxemic respiratory failure requiring ICU transfer, intubation and [...]
Case Presentation: 37 year old lady with history of metastatic colon cancer on chemotherapy presented with mild right sided abdominal and severe right thigh pain which began 4-5 hours prior to her presentation. She denied any [...]
Case Presentation: A 65 year old female with a history of autoimmune hemolytic anemia (unknown type, but treated with rituximab in the past) and idiopathic thrombocytopenic purpura status post splenectomy was visiting from out of [...]
Case Presentation: A 57 year-old woman presented with five days of worsening confusion and drowsiness associated with headache, generalized abdominal pain, nausea, and new rash. She had a history of interstitial lung disease treated with [...]
Case Presentation: A 77 year old female who had a diagnosed primary gastric adenocarcinoma at another hospital presented to the emergency department with shortness of breath. A chest x-ray was done which showed a large [...]
Case Presentation: A 56-year-old woman with a history of asthma, eczema, food and seasonal allergies presented with anaphylaxis. Earlier that day she experienced vomiting and shortness of breath after inadvertently ingesting peanuts. She subsequently lost [...]
Case Presentation: We present a 44 year-old male with a diagnosis of Chronic Lyme Disease (CLD) who presented after a recent course of antibiotics with shortness of breath for three months. He revealed a six [...]
Case Presentation: A 75 year-old man with history of type II diabetes and hypertension presented with progressive dyspnea. Two weeks prior, he had presented with similar symptoms that were attributed to COPD due to a [...]
A RARE CASE OF REGRESSION OF TESTICULAR GERM CELL TUMORSirish Dharmapuri MD, Jeffrey Gryn MD, Manasa Kandula MD, Qi Shi MD, Margie Host MDCase Presentation: This is a 53 year-old man who presented to his [...]
A RARE CASE OF ANGIOIMMUNOBLASTIC T-CELL LYMPHOMA Sirish Dharmapuri MD, Marguerite Salam MD, Qi Shi MD Case Presentation: This is a 66 year old male who was hospitalized secondary to recurrent lower extremity cellulitis. He [...]
Case Presentation: A 57 year-old African-American male with past medical history of osteoarthritis, opioid dependence secondary to arthralgia, and chronic bilateral lower extremity venous thrombi secondary to both protein C and protein S deficiency, presented with [...]
Case Presentation: A 67-year-old man presented with a 6-month history of severe episodic weakness. The episodes typically began with nausea and vomiting, followed by severe weakness involving inability to lift his upper or lower extremities [...]
Case Presentation: A 60-year-old female with a history of hypertension, mild hypercalcemia, ESRD on hemodialysis, and pulmonary fibrosis status-post right lung transplant 6 years prior presented with acute on chronic diffuse abdominal pain, nausea, and [...]
Case Presentation: A 21 year old male with no significant past medical or surgical history presented to the hospital with sudden onset of bilateral lower extremity paralysis and paresthesia. He was lifting heavy boxes at [...]
Case Presentation: A 77 year old female presented to her primary care physician for a routine follow-up. She had no complaints and stated that she felt well. Her blood pressure (BP) was found to be [...]
Case Presentation: A 27-year-old male presented with one year history of nonproductive cough and a 4 week history of expiratory wheezing, dyspnea on exertion, facial swelling and episodic hemoptysis. Past medical history was significant for [...]
Case Presentation: A 65 year old female with stage IV poorly differentiated left breast adenocarcinoma presented with a one day history of malaise, nausea, and jaundice. The patient was already undergoing treatment with Anastrozole, however, [...]
Case Presentation: A 64-year-old man with history of coronary artery disease, hypertension, and hyperlipidemia initially presented to outside hospital with complaint of 6 weeks of fever, weakness, anorexia, and left flank pain. He reported recent [...]
Case Presentation: A 71 year old woman with a history only significant for Lyme disease in 2005 presented with complaints of malaise and fatigue for two weeks. One week prior to admission, the patient was evaluated [...]
Case Presentation: A 55-year-old man with a history of asthma, chronic kidney disease and hypocalcemia presented with dyspnea and hypoxemia to the Emergency Room. The patient reported cough, purulent sputum production, and fever. His symptoms [...]
Case Presentation: A 78 year old female with Type 2 diabetes, HTN, vitiligo, sacral decubitus ulcers, CHF, and atrial fibrillation presented with fevers and two weeks of malaise, dizziness, progressive somnolence, and altered mental status. [...]
Case Presentation: A 54-year-old female with hypertension, type 2 diabetes, and morbid obesity with Roux-en-Y gastric bypass (RYGB) in 2009 presented to the hospital with abdominal pain and was found to have choledocolithiasis and acute [...]
Case Presentation: A 70-year-old Caucasian male was admitted to our institution with unremitting malaise and difficulty concentrating. He was found to have a serum calcium of 13.8 mg/dl. His medical history was significant for coronary [...]
Case Presentation: A 68 year old male with history of hemodialysis dependent chronic kidney disease, stroke and vascular dementia was transferred from a nursing home with increased lethargy and abdominal pain. In the emergency department [...]
Case Presentation: A 77 year old male with COPD and 25 pack year tobacco use presented with dyspnea associated with a productive white cough for 3 days. Patient denied any recent travel, but was born [...]
Case Presentation: A 39 year old male with a history of congenital bicuspid aortic valve and ascending aortic aneurysm repair (1 year prior) presented with recurrent bilateral lower extremity edema (LEE). He first presented with [...]
Case Presentation: A 66 year-old male with hypothyroidism was admitted for a COPD exacerbation, however his neurological exam was markedly abnormal. He had suffered multiple falls due to gait instability in years past, and recently [...]
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 [...]
Case Presentation: Over one month our team (one of 14 in the division) saw 3 cases of Group B Streptococcus (GBS) bacteremia with musculoskeletal (MSK) complications. The first patient was a 65-year-old male admitted with [...]
Case Presentation: A 74 year old, non-diabetic Singaporean male was hospitalized following 3 weeks of left iliac fossa pain. Computed tomography showed marked mural thickening and enhancement of descending and sigmoid colon with extensive pericolic [...]
Case Presentation: 35 year old woman, diagnosed with biopsy proven sarcoidosis, developed a complex clinical course over time. She started experiencing recurrent watery diarrhea, accompanied with abdominal pain and generalized weakness. Physical exam revealed thin [...]
Case Presentation: A 47-year-old woman presented to our facility. Over four months, she had suffered an inexorable decline and multiple hospitalizations with fruitless searches for a diagnosis. She had right-sided Bell’s palsy, progressive right-sided weakness, [...]
Case Presentation: A 71 year old woman with a past medical history of type 2 diabetes mellitus, atrial fibrillation, hypothyroidism and hypertension presented for evaluation of one month history of right sided involuntary hyperkinetic movements. [...]
Case Presentation: A 75 year old male with a history of hypertension and diabetes arrived with a week history of diarrhea, reporting 10-15 episodes per day, and a two to three day history of increased [...]
Case Presentation: A 24-year-old Japanese American male presented with 3-4 weeks of sore throat, fever, vomiting, and fatigue. He was found to be in respiratory distress and was quickly intubated. Physical exam was remarkable for decreased [...]
Case Presentation: A previously healthy and ambulatory 34-year-old diabetic man presented with left-sided scrotal and groin cellulitis and was admitted to the hospital for intravenous antibiotic therapy. He was placed on appropriate pharmacoprophylaxis for venous [...]
Case Presentation: A 19 year old obese African American male with past medical history of asthma presented to the emergency room with sudden onset of shortness of breath. He had cough with expectoration of greenish [...]
Case Presentation: A 69 year old right-handed Asian male presented with 2 episodes of right sided focal seizures. He has a past medical history significant for chronic headaches of 4 year duration and was being [...]
Case Presentation: This is a 62 year old male with history of stage IIIc melanoma being treated with the monoclonal antibody ipilimumab. One week after his second cycle, he developed diffuse abdominal pain and 3-4 [...]
Case Presentation: A 50 year old caucasian male with past medical history of asthma and chronic sinusitis presented with a 1-week history of worsening gradual onset exertional dyspnea. He denied orthopnea, paroxysmal nocturnal dyspnea, chest pain, palpitations, syncopal episode, [...]
Case Presentation: This is a 51 year-old male with a past medical history of stage IV NSCLC being treated with Nivolumab, an anti-tumor monoclonal antibody. He presented to urgent care with nausea, decreased appetite, hypoactivity [...]
Case Presentation: This is a 76 year old male with PMH of hypertension who developed severe dyspnea with exertion while at the grocery store. He was taken by EMS to a local ER where he [...]
Case Presentation: A 51 year-old African American male with a history of chronic kidney disease (baseline creatinine of about 1.5), hypertension, diabetes type II and hyperlipidemia, presented to the ER with severe fatigue, swelling, and [...]
Case Presentation: A 62 year old Caucasian female with past medical history of hypertension, diabetes, hyperlipidemia and 40 pack year smoking presented to the emergency room with sudden onset aphasia. On physical exam, she was [...]
Case Presentation: A 64-year-old woman with a past medical history of type 2 Diabetes Mellitus and depression presented to the hospital with subacute progressive left leg weakness over the past six months. She has had [...]
Case Presentation: A 53-year-old woman, with 30 pack-year smoking history, presented to the hospital with subacute posterior cephalgia associated with nausea, vomiting and photophobia. Review of systems was positive for an unintentional 15 pound weight [...]
Case Presentation: A 19-year-old man was admitted with acute non-radiating epigastric pain associated with three episodes of non-bilious/non-bloody emesis. He denied fever, diarrhea or hematuria. Review of systems was positive for muscle aches. His physical [...]
Case Presentation: A 25-year-old man was found unresponsive at his home and brought to the hospital for further evaluation. In the emergency department, his Glasgow coma scale was 6, for which he was intubated and [...]
Case Presentation: A 67-year-old woman with 50 pack-year smoking history presented with a 2-week history of bilateral leg weakness. She had difficulty with ambulation and sustained several falls. Of note, the patient denied cough, phlegm [...]
Case Presentation: A 23 year-old Guatemalan man presented to the hospital with right sided facial swelling, vesicular lesions on the eyelids and ulcers on the tongue. He was admitted with seven similar episodes during the [...]
Case Presentation: A 61 year-old-man with type 2 diabetes mellitus and progressive forgetfulness was admitted to the hospital with generalized weakness and difficulty ambulating for one week. His review of systems was positive for hyperpigmentation [...]
Case Presentation: A 57-year-old man presented with two months of persistent dry cough and progressive dyspnea on exertion. His past medical history was significant for renal transplant, well-managed on rapamycin, mycophenolate and prednisone for the [...]
Case Presentation: A 69 year old female with history of gallbladder cancer status post cholecystectomy/hepatic wedge resection with roux-en-y choledochojejunostomy and chemoradiation presents with recurrent abdominal pain and fevers of 102oF. She reports 2 prior [...]
Case Presentation: A 79-year-old Caucasian non-diabetic male with history of renal cell carcinoma, s/p left nephrectomy in 2005 and coronary artery stent placement 2 months prior and on Clopidogrel, presented with acute onset sweating and [...]
Case Presentation: An 18-year-old African American male presented to the hospital with complaints of fever, vomiting, weakness in his upper and lower extremities, unsteady gait and joint pain. A few days prior to the onset [...]
Case Presentation: 49 Yr. F with PMH of asthma transferred from a community hospital where she was admitted with severe epigastric pain and chest pain. CT scan abdomen showed possible Peri-pancreatic mass or changes consistent [...]
Case Presentation: A 34-year old male with no past medical history presented to the emergency room with 1 day of low back pain associated with fever and chills. He reported the pain as constant and [...]
Case Presentation: A 66-year-old woman with a history of hypertension and type 2 diabetes mellitus presented to an outside hospital with persistent nausea and vomiting, a 45 pound weight loss, and dysphagia over a 4-week [...]
Case Presentation: A 36-year-old woman with medical history only significant for obesity presents with confusion and difficulty ambulating one week prior to our evaluation. Two months ago, she underwent an uneventful laparoscopic sleeve gastrectomy for [...]
Case Presentation: This is a 77/F with Diabetes Mellitus, Hypertension and severe osteoarthritis who was admitted with 1 day history of mental status change, headache and neck pain with progressive pain in her hands, wrist [...]
Case Presentation: A 67 year- old man presented with three weeks of progressively worsening painful ulcers in bilateral lower extremities and fingers. The lesions started as numerous erythematous lesions on his legs and fingers five months [...]
Case Presentation: Aortic dissection is the most common life threatening disorder affecting the aorta, with a mortality rate as high as 50% within 48 hours, making its prompt recognition, diagnosis and treatment critical for survival. [...]
Case Presentation: A 45-year-old woman with a Glasgow Coma Scale score of 7 was admitted to our hospital because of impaired consciousness. On the day of admission, she appeared well and was performing her routine [...]
Case Presentation: A 90 year-old man presented with three weeks of progressive weakness and jaundice. He denied abdominal pain, nausea, vomiting or changes in stool color. He denied recent travel or sick contacts. His past [...]
Case Presentation: A 51 year-old Caucasian female with a palpable right breast nodule, underwent biopsy which confirmed invasive ductal carcinoma. Sentinel lymph node biopsy, axillary lymph node dissection (8/14) and a right mastectomy were performed. [...]
Case Presentation: 67 year old man presented to the emergency room with syncope and melena. He was recently diagnosed with cirrhosis by biopsy. His cirrhosis was attributed to NASH. For several weeks, he noted intermittent black stools, which became [...]
Case Presentation: A 52-year-old man presented with bilateral foot pain worsening on the left preventing him from ambulating. He recalled developing frostbite of all ten toes 4-5 months prior to admission, when at that time, [...]
Case Presentation: A 62 year old male with history of rapidly progressive glomerulonephritis due to anti-glomerular basement membrane (anti-GBM) disease who remains dialysis dependent after failing to respond to steroids and plasmapheresis eight months ago [...]
Case Presentation: BM is a 37 y.o. male with a past medical history significant for irritable bowel syndrome. He presented to Maine Medical Center from a rheumatology office with the chief complaint of left lower [...]
Case Presentation: A 55-year-old man with gastroesophageal reflux disease and prostate cancer status post radical prostatectomy presented with a 3-year history of non-healing skin ulcerations. He was initially diagnosed with vasculitis and started on immunosuppressive [...]
Case Presentation: A 67 year-old man with history of transient ischemic attack, coronary artery disease, and peripheral artery disease status post aorto-iliac graft in 1994 presented with intermittent fevers, chills, and intense rigors. Symptoms started [...]
Case Presentation: A 44-year-old African American female patient was admitted with fatigue and anorexia from an outpatient clinic visit after she was found to be profoundly anemic with hemoglobin of 6.8 g/dL. She endorsed a [...]
Case Presentation: A 56 year old caucasian male with extensive sarcoidosis of the lungs, heart, pancreas and liver had a surveillance 6 month CT scan of the chest+abdomen+pelvis to look for disease progression. Incidentally, he [...]
Case Presentation: A 55 year old Moroccan male with no PMH presented with 3 months of a productive cough. Patient had no fevers, chills, weight loss, night sweats or changes in bowel habits. He worked [...]
Case Presentation: A 30-year-old Caucasian man presented with a verrucose mass growing in the palm of his left hand. A biopsy revealed squamous cell carcinoma (SCC). The mass was resected completely, but a year later [...]
Case Presentation: A 74 year old gentleman with known end-stage alcoholic liver disease (MELD 22) presented to the emergency room with lethargy. He had been deemed unsuitable for liver transplantation due to his age and [...]
Case Presentation: A 53 year-old woman with history of depression and chronic kidney disease stage 2 - with baseline serum creatinine (Cr) of 1 mg/dl - presented with a Cr of 2.9 mg/dl obtained as [...]
Case Presentation: A 64 year-old male with known schizophrenia was transferred from an outside facility for further management of pneumonia. On admission he was found to be polyuric; serum sodium was 148 mg/dl, serum osmolality [...]
Case Presentation: A 47 year-old female with hypertension, dyslipidemia, and diabetes presented with two weeks of dyspnea. An ECG a year prior showed normal sinus rhythm. The rhythm strip from a transthoracic echocardiogram incidentally showed [...]
Case Presentation: A 64 year-old woman, with history of essential hypertension and hypothyroidism, presented to her primary care physician’s office with cold like symptoms and dry cough for 2 weeks associated with mild numbness in her fingers. She was [...]
Case Presentation: A female in her late 50’s with a history of T-cell lymphoma presented with intractable nausea and vomiting for one week. Her lymphoma was being treated with cycle four of five of EPOCH [...]
Case Presentation: A 23 year old female with a history of ovarian torsion, s/p ovarian cystectomy, presented to the emergency department in status epilepticus. Over the past week, the patient experienced a rapid deterioration in behavior [...]
Case Presentation: A 56-year old male patient presented with severe persistent left occipital headache for 3 weeks associated with left eye pain. During this period, the patient was evaluated once in the emergency room (ER) [...]
Case Presentation: We report a case of a 68-year-old Japanese man with an established diagnosis of advanced HIV infection presented with systemic eruption. According to the medical interview of the patient, he had a history [...]
Case Presentation: A 82-year-old woman with a history of well-controlled asthma presented with shortness of breath. She developed acute onset shortness of breath while sitting at home thirty minutes prior to presentation, which was accompanied [...]
Case Presentation: We report a 56-year-old male from New Mexico with a 6-month history of weight loss, night sweats, intermittent confusion, and personality changes. He also reports new onset headache and progressive right-sided weakness. [...]
Case Presentation: 62 y.o. Male with a family history of leukemia and a personal history of diabetes, and hypertension presented with 3 months of SOB, fatigue, and weakness. He noted his symptoms worsened with physical activity, [...]
Case Presentation: A 63 year old male with 40-pack-year of smoking history presented with complaints of sudden onset left sided flank pain which radiated to left upper quadrant, constant, sharp, 10/10 and was getting worse [...]
Case Presentation: A fifty-three year old woman presented with symptomatic anemia and hemoglobin of 6.8. She also described progressively worsening fatigue, dyspnea on exertion, weight loss and night sweats over the last three months. Given [...]
Case Presentation: A morbidly obese 24 year-old male with two recent hospitalizations for abdominal panniculitis and LE cellulitis presented to the ED with several weeks of worsening left abdominal pain and induration meeting SIRS criteria. [...]
Case Presentation: We report a case of a 29 yo female whose initial clinical manifestation of pheochromocytoma/MEN was suspected due to an incidental discovery of bilateral adrenal lesions revealed by abdominal CT instead of a [...]
Case Presentation: An 80 year old man in ESRD receiving peritoneal dialysis who had suffered several days of nausea, vomiting, and diarrhea came to his nephrologist after his dialysate became a yellow, milky color. The [...]
Case Presentation: A 54-year-old male with heavy alcohol abuse was brought to the emergency department by his daughter. He has a long standing history of alcohol abuse for many years and drinks more than 3 [...]
Case Presentation: A 57 year old man with no significant medical or psychiatric history was admitted to our hospital after a suicide attempt. He was found unconscious in his car with the ignition running in [...]
Case Presentation: A 56 year-old-man with a history of stage IV metastatic pancreatic cancer on gemcitabine/ abraxane for treatment with last dose occurring 8 days prior to admission presented with persistent fatigue. On admission, he [...]
Case Presentation: A healthy 24 year old Chinese male was admitted for fever for 3 weeks. His symptoms were associated with chills and rigors, night sweats and loss of appetite. On physical examination, he had [...]
Case Presentation: 67 years old lady presented with confusion, poor oral intake, subjective fevers and generalized weakness for 4 weeks. Physical examination revealed a lady oriented only to person, who was experiencing visual hallucinations and [...]
Case Presentation: 26 year old woman with past medical history of asthma and eczema presented with positional chest pain for 6 days, that was associated with worsening spasm-like pains in her extremities and back for [...]
Case Presentation: We discuss here a 39-year-old female who presented to the emergency department after an unwitnessed fall followed by loss of consciousness due to alcohol intoxication. The physical examination was unremarkable except for a [...]
Case Presentation: A 69 y/o male with no known PMH with a complicated hospital course highlighted by PE s/p TPA, AWSTEMI s/p DES to pLAD and septic shock leading to AKI requiring CVVH. For septic shock, [...]
Case Presentation: An 89 year-old man presented after being found down at home. His history included hypertension and hyperlipidemia. His exam was notable for an irregularly irregular rhythm at a rate of 150 beats per [...]
Case Presentation: 40 year-old male with history of alcoholic liver cirrhosis presented with acute onset of fever with severe left lower extremity pain with no history of local wound or trauma. Exam revealed a patient in moderate distress with [...]
Case Presentation: A previously healthy 27 year old female was admitted with a severe cough and pleuritic chest pain after being treated as an outpatient for tonsillitis/pharyngitis 3 weeks prior to admission. Her initial outpatient [...]
Case Presentation: 62 year old African American male with history of hidradenitis suppurutiva , hypertention and benign prostatic hypertrophy was transferred with c/o multiple abscesses and high grade fevers .They started as skin colored swellings [...]
Introduction: Pheochromocytoma is a rare adrenal tumor causing hypertensive crisis. The classic triad of symptoms in patients include palpitations, headaches and tremor, however, not every patient manifests with this typical presentation. Here we present a [...]
Case Presentation: A 40 year-old female with history of pulmonary embolism during pregnancy presented with sudden onset of substernal chest pain and shortness of breath, which began an hour after she finished a rowing class. [...]
Case Presentation: A 62-year-old Caucasian male with history of sarcoidosis presented with three months of low grade fevers, progressively worsening fatigue, headaches, cough, recently developed rash and visual changes. Physical examination was significant for fever, [...]
Case Presentation: A 80 year-old male with history of stage IIIBE mantle cell lymphoma (MCL) diagnosed after presenting with left upper quadrant abdominal pain associated with weight loss, night sweats, fevers, and fatigue. He completed [...]
Case Presentation: The patient is a 78 year old male with a history of ischemic cardiomyopathy status-post orthotopic heart transplant on tacrolimus and mycophenolic acid, who presented to the emergency department with 4 days of [...]
Case Presentation: A 39 y/o female with no significant past medical history and long term use of phentermine for weight loss presented to our hospital with complaints of transient right sided weakness and right sided [...]
Case Presentation: A 60-year-old lady presented with worsening confusion, recurrent falls, polyuria, and abnormal speech. She was recently started on lithium for bipolar disorder and she endorsed taking some extra lithium tablets in an attempt [...]
Case Presentation: In most instances, patients who present with a positive fluid wave would be correctly diagnosed as having ascites. However, a few cases have been described in literature where a giant ovarian cyst is [...]
Case Presentation: A 37-year-old man presented with fevers, chills, pleuritic chest pain, productive cough, and hemoptysis. He endorsed a six-month history of worsening cough, night sweats, and 25-pound weight loss despite a course of antibiotics [...]
Case Presentation: A 47 year old female was referred for evaluation of chronic anemia of unknown etiology. Patient was anemic since childhood and was on iron supplements but got worsened in last 1.5 years warranting [...]
Case Presentation: A 52 year old male presented with insidious onset of abdominal distention for two months prior to presentation. His past medical history was significant for hypothyroidism and sensory motor polyneuropathy diagnosed five years [...]
Case Presentation: A 46 year-old caucasian man presented with one week of altered mental status and bizarre behavior. He had no personal or familial psychiatric history. His past medical history included documented asthma, thalassemia, and celiac [...]
Case Presentation: 37 year old man from Africa who immigrated to United States 6 months ago presented with left foot pain and swelling which had been present for about 10 years, with occasional fluid draining [...]
Case Presentation: 51 y.o. female with history of Gastric bypass surgery 10 years ago presented with abdominal pain, nausea, vomiting and diplopia. Reported nausea, vomiting on and off since her surgery but worse in the [...]
Case Presentation: A 72 year old female with no significant medical history presented with a rapidly enlarging, left-sided, non-tender neck mass for the previous four days. On further history, she noted left-sided ear pain with [...]
Case Presentation: A 57 year-old man living in the Northeastern U.S. with hepatitis C and rheumatoid arthritis, neither treated, underwent surgery for retinal detachment. 1 week post-operatively he developed severe frontal headache, arthalgias, myalgias, malaise, [...]
Case Presentation: 53-year-old female with past medical history of alcohol induced chronic pancreatitis who had multiple admissions with hematemesis and melena, abdominal pain, fatigue and severe microcytic anemia. During her first admission patient was found [...]
Case Presentation: A 39 year-old female from Sudan with no medical history presented with recurrent fevers. She had been discharged 3 days prior after a workup for the cause of her fevers was unfruitful. This workup [...]
Case Presentation: Intravesical administration of Bacillus Calmette-Guerin (BCG), a live attenuated strain of Mycobacterium bovis, is used as an adjunctive therapy for superficial bladder cancer. Although mostly well tolerated, disseminated infections can occur rarely. We [...]
Case Presentation: A 43-year-old female Jehovah’s Witness was admitted for 30 minutes of blurred vision, dysarthria, and left upper extremity weakness. She had two similar episodes in the past 2-3 weeks, each transient with full [...]
Case Presentation: A 54-year-old Caucasian female with a history of obesity hypoventilation syndrome on 2L/min home oxygen therapy, breast cancer status post lumpectomy and radiation, and deep vein thrombosis on warfarin, presented to the emergency [...]
Case Presentation: A 66 year old male with a history of IV drug abuse, comes to our hospital to be evaluated due to diarrhea that started 2 months ago; 3-5 depositions a day, watery in [...]
Case Presentation: A 56 year old man presented to the emergency department (ED) with acute, left-sided tongue swelling for one day. The patient had a past medical history of hyperlipidemia and recurrent ottis media and [...]
Case Presentation: A 63-year-old male presented with symptomatic orthostatic hypotension and acute kidney injury (AKI). On the day of hospital admission, the patient visited his neurosurgeon for a follow up appointment and was found to [...]
Case Presentation: 47 year old black female presented to the hospital with one week of generalized weakness, body aches and malaise. Her medical history was significant for large hemorrhoids that were resected one month prior [...]
Case Presentation: A 56 year-old-female with past history of schizoaffective disorder on clozapine after failure of many antipsychotic medications for around 3 years got voluntarily hospitalized in a psychiatric facility for over 2 months and [...]
Case Presentation: A 41 year old otherwise healthy male presented with three days of severe left hip pain. He reported daily aerobic exercise, new weight training, and prolonged standing at work. Pain was associated with [...]
Case Presentation: A 31 year old man with a history of spinal muscular dystrophy presented to the emergency department with one day of severe nausea, vomiting, and abdominal pain. The day prior to his presentation, [...]
Case Presentation: A 25-year-old African American female presented with a 1-month history of recurrent fevers, sweats, myalgias, arthralgias, and fatigue accompanied by the development of small, tender, indurated plaques occurring on both arms and legs [...]
Case Presentation: An 18-year-old female was admitted with generalized weakness and pallor. She was born with a bluish nodule on her back. Since birth, the patient developed recurrent bluish nodules in the skin, which increased [...]
Case Presentation: A 39-year-old man with pulmonary sarcoidosis presents with two days of progressive change in mental status. He is admitted to the medical ICU after initial attempts to resolve hypotension with intravenous isotonic resuscitation [...]
Case Presentation: A 34-year-old Liberian woman with a history of HIV and AIDS diagnosed 10 years prior had not been taking anti-retroviral therapy for the past four years when she presented with two weeks of [...]
Case Presentation: A 53 year old Chinese female with no PMH presented with 1 week history of nausea, abdominal pain, fever, chills and fatigue. Abdominal pain was not related to food and she denied headache [...]
Case Presentation: A 34-year-old male patient with a history of psoriatic arthritis on treatment with methotrexate was started on leflunomide. After few months, because of the persistent symptoms and lack of response to leflunamide, he [...]
Case Presentation: A 67-year-old female with history of chronic kidney disease presented with 3 weeks history of confusion, difficulty walking, and visual hallucinations. Initially, she was alert and oriented without any focal neurologic deficit. Her [...]
Case Presentation: A 35-year-old Hispanic female, with no significant past medical history, first presented after a witnessed seizure but rapidly developed confusion, flat affect, agitation, and suicidal ideation necessitating inpatient psychiatric hold and high dose [...]
Case Presentation: 56 year-old male with history of hypertension presented with left knee pain. Symptoms were initially mild until he then went on vacation from Ohio to South Carolina, driving 11 hours there and back. [...]
Case Presentation: A 30 year old woman with history of benign essential hypertension, hyperlipidemia, gastroesophageal reflux disease and fatty liver disease who was four days post-partum after a vaginal delivery complicated by post-partum depression presented [...]
Case Presentation: A 47 year-old African American male presented with lower extremity pain and swelling. Three weeks prior he started azilsartan/chlorthalidone for hypertension. A week later, pain and swelling of his right leg began, worsening [...]
Case Presentation: The patient is a 34 yo female with a history of gastric bypass and recurrent kidney stones who presents with a 1-week history of body pain, lethargy and dyspnea. She reported to the [...]
Case Presentation: We present an interesting case of troponemia in a patient with acute stroke that was initially treated as Non-STEMI but eventually turned out to be a presentation of neurogenic myocardial stunning.71-year-old male with [...]
Case Presentation: This is an 82-year-old male presented to the ER with chief complains of unable to speak with left-sided weakness. Past medical history with Positive for hypertension, hypothyroidism,dyslipidemia and aortic valve replacement with bovine [...]
Case Presentation: A 65-year-old female was admitted to the hospital with weakness and difficulty ambulating. One year prior, she underwent revision of a previous right hip arthroplasty, and the femoral components were replaced with a [...]
Case Presentation: A 33-year-old asthmatic female presented with a one-day history of productive cough and dyspnea. She reported occasional blood tinged sputum on the day of admission. Clinical exam revealed crackles on the right side. [...]
Case Presentation: A 28-year-old male presented with a 10-year history of intermittent post-prandial abdominal pain and fullness, forcing him to adopt a fetal position. He denied alcohol, tobacco, marijuana, or NSAID use. He reported worsening [...]
Case Presentation: A 42 year-old woman with a history of hypothyroidism, remote type II diabetes mellitus, and premature ovarian failure (POF) presented to the Emergency Department of an academic community hospital with the one day [...]
Case Presentation: : A 60 year old man presented for the third time with acute worsening of back pain and lower extremity weakness, night sweats, and weight loss. During the first similar presentation 3 three [...]
Case Presentation: A 45 year old, homeless man with poly-substance use disorder, schizoaffective disorder, and hypertension, was brought in by police for assaultive and hypersexual behavior and admitted to the psychiatry service, where he was [...]
Case Presentation: A 61-year-old male farmer presented to the emergency department with dyspnea and left upper quadrant abdominal pain of 3 days duration. He also noted fevers, chills, and night sweats. He recollected removing multiple [...]
Case Presentation: This is the case of a 52-year-old Korean female diagnosed with non-invasive high-grade papillary urothelial carcinoma. Due to unknown reasons, she refused initial tumor resection and opted for alternative medical therapy. Unfortunately, the [...]
Case Presentation: 63-year-old female admitted to neurosurgery for lumboperitoneal (LP) shunt placement for cerebrospinal fluid (CSF) leak, 35 days after craniotomy for epidermoid tumor resection. Patient had no relevant prior history. After LP shunt placement, [...]
Case Presentation: A 49-year-old man diagnosed with human immunodeficiency virus (HIV) two years earlier and started on antiretroviral therapy two months prior presented to a clinic with fever, diffuse palpable lymphadenopathy, and shortness of breath. [...]
Case Presentation: 36 year old female with PMHX of HIV/AIDS on HAART(concern for non-compliance) for last 10 years, CD4
Case Presentation: A 66 year-old man presented with fever, chills, and a diffuse erythematous truncal rash for five days. His symptoms began upon returning from travelling to Morocco and Thailand, and six weeks after a [...]
Case Presentation: A 66 year old woman with history of iron deficiency anemia, tuberculosis (TB), pulmonary mycobacterium avium complex (MAC) and thymoma presented to the ED for symptomatic anemia. She was well until 6 months [...]
Case Presentation: A 73 years old male who was recently diagnosed with metastatic squamous cell carcinoma of the right lung presented with worsening pressure like nonpositional central chest pain associated with some shortness of breath [...]
Case Presentation: A 36 year old homeless Asian man with history of polysubstance abuse and frequent urinary tract infections presented to the emergency department with altered mental status and oliguria that had worsened over the [...]
Case Presentation: 65-year-old female with hypertension and smoking history presented with a gradual onset of painful, edematous feet for 4-days. She continued to develop erythema and a constant, nonradiating pain in her feet. The patient also noted an increase [...]
Case Presentation: A 49-year-old Nigerian woman with sarcoidosis not on immunosuppressants presented to the emergency department with one week of fever and right upper quadrant pain. The fevers occurred nightly and were as high as [...]
Case Presentation: A 64-year-old man with a history of cryptogenic cirrhosis and prior right-sided hepatic hydrothorax presents with a 2-day history of right-sided pleuritic chest pain and subjective fevers. On admission, the patient was afebrile, [...]
Case Presentation: A previously healthy 36-year-old woman presented to the emergency room with one day of fever and an episode of presyncope in the setting of 3 weeks of sinus pressure and headache. She denied [...]
Case Presentation: A 69-year old male with a past medical history of diabetes mellitus type II and cryptogenic cirrhosis with esophageal varices presented to the emergency department with one day of acute bilateral vision loss. [...]
Case Presentation: A 56 year old Caucasian male presented to the ED with left tongue swelling. His symptoms started 3 days prior with left neck and facial pain, and he had gone to an ENT [...]
Case Presentation: A 52 y.o with a past medical history of uncontrolled, untreated hypertension presented to our hospital with a 3 week history of progressively worsening lower extremity edema and shortness of breath. Review of [...]
Case Presentation: A 49-year-old Caucasian male presented with a two-week history of progressive asymmetrical arthralgias. He denied trauma, fevers or rashes. He endorsed night sweats. Symptoms progressed such that he was unable to walk due [...]
Case Presentation: A 27-year-old woman with a remote diagnosis of essential hypertension treated with hydrochlorothiazide-triamterene presented with five days of bilateral flank pain and nausea. On admission she was found to have a creatinine of [...]
Case Presentation: A 59 year old man with a history of polycystic kidney disease status post renal transplant presented with a fever. He reported a fever up to 103F, in addition to night sweats and [...]
Case Presentation: A 39 year old woman with a history of an uncomplicated pregnancy 3 months prior presented to the Emergency Department with recurrent crampy abdominal pain, poor appetite, and alternating constipation and diarrhea with [...]
Case Presentation: A 56 year old female with history of atrial myxoma resected two years prior presented to a tertiary care hospital with several episodes of brief, self-resolving, bilateral upper and lower extremity jerking movements [...]
Case Presentation: A 40 year old diabetic Native American male presented with progressive confusion of a few days duration. Patient was transferred from an outside facility with concern for lymphoma due to associated lymphadenopathy and [...]
Case Presentation: A 68 year-old female known to have hypertension, nephrolithiasis, and chronic urinary incontinence presented to a tertiary-care hospital with three days of left sided flank pain, unilateral headache, diaphoresis, and a recent history [...]
Case Presentation: Chylothorax and chylous ascites are lymphatic complications characterized by leakage of triglyceride-rich fluid secondary to damage of the thoracic duct. Few cases in the literature exist regarding chylous complications from chronic lymphocytic leukemia [...]
Case Presentation: A 66-year-old female with a history of rheumatoid arthritis on infliximab developed acute onset expressive aphasia and was diagnosed with a transient ischemic attack after a noncontrast CT head was negative. During this [...]
Case Presentation: A 30-year-old male with type two diabetes mellitus and morbid obesity presented with one month of generalized weakness, fatigue and fever. This was his third hospitalization with these same symptoms; no definitive diagnosis [...]
Case Presentation: A 40-year-old man initially presented with a headache and was admitted for hypertensive emergency. He rapidly developed altered mental status, acute kidney injury, fever, and weakness. After 12 days of supportive care, he [...]
Case Presentation: A 41 year-old African-American woman with recently diagnosed pericarditis presented actively seizing with fixed gaze deviation to the right. When levetiracetam and lorazepam did not break seizure activity, she required sedation with propofol [...]
Case Presentation: 43 year old male with history of HTN and HLD presented to the emergency room with abdominal pain, nausea, vomiting, and tongue numbness two hours after ingesting one centimeter of “Jamaican stone”. He [...]
Case Presentation: The patient is a 31-year-old lady with a history of sickle cell disease and a chronic left lower extremity DVT. She presented to the hospital for an elective thrombolysis procedure for treatment of [...]
Case Presentation: Hypotension in the hospital setting is a common finding with a broad differential diagnosis. The workup includes evaluation for cardiac and infectious etiologies, among others. We present an infrequent cause of hypotension to [...]
Purpose:To recognize Strongyloides stercoralis hyperinfection as a fatal cause of diffuse alveolar hemorrhage (DAH) in immunocompromised individuals. Case Presentation: A 47-year-old Hispanic female with MPO-ANCA-positive pauci-immune RPGN status post plasma exchange now well controlled on [...]
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 [...]
Case Presentation: KW is a 64 year old female with chronic obstructive pulmonary disease and hypertension who presented with progressive dyspnea in the setting of cardiac tamponade, but with persistent hypoxic respiratory failure despite pericardiocentesis. [...]
Case Presentation: A 81 year old Asian woman with past medical history of diabetes, hypertension, coronary artery disease, and arthritis presented with fever and five days of worsening neck stiffness and pain, worsened by neck [...]
Case Presentation: A 78 year old female with history of previous cholecystitis s/p cholecystectomy in 1950s complicated by recurrent choledocholithiasis and cholangitis presented with a 1 day history of chills, epigastric abdominal pain, nausea and [...]
Case Presentation: A 55 year old male with history of ulcerative colitis and iron deficiency anemia presented to the emergency department with a 1 week history of progressive swelling, tenderness and erythema of a circumscribed [...]
Case Presentation: A 30 year old male with history of recently diagnosed AIDS presented with altered mental status, fevers and 3 witnessed tonic-clonic seizures. His family reported that he had been complaining of progressive headaches [...]
Case Presentation: An 18 year old male with no past medical history presented with one month history of nausea and vomiting, 10 pound weight loss, and abdominal pain. Vital signs were normal and physical exam [...]
Case Presentation: A 21-year-old Hispanic male with no past medical history presented to our hospital with worsening abdominal pain for approximately two months. He described the pain as initially intermittent but progressive and was not [...]
Case Presentation: 53-yo Male with past medical history of poly-substance abuse presented with weakness, shortness of breath and productive cough for 1 month. He also reported low-grade fever, chills, fatigue, and weight loss of 30 [...]
Case Presentation: A 58 year-old man presented with a 3-month history of night sweats, chills and a 30 pound weight loss. His temperature was 102°F with decreased breath sounds and dullness to percussion at the left [...]
Case Presentation: 72 year old woman presented for evaluation of recurrent hypoglycemia for 6 weeks. Hypoglycemic episodes were almost always post prandial. She has history of gastric restriction surgery 4 years ago due to obesity [...]
Case Presentation: An 80 yo African-American female with past medical history of hypertension, uterine cancer s/p radiation and mild cognitive impairment presented to the hospital with fatigue and non-specific symptoms for 2 weeks. On examination, vital signs [...]
Case Presentation: A 42 year old male presented with fatigue, dyspnea on exertion, and bleeding gums for two weeks. Initial labs showed a white cell count of 96.1k/uL with blasts, Hgb 6.6 g/dL, and a [...]
Case Presentation: A 33-year-old woman with a history of appendectomy, cholecystectomy and H. pylori presented with a two year history of episodic right lower quadrant abdominal pain associated with nausea, emesis and unintentional 40 pound [...]
Case Presentation: A 75 year old African American male was diagnosed with metastatic prostate cancer and refused treatment with leuprorelin and radiation, and was eventually lost to follow up. He represented to emergency department greater [...]
Case Presentation: We report a case of an asymptomatic 65-year-old Hispanic male with a left neck mass. Ultrasound and fine needle aspiration were compatible with thyroid cancer. He underwent a total thyroidectomy with modified radical [...]
Case Presentation: We present a case of a 46-year-old Hispanic male with history of B-cell Acute Lymphocytic Leukemia, Philadelphia chromosome negative and CD20 positive, on remission, receiving maintenance chemotherapy (6-mercaptopurine, vincristine, methotrexate, and prednisone), with [...]
Case Presentation: A 63 year male with no significant cardiac history presented to our hospital due to attacks of severe right-sided throat pain for 5 weeks. The pain was described as “sharp” and “stabbing,” with [...]
Case Presentation: 69-year old female with a history of diabetes, breast cancer, and status post meningioma resection four months earlier complicated by seizures presented with generalized weakness and a diffuse rash. Six weeks ago she [...]
Case Presentation: We present a case of a 77-year-old female with a history of osteoarthritis who presented with a 6 month history of progressive weakness, intractable right hip/buttock pain and anemia of chronic disease. Serum [...]
Case Presentation: A 27-year-old male with no past medical history was seen in clinic for a pre-employment screening and complained of intermittent chest pain that occurred while at rest. He had a maternal grandfather who [...]
Case Presentation: 54 y.o female with a pmh of DM and HTN presented with 3 days of fever, chills and left flank discomfort. The patient reported the pain to be indolent in onset, dull and [...]
Case Presentation: We present a case of 37y.o. woman, a previously healthy visiting scholar from China, who presented with nausea, vomiting, diarrhea and vague diffuse abdominal discomfort . Her initial laboratory results were essentially normal. Emergency room [...]
Case Presentation: A 51-year-old female with a history of asymptomatic sarcoid presented with one day of shortness of breath and a dry cough. The patient was treated two weeks previously for pneumonia after developing shortness [...]
Case Presentation: A 72-year-old man with a history of severe COPD presented to the ER with 2 weeks of shortness of breath and productive cough. He denied sick contacts, hospitalizations, antibiotic use, or travel. On [...]
Case Presentation: A 64-year-old male with past medical history of hypertension (HTN), hyperlipidemia, coronary artery disease, and end stage renal disease, secondary to HTN, on hemodialysis presented with a 3-day history of nonproductive cough and [...]
Case Presentation: A 55 year-old African American woman with history of SLE (on cellcept and plaquenil) and history of cervical cancer (s/p TAH-BSO in 2003) with celiac lymphadenopathy and recently diagnosed hepatic metastases, presented with [...]
Case Presentation: A 39 year old man with type 2 diabetes, known hypertriglyceridemia with past episodes of pancreatitis presented to the Emergency Room with severe, diffuse abdominal pain for two days. Despite an outpatient medication [...]
Case Presentation: A 58-year-old male with previously treated non-Hodgkin lymphoma and multiple myeloma was admitted with 3 weeks of progressively worsening mucocutaneous blisters. The initial pruritic blister was located on the right arm and progressively [...]
Case Presentation: A 68-year-old female with infrequent medical follow-up and a past medical history of chronic back pain presented to the ED with right-sided weakness and slurred speech. On the day of presentation she woke [...]
Case Presentation: A 24-year-old woman presented to the hospital with “5 weeks of hell” from a sharp right upper quadrant and rib pain, nausea, and daily episodes of diarrhea and bilious emesis. She lost 16 [...]
Case Presentation: A 58-year-old Korean female with history significant for splenectomy 20 years ago for “enlarged spleen” and recurrent pyelonephritis presented with chills, nausea, and vomiting. She had severe sepsis with tachycardia, fever, and hypotension [...]
Case Presentation: A 37-year old G2P2002 female with recent vaginal delivery one month prior, presented with progressively worsening intermittent head, neck and back pain localized to the right side for the past two months. She [...]
Case Presentation: 59 year old African American male presented to our emergency department with chills, night sweats and not feeling well. Chest x-ray showed a left upper lobe opacity and was diagnosed with community acquired [...]
Case Presentation: A 63-year-old man with a history of intravenous drug use (IVDU) and non-ischemic cardiomyopathy presented with one month of fevers, night sweats, and chest pain. Exam was notable for tachycardia (HR = 128), [...]
Case Presentation: A 27 year old female with bulimia nervosa (self induced vomiting and laxative abuse) and major depressive disorder presented to the emergency department because of chest pain and lower extremity twitching. Initial evaluation was remarkable for multiple [...]
Case Presentation: A 62-year-old female with no known past medical history presented with 3-days of multiple episodes of vomiting after consuming Chinese food.She was in atrial fibrillation with a rapid ventricular response.Significant lab analyses included [...]
Case Presentation: A 66 year old Caucasian female with history of dementia, HTN on amlodipine, HLD on lipitor, spinal stenosis on Meloxicam and GERD on Omeprazole also non alcoholic or non -smoker; was admitted from [...]
Case Presentation: A 38-year-old para 2 healthy female presented with left shoulder pain 4 weeks after an uncomplicated vaginal delivery at 41 weeks gestation. Rectovaginal swab and culture obtained at 37 weeks gestation was negative [...]
Case Presentation: A 40-year-old-male with history of diabetes type 1 and renal transplant on immunosuppression presents with 2 weeks of weakness, anorexia, and cough. Initial exam revealed temperature 102.8 but was otherwise normal. He was [...]
Case Presentation: A 19-year-old female with mild persistent asthma, borderline personality disorder, and substance abuse presented with three days of a non-productive cough and dyspnea. She endorsed generalized malaise and body aches, without fever or [...]
Case Presentation: A 54-year-old female with hypertension and tobacco use presented with two months of new onset constipation and progressively worsening, diffuse, generalized abdominal pain, early satiety, and a 30-pound weight loss. She was found [...]
Case Presentation: A 75-year-old man with diabetes mellitus and recently detected pancreatic “cancer” presented with abdominal pain, vomiting and significant weight loss. Two weeks prior he presented to another hospital with laboratory values indicating obstructive [...]
Case Presentation: 53 year old male with a history of alcohol abuse presented to the ED with hyponatremia and elevated LFTs after a week of nausea, vomiting, and diarrhea. The patient had a previous drinking [...]
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 [...]
Case Presentation: Our patient is a 60 year-old woman with a history of metastatic adenocarcinoma of unknown primary who had undergone a total of 26 cycles of gemcitabine chemotherapy alone and in combination with oxaliplatin. [...]
Case Presentation: An 84-year-old female with a past medical history of Sjogren’s syndrome, cutaneous vasculitis and rheumatoid arthritis on methotrexate presented with a three day history of oral pain associated with mild pruritic rash and [...]
Case Presentation: A 33 yo male with PMH of AIDS and disseminated mycobacterium avium complex (MAC) presented with 1.5 weeks of sudden, bilateral hearing loss. The hearing loss was symmetric, non-progressive, and he reported difficulty [...]
Case Presentation: A 70-year-old male former smoker with diabetes mellitus and hypertension presented with cognitive impairment, lower extremity edema, weakness, and 20-pound weight loss over two months. The patient was alert and oriented but had [...]
Case Presentation: A 63 year old African-American Male with a history of well-controlled hypertension and hyperlipidemia presented with a four day history of new-onset lower extremity, upper extremity, and abdominal swelling. He denied shortness of breath, chest [...]
Case Presentation: A 61 year old African American man with past medical history of hyptertension, diabetes mellitus type 2, chronic kidney disease stage 3, remote intravenous drug use, Hepatitis C presented with worsening hypertension, new [...]
Case Presentation: We present the case of a 33 year old male who presented with a one day history of non-radiating right upper quadrant abdominal pain worsened by physical activity and lying on his right [...]
Case Presentation: A 70 year old woman with no personal or family history of bleeding diathesis presented to emergency room with month long history of intermittent epistaxis. Her initial laboratory investigation showed severe macrocytic anemia [...]
Case Presentation: An 88-year-old man presented with fevers, chills, weight loss, and acute confusion. The patient had a history of non invasive high grade papillary urothelial carcinoma of the bladder treated with transurethral resection of [...]
Case Presentation: A 52 year-old male with a history of stage IV rectal cancer, who was recently started on systemic chemotherapy (FOLFOX-Bevacizumab), presented with elevated blood pressure and new onset generalized tonic-clonic seizures. Benzodiazepines were [...]
Case Presentation: A 21 year old Caucasian female with an unremarkable medical history presented with sudden onset of throat, lip and tongue angioedema. Due to concern for complications, she was given intravenous (IV) diphenhydramine, solumedrol [...]
Case Presentation: A 59-year-old female with history of well-controlled type 2 diabetes mellitus and hypertension presented with one-week history of high-grade fever (Temp 101 F), nausea, generalized weakness, and postural hypotension. She denied any diarrhea, [...]
Case Presentation: A 79-year-old Caucasian female presented with recurrent abdominal pain. Her past medical history was significant for low-grade adenocarcinoma of the rectum and sigmoid colon that was resected one year ago. Four months prior [...]
Case Presentation: A 19 y/o woman presents with dyspnea and chest pain that began one week ago. Dyspnea is worse on exertion. She also complains of substernal chest pain, worse upon breathing. Associated symptoms are [...]
Case Presentation: A 64-year-old man presented to us with newly metastatic melanoma in 6/2014. PMHx included localized melanoma, CAD, type II DM, HTN, GERD, mitral valve prolapse, migraines, and bipolar disorder. Restaging PET/CT scan in [...]
Case Presentation: A 54-year-old woman presented to the emergency department with a 1-week history of exertional dyspnea and chest heaviness. Review of systems was remarkable for bilateral leg swelling and a 7-lbs weight gain over [...]
Case Presentation: A 33-year-old woman with no cardiac risk factors, who was 8-weeks post-partum with an unremarkable peripartum course, suddenly collapsed at a park. Bystander CPR was initiated and the initial cardiac rhythm, which was [...]
Case Presentation: A 77-year-old man with hypertension and sick sinus syndrome status post pacemaker implantation was evaluated in the outside hospital for four month history of chills. Review of systems was negative for other symptoms. [...]
Case Presentation: A 26 year old male with a prior history of asthma, DVT, and PE presented to the ER with severe, constant, pressure-like, left sided chest pain after smoking K2 the night before. The [...]
Case Presentation: A 69 year old female presented with elevated alkaline phosphatase (1509 U/L), total bilirubin (2.4 mg/dl), alanine transaminase (44 U/L), aspartate transaminase (107 U/L). Her liver function tests had been normal prior to [...]
Case Presentation: A 77 year old Jehovah’s Witness woman presented with one month of petechial rash, epistaxis and oral mucosal bleeding. There was no recent travel or infectious illness. She denied herbal or toxic ingestions. [...]
Case Presentation: A 49 year old African American woman with a history of diabetes mellitus presented to the ED with persistent cough, chest pain, fevers, and acute nausea and vomiting. She had visited an urgent [...]
Case Presentation: 69-year-old Caucasian female was admitted with acute malaise, poor appetite and nausea with 20 pound weight loss and vague abdominal discomfort for 2 months. Her background medical history included hypothyroidism on Levothyroxine 75 [...]
Case Presentation: A 53 year-old man with a history of sickle cell trait and stroke presented with subacute, progressively worsening generalized abdominal pain and distension. He had recently been diagnosed with cirrhosis due to autoimmune [...]
Case Presentation: A 32 year old female with history of gestational diabetes presented with fevers, chills and swelling of the left breast. She delivered a healthy boy 2 weeks prior to admission by cesarean section. [...]
Case Presentation: A 56 y/o male Jehovah’s Witness with history of gout treated with daily NSAIDs, presented to the ED with melena. Hemoglobin on admission was 9.3 g/dL. He was started on IV proton pump [...]
Case Presentation: A 30 year-old woman with a history of severe asthma presented with two weeks of progressively worsening dyspnea. She has a history of multiple hospitalizations and intubations in the setting of asthma exacerbations. [...]
Case Presentation: 69-year-old gentleman presented to the emergency room with 6-week history of progressive dyspnea, lower limb edema and weight gain. Patient had a relevant past history of melanoma on the scalp treated with surgery, [...]
Case Presentation: 70-year-old lady presented with one-month history of progressively worsening headaches, nausea and dizziness necessitating an emergency room visit. Patient underwent CT of the brain which revealed chronic subdural hematoma requiring admission for further [...]
Case Presentation: A 39 y/o Hispanic man presented with 1 week of fever, headache, photophobia, and mild confusion. His complaints and physical examination were consistent with possible meningitis, so empiric treatment with vancomycin, ceftriaxone and [...]
Case Presentation: A 29 year-old male with psoriasis and ulcerative colitis (UC) treated with adalimumab and mesalamine presented to the hospital with 3 weeks of abdominal pain, bloody diarrhea and a 20 pound weight loss. [...]
Case Presentation: A 42 year-old woman with history significant for systemic lupus erythematous (SLE) for 20 years complicated by pleurisy and thrombocytopenia on belimumab presented with a 10-day history of migratory polyarthritis. Her pain started [...]
Introduction: Thyrotoxic crisis is rare and presents as a life-threatening exacerbation of hyperthyroidism. It can have a myriad of manifestations affecting multiple organ systems. The mortality rate is as high as 30% even with treatment. Thyrotoxic crisis [...]
Case Presentation: A 49 year old Hispanic male presented with epigastric abdominal pain for 2 months, nausea and vomiting without a significant past medical history. He rarely consumed alcohol and denied any recent trauma. He [...]
Case Presentation: Here, we describe a 34 year-old female admitted with five days of worsening left sided pleuritic chest pain and shortness of breath. Her medical history is significant for four presentations to the emergency [...]
Case Presentation: 23- year old Latino male with no known history presented to the ER complaining of worsening left eye pain. Patient stated that he has been cleaning manmade lakes and for one week started [...]
Case Presentation: A 38-year-old female with no significant PMH presented with diarrhea, chills, and hematuria. One week prior to admission, she developed profuse, watery, non-bloody diarrhea three hours after consuming raw oysters. The next day, [...]
Case Presentation: A 56-year-old Caucasian male presented to the emergency department with progressively worsening pain, erythema, and swelling of the left hallux after trauma resulting in loss of the nail bed one month prior to [...]
Case Presentation: A 26 year-old Ecuadorian woman presented with 3 months of enlarging neck masses. A few years prior to presentation, she noticed small lumps on the right side of her neck, which were stable [...]
Case Presentation: An 80 year old man with pauci-immune glomerulonephritis for one year presented with fatigue and dyspnea. He had been treated with cyclophosphamide and corticosteroids in the last year; at presentation he was taking [...]
Case Presentation: A 21 year-old man on the rehabilitation service was evaluated for fever and headache. Approximately 1 year previously he was found to have a posterior fossa medulloblastoma that was resected and repaired with [...]
Case Presentation: A 59yo woman with past medical history of Diabetes Mellitus, Hypertension and hyperlipidemia presented to her primary care physician with a 2 week history of acute onset left sided chest pain and difficulty [...]
770,000 people are admitted due to adverse drug events annually, with an annual cost of 5.6 around million dollars per hospital, making the patient’s medication list an object of scrutiny. Olmesartan is an angiotensin receptor [...]
Case Presentation: A 50 year-old male had past medical history of type 1 diabetes mellitus complicated with diabetic nephropathy and neuropathy on insulin; and history of simultaneous kidney and pancreas transplant on immunosuppression medications. He [...]
Case Presentation: A 61 year old female with history of metastatic breast carcinoma presented to the hospital for an elective vertebral cryoablation and kyphoplasty to treat her painful bony metastasis. She has known vertebral lytic [...]
Case Presentation: Hydatid cyst, also termed as Echinococcal cyst, is caused by the tapeworm, Echinococcus. Echinococcus granulosus is the most common specie to cause cystic disease. The cyst can be found in any site of [...]
Case Presentation: A 38 year-old female with history of asthma presented to the emergency department (ED) with symptoms of progressive dyspnea, wheezing, and dry cough, consistent with asthma exacerbation. In the ED, she was treated [...]
Case Presentation: A previously independent and active 89-year-old male without past medical history was brought to the hospital by his son with a 6-day history of progressively worsening confusion. Per the son, the patient lived [...]
Case Presentation: An 83 year old male presented with new onset shortness of breath, generalized weakness and fatigue for 4 days. Physical examination revealed mild hypotension and diminished heart sounds. Chest radiology showed enlargement of [...]
Case Presentation: 71 year-old African-American female, retired EMS paramedic, with hypertension, history of ischemic stroke, Hepatitis C, colon cancer s/p resection several years ago was hospitalized for fever, chills and altered mental status. Treatment was [...]
Case Presentation: We describe a 54-year-old male with past medical history of sickle cell disease, who initially presented with worsening dyspnea over the span of two weeks. He had no history of fevers, chills, chest [...]
Case Presentation: A 23 year old female with no significant medical history presented to another hospital with progressive paresthesisas and lower extremity weakness for 6 weeks. Within 24 hours of admission she rapidly declined, requiring [...]
Case Presentation: A 40 year-old woman presents with onset of shortness of breath and lower extremity weakness for one week. On the morning of her presentation, she was unable to stand up and was experiencing [...]
Rothia mucilaginosa is an emerging opportunistic pathogen increasingly associated with prosthetic device infections. We report a case of R. mucilaginosa prosthetic device endocarditis and review the literature of infections caused by this organism. Case Presentation: 23 year [...]
Case Presentation: A 55-year-old man was found altered in his truck in front of an abandoned building. Neighbors called EMS after noting that the patient had not moved from his position in 4 hours. On [...]
Case Presentation: A 39 year-old man, medically free but experiencing chronic left hip pain from a work-related injury, received a Trigger Point Injection (TPI) with Methylprednisolone and Bupivacaine. Within 12 hours he presented with severe [...]
Case Presentation: A 50-year-old male with Human Immunodeficiency Virus (HIV) was admitted with complaints of 1-2 months of progressive dyspnea on exertion, dry cough, subjective fevers, night sweats and approximately 15 pounds of weight loss. [...]
Case Presentation: An 85-year-old Middle Eastern woman with an intermittently treated solitary hepatic hydatid cyst diagnosed 40 years ago presented to a hospital for 1 month of progressive nausea, vomiting, abdominal pain, and new onset [...]
Case Presentation: A 76-year-old Hispanic man with poorly-controlled diabetes mellitus complicated by nephropathy presented to a hospital with 2 weeks of nausea, vomiting, and progressive lethargy. During the initial evaluation, he developed a focal right-sided [...]
Case Presentation: A 57 year old Hispanic woman with a history of chronic low back pain due to lumbar spondylosis and sacroiliac (SI) joint dysfunction previously treated with multiple joint injections, lumbar nerve blocks and [...]
Case Presentation: A 65 year-old man with primary antiphospholipid syndrome (APS) was transferred to our hospital for management of refractory thrombocytopenia and thrombosis. His disease was diagnosed by positive lupus anticoagulant, anti-cardiolipin antibody, beta-2-glycoprotein IgM [...]
Case Presentation: A 65 year-old man with end-stage renal disease was brought to the Emergency Department (ED) when he developed confusion and shortness of breath at a skilled nursing facility (SNF). He had a recent [...]
Case Presentation: A 91-year-old Puerto Rican female presents with a productive cough for 3 weeks and progressively worsening shortness of breath for 1 week. Over the course of 1 year she was admitted to the [...]
Case Presentation: 18 year old healthy male developed acute onset of anterior left knee pain after jogging. Due to ongoing pain for several weeks he was evaluated at his local ER and diagnosed with a [...]
Case Presentation: A 59-year-old male with history of liver cirrhosis secondary to hepatitis C presented with right-sided jaw pain and swelling. Two weeks prior he developed a sore throat and fever. He started taking amoxicillin [...]
Case Presentation: A 67 year-old man with history of hypertension and hyperlipidemia presented with two weeks history of slurred speech and a transient left facial numbness and twitching for one day. Three months prior he [...]
Case Presentation: A 23 year-old man with no prior medical history presented with witnessed syncope. Patient was playing basketball when he suddenly collapsed, initially unresponsive, regaining consciousness after minutes. No seizure activity was observed. VS [...]
Case Presentation: A 51-year-old woman with multiple medical co-morbidities including morbid obesity with body mass index of 84, hepatitis C cirrhosis, urinary retention requiring chronic indwelling foley catheter and bilateral non-obstructing renal calculi presented from [...]
Case Presentation: A 49 year old Male presented with a two month history of progressive dyspnea, polyarthralgia, fatigue, and skin rash. Physical exam showed cardiac dullness beyond the apical point of maximal impulse, elbow joints [...]
Case Presentation: A 65-year-old male presented with sharp severe chest pain, worsened with respiratory movements. One day prior to admission, patient had catheter ablation due to persistent atrial fibrillation. He had no other medical history. [...]
Case Presentation: A 24 year-old male presented with rash and fever for one month. He was recently diagnosed with bipolar disorder and started on fluphenazine, lithium, and benztropine. Four weeks after starting these medications he [...]
Case Presentation: A 24-year-old female with a history of ovarian cancer 4 years ago, s/p salpingo-oophorectomy and chemotherapy presents with acute onset of shortness of breath x 1 day. She denied any fevers, chest pain, [...]
Case Presentation: A 79 year-old man presented with one day of spontaneous hematochezia. He denied abdominal pain, abdominal distention, or weight loss. His past medical history included chronic kidney disease. Notable findings on his admission [...]
Case Presentation: We present a case of a 36 year old non-smoking female with history of hypothyroidism, two spontaneous abortions (with negative hypercoagulability workup), no recent travel, or OCP use, who came to the ED [...]
Case Presentation: An 80-year-old man with a past medical history of chronic lymphocytic leukemia, coronary artery disease, diabetic chronic kidney disease and heart failure reduced ejection fractionwith two months of intermittent hematochezia. Since onset of [...]
Case Presentation: 40-year-old woman with history of pernicious anemia, fibromyalgia and depression presented with progressive fatigue and weakness with associated myalgias and bilateral hip and shoulder girdle pain. Outpatient evaluation initially attributed these symptoms to [...]
Case Presentation: A 94-year-old man with no significant past medical history presented to the Emergency Department with a two week history of progressively worsening constipation accompanied by nausea, vomiting, and abdominal pain. He denied any [...]
Case Presentation: A 45 year-old woman presented with 4 hours of lower back pain, after a fall from standing. She did not report a loss of consciousness, and did not injure her head. She had [...]
Case Presentation: A 36-year-old Caucasian male, a construction worker, presented with three weeks of high-spiking daily fevers, myalgias and fatigue. He endorsed a water-skiing trip, and tick and dog bites within recent weeks. He was [...]
Case Presentation: A 61-year-old African American male with history of recent atopic dermatitis treated with topical corticosteroids presented with 4 days of fevers, night sweats and worsening exertional dyspnea. On admission, he was febrile with decreased left lower lobe breath [...]
Case Presentation: An asymptomatic 27 year-old male with no past medical history presented with an incidental finding of a IV/VI systolic ejection murmur best heard at the left lower sternal border with parasternal heave. Physical [...]
Case Presentation: A 65 year old male with a history of diabetes mellitus type II complicated by neuropathy presented with profound facial and oropharyngeal edema after ingesting his usual medications. He was hemodynamically stable and [...]
Case Presentation: A 48-year-old physically active woman presented with acute-onset, severe, retrosternal chest pain radiating to her arms and back. The pain started during an intensive CrossFit workout, in which she ran up nineteen flights [...]
Case Presentation: A healthy 57 year old male presented to the ER with history of sudden sub-sternal chest pain, with radiation to both the upper extremities, 10/10 in intensity at its worst and associated with shortness of [...]
Case Presentation: A 45 year old AA Male with PMHx of hypertension and ESRD on HD for 10 years with severe (8/10), diffuse epigastric pain associated with nausea, vomiting, high fever and chills for 2 [...]
Case Presentation: A 68-year-old man presented with worsening abdominal distention, lower extremity edema and shortness of breath 8 weeks after undergoing uneventful aortobifemoral bypass graft (AFBG). The patient was cachectic man, who had significant abdominal [...]
Case Presentation: A 37-year-old woman with significant history of intravenous substance abuse, six-year-old mechanical mitral valve replaced for mitral regurgitation and non-adherence to medications presented with shortness of breath and fever (103 F). She was [...]
Case Presentation: 87-year-old woman presented with a tender mass in her right shoulder. Her shoulder had been painful for a year and she had been diagnosed with arthritis as an outpatient. Her pain was refractory to [...]
Case Presentation: A 51-year-old male with a history of recent pneumonia and cocaine use (most recently 4 weeks prior) presented to the emergency department for shortness of breath. Exam demonstrated decreased left sided breath sounds [...]
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 [...]
Case Presentation: 43 year old HIV positive, type I diabetic female (on lopinavir-ritonavir, efavirenz; last CD4 count 942; negative viral load), presented to Emergency Department (ED) with lower back pain radiating bilaterally to buttocks for [...]
Case Presentation: A 26-year-old male with metastatic cecal adenocarcinoma received pre-operative FOLFOX (5-Fluorouracil, Oxaliplatin, leucovorin) for 4 cycles followed by cytoreductive surgery with hyperthermic intraperitoneal chemotherapy 9 months earlier. Post- operatively he received FOLFOX and [...]
Case Presentation: A 27-year-old man with HIV/AIDS was directly admitted to the hospital by his infectious disease specialist for worsening and recurrent headaches accompanied by a multitude of episodic neurologic symptoms, including off-balance sensations, left [...]
Case Presentation: A 46 year-old man presented with one week of headache and shortness of breath. He also reported generalized fatigue, productive cough, and 40 lb weight loss. There were no sick contacts and review of [...]
Case Presentation: A 53 year-old man with a history of Hodgkin’s lymphoma status post splenectomy, mantle radiation, and ABVD chemotherapy, severe aortic stenosis, and moderate mitral stenosis attributed to chemoradiation presented with recurrent fevers and [...]
Case Presentation: A 28 year old male presented to clinic with a painless, progressively enlarging mass in his right testis for 4-6 weeks. On examination a large, firm, right scrotal swelling was present. Testicular ultrasound [...]
Case Presentation: A 73 year-old female presented with significant lethargy and orthostasis with progressive generalized weakness over one week. The patient related that she had experienced increasing fatigue over one year, but that it had [...]
Case Presentation: 45 year old Polish male with a past medical history of hyperthyroidism who presented to the emergency room complaining of two weeks history of upper and lower extremity numbness and stiffness involving his [...]
Case Presentation: A 31-year-old male with no past medical history presented with fevers and headaches for two days. Patient also complained of malaise, neck stiffness and photophobia. Physical exam notable for positive Kernig’s sign. Labs [...]
Case Presentation: A 38-year-old previously healthy man presented with left flank and arm pain 72 hours after donating plasma. He noted a blister at the site of the needle insertion followed by chills. He denied [...]
Case Presentation: A 37-year-old man with AIDS on HAART and chronic therapy for history of mycobacterium avium infection (MAI) presented with altered mental status 4 weeks after stopping his medications. Family reported progressive confusion and weight [...]
Case Presentation: : A 60-year-old male with history of emphysema was admitted to the hospital because of worsening dyspnea, cough with yellow sputum production, fever and night sweats.The patient was hospitalized 9 days before this [...]
Case Presentation: A 88-year-old female presented to an outpatient office with 3 weeks history of severe progressive bruising and ecchymosis which initially developed on left wrist and then spread to bilateral upper extremities, upper trunk [...]
Case Presentation: A 58-year-old male presented to the emergency department with shortness of breath, aggravated by supine position, cough with white sputum production, sore throat, dysphagia for solid food and odynophagia for last 2 weeks. [...]
Case Presentation: This is the complicated and unusual story of a 41-year-old white female and mother of two children with a prior history of hypertension. Over the span of 2 months, the patient’s family noticed [...]
Case Presentation: An 80 year old non-English-speaking Navajo woman, with a past medical history of diabetes type 2, hypertension, and osteopenia presented from an outside hospital with an acute fracture of the right femoral neck [...]
Case Presentation: A 64 year old woman with a history of diabetes and hypertension presented to hospital with lethargy and disorientation to time, place and person. The vitals were: BP 232/127 mm Hg T 102.7°F [...]
Case Presentation: A 73 year-old man had two episodes of syncope on post-operative day one following a left total hip arthroplasty. The episodes occurred with physical therapy as he sat on the side of his [...]
Case Presentation: A 61 year-old woman presented with unbearable weakness and muscle aches that progressed over the past two weeks. The patient was seen in clinic the day prior for these symptoms and overall lethargy [...]
Case Presentation: A 68-year-old woman with a past medical history of hypertension and relapsing Thrombotic Thrombocytopenic Purpura (TTP) presented with acute kidney injury. She was diagnosed nine years ago with TTP and had three subsequent [...]
Case Presentation: A 66-year-old woman with a past medical history of scleroderma, inflammatory lung disease, and remote bilateral breast cancer status post bilateral mastectomy and chemotherapy was admitted for lung biopsy. The patient developed flu-like [...]
Case Presentation: A 67-year-old man with a history of previously treated prostate cancer presented with two weeks of low back pain. The pain had progressed and was now associated with bilateral lower extremity shooting pain and weakness. [...]
Introduction:Methemoglobinemia is a rare, potentially life-threatening medical condition that occurs due to increased methemoglobin production or decreased elimination and can be hereditary or acquired. Methemoglobin is a derivative of hemoglobin in which the normal ferrous [...]
Case Presentation: A 36 year old female patient presented to the hospital with progressive shortness of breath for the last several months. She denied chest pain, fever, or syncope. Her blood pressure was 133/77 mmHg [...]
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 [...]
Case Presentation: A 72 year old man with stage 4 metastatic prostate cancer, on Abiraterone acetate and prednisone status post bilateral orchiectomy presented with severe hypocalcemia at 5.2mg/dL. Patient denied muscle twitching or cramping, nausea, [...]
Case Presentation: A 36-year-old healthy woman with no past medical history presented to the emergency department with generalized purpura and petechiae. She also reported 4 month long history of painless right-sided neck swelling, drenching night [...]
Case Presentation: 46 year-old-male with no past medical history presented with 1-day-history of dyspnea on exertion, productive cough, and fever. The patient also complained of several weeks of generalized weakness and lower back pain radiating [...]
Case Presentation: A 70 year-old Moroccan male with a history of gastrointestinal stromal tumor treated with resection and chemotherapy was admitted for dyspnea on exertion and non-productive cough for two weeks. He complained of subjective [...]
Case Presentation: A 24 yr old male with PMH significant for uncontrolled DM and Hepatitis C presented with left sided flank pain and dark urine for 2 weeks. Lab workup was significant for leukocytosis and [...]
Case Presentation: A 78-year-old white female with sarcomatoid mesothelioma status post gemcitabine and carboplatin presented to an urgent care center with sudden onset of low grade fever and fatigue. She reported a puppy bite 1 [...]
Case Presentation: 77 year old man with history of renal cell cancer status post ablation a year ago presented to primary care physician with difficulty swallowing and weight loss for 3 weeks. Examination was normal. [...]
Case Presentation: A 30 year-old Hispanic male with no past medical history was brought to ER status post fall after sudden onset of muscle weakness in extremities. He experienced mild intermittent muscles cramps and soreness [...]
Case Presentation: 40 year old male patient with known history of IVDU and Hepatitis C infection presented with shortness of breath, worsening bilateral weakness in his lower limbs and difficulty walking for two weeks prior [...]
Case Presentation: 62 year-old HIV positive man with Hepatitis B co-infection was admitted to the internal medicine service for self-neglect and profound deconditioning resulting in a fall and subsequent fracture of right tibia and fibula [...]
Case Presentation: A 62 year old male with past medical history of DVT, prostate cancer diagnosed 2 years ago, presented to the hospital complaining of 1 day weakness in his left upper and lower extremities. [...]
Case Presentation: A 19-year-old Caucasian female with hypothyroidism on synthroid was transferred from an outside emergency department for evaluation of psychosis. The patient’s father first noted changes in her behavior several months prior to admission [...]
Case Presentation: A 60 year old woman was seen in our primary care clinic with a long history of unusual symptoms. For the past 15 years she has been experiencing intermittent outbreaks of oral and [...]
Case Presentation: This is a case of a 73-year-old male with a history of CKD stage 4 and left total knee arthroplasty in 2006, who had a recent hospital admission for left knee septic arthritis [...]
Case Presentation: An 83 year old woman presented with acute anemia on outpatient testing. One week prior, during hospitalization for a pelvic fracture, she had been started on antibiotics for a suspected urinary tract infection. When this failed to resolve [...]
Case Presentation: A 67 year old woman presented to the emergency department with worsening shortness of breath. On admission the patient was hemodynamically stable, tachypneic and tachycardic, with desaturation to 80% on room air. She [...]
Case Presentation: A 66 year-old-female with a past medical history of mild hypertension on Losartan was referred to our institution after a significant workup at an outside hospital for gradual progression of dyspnea on exertion [...]
Case Presentation: A 42-year-old female with no significant past medical history presented with a 20-day history of myalgias and proximal muscle weakness. She reported difficulty walking, rising from a chair, brushing her hair, and holding [...]
Case Presentation: A 59 year-old man presents with epigastric and chest pain for 6 days. He has past medical history of childhood meningoencephalitis resulting in mild mental delay. He does not smoke, nor drink alcohol [...]
Case Presentation: A 22 year old male with past medical history of childhood asthma, tobacco dependence and polysubstance abuse presented with shortness of breath and acute onset of neck pain and pleuritic chest pain. The [...]
Case Presentation: 36-year-old female is admitted to our hospital with acute-onset chest pain and found to have bilateral segmental pulmonary embolism. Her medical history was pertinent for juvenile idiopathic arthritis diagnosed at age of 15. [...]
Case Presentation: An 84-year-old Caucasian male presented with a two-week history of throbbing headaches, fever, jaw claudication, and neck stiffness. Vitals signs were T: 38C, BP: 171/86 mmHg, HR: 102 bpm, RR: 20 breaths/min, SPO2: [...]
Case Presentation: A 63 year-old man presented for a milky penile discharge. He was hemodialysis dependent and recently discharged from the hospital following bilateral renal embolization for persistence of blood clots in his bladder and [...]
Case Presentation: A 36-year-old Asian man went to his primary care physician because of fevers, calf pain, and rash on his legs. The patient was started on doxycycline for possible tick borne illness but was [...]
Case Presentation: A 71 year-old man presented with two months of progressive decline in mental status and jaundice. He had a history of liver transplant eight years prior due to alcoholic cirrhosis. His family states [...]
Case Presentation: 70 year old man with a history of hepatitis C, diabetes mellitus type 2, hypertension, and coronary artery disease presents with worsening pneumonia. The patient had recently traveled to Italy for 2 weeks [...]
Case Presentation: A 44-year-old Hispanic woman with no past medical history presented to the emergency department complaining of difficulty walking. She reported a three-week history of progressive, sharp lower back pain followed by a one-week [...]
Case Presentation: A previously healthy 28-year-old man presented with one year of chest pain, newly associated with exertional dyspnea, fatigue, dizziness, and several episodes of syncope over the past five days. He denied smoking, recent [...]
Case Presentation: A 77 year-old female with a history of hypertension, osteoporosis, and hyperparathyroidism status post two parathyroidectomies presents four days after her second parathyroidectomy complaining of generalized fatigue, weakness, and headache. In the emergency [...]
Case Presentation: A 36-year old-white female originally presented to the emergency department (ED) per ambulance as a trauma patient after being found down earlier that evening at home. Initial Glasgow Coma Scale (GCS) score was [...]
Case Presentation: A 34 year old African American woman with chronic medical problems including polycystic ovary syndrome and borderline diabetes mellitus type 2 presented to our hospital with the chief complaint of right eye pain [...]
Case Presentation: A 65 year old man presented with a one day history of pruritic red rash that started on the feet and then progressed to his trunk and upper extremities. He denied fever, joint, [...]
Case Presentation: A 59-year-old man presented via ambulance with acute onset of back pain and confusion that rapidly progressed to diffuse abdominal pain, out of proportion to exam. He denied any diarrhea or bloody stools [...]
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 [...]
Case Presentation: A 66-year-old male with a past medical history of rheumatoid arthritis (RA), on chronic prednisone and methotrexate, presented to our institution with a 4-day history of loose watery diarrhea, subjective fevers, rhinorrhea and [...]
Case Presentation: An 82 year old usually high functioning male with a history of hypothyroidism, hypertension and depression presented with failure to thrive and confusion for 6 weeks. EMS was called when the patient began [...]
Case Presentation: Recognition of clinically significant copper deficiency is increasing. Hematologically, it can present as anemia (microcytic, normocytic, or macrocytic) and neutropenia. Bone marrow findings can mimic myelodysplasia resulting in occasional inappropriate referral for bone [...]
Case Presentation: A 29-year-old woman presented with red eyes and pharyngeal pain. From 10 years prior, she had fever triannually and oral stomatitis quarterly. From several years prior, she had joint pain of hands, elbows, [...]