Beware of the Rub: Infliximabinduced Systemic Lupus Erythematosus

Case Presentation: A 52–year–old woman with seropositive (RF,CCP) ANA negative rheumatoid arthritis (RA) diagnosed in 1999, controlled with methotrexate, hydroxychloroquine, and then infliximab (since 2007; last dose 8 weeks prior to admission (PTA)) now admitted [...]

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Colon Cancer Presenting As Malignant Pericardial Effusion

Case Presentation: A 57–year–old man presented acutely after being awoken from sleep with shortness of breath. He had no associated or prodromal symptoms, and no gastrointestinal complaints. Review of systems revealed significant weight loss, with [...]

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Panhypopitutarisman Overlooked Cause of Persistant Hyponatremia

Case Presentation: An 80–year–old woman presented to the hospital with syncope and several weeks of headache, nausea, dizziness, generalized weakness and anorexia. Vital signs were stable and physical exam was unremarkable except bilateral maxillary sinus [...]

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Idiopathic Constrictive Pericarditis As the Cause of Hepatic Cirrhosis

Case Presentation: A 51–year–old man with a past medical history significant for obesity, cirrhosis and COPD presented to an outside emergency department for evaluation of progressive edema. The patient was diagnosed with alcoholic cirrhosis 15 [...]

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Dysarthria and Ataxia in a Middle Aged Woman

Case Presentation: A 34–year–old female presented with a 1–week history of dysarthria, ataxia and postural instability. The week prior to her presentation she was admitted to a local hospital with significant vomiting and dehydration. She [...]

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Multiple Pulmonary Cavities: Why Only in the Right Lung?

Case Presentation: A 51–year–old female with history of anxiety, depression, and tobacco abuse was admitted to the ICU due to severe respiratory distress, hypoxia, productive cough, fever and chills. Her symptoms began 8 days prior [...]

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First Report of Hemialgia As a Presenting Symptom in Multiple Myeloma

Case Presentation: A 71–year–old man with hypothyroidism presented with atypical left–sided pain to the emergency room. The patient developed acute left–sided pain about 2 months prior to presentation to ER. The pain started in the [...]

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The Pressure of Hiv and End Stage Renal Disease

Case Presentation: A 29–year–old woman with a history of HIV nephropathy and end–stage renal disease presented one day of headaches, nausea, and vomiting. She noted no trauma, and no new neurologic abnormalities. She did note [...]

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Recurrent Seizure Activity Due to Reversible Posterior Leukoencephalopathy Syndrome (Rpls)

Case Presentation: A 45–year–old man presented with encephalopathy after experiencing multiple seizures. The patient's fiancée observed the patient's body stiffen, then he had full–body jerking for 10 min. He lost bladder function, and afterwards was [...]

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“Georgia Home Boy” Toxicity

Case Presentation: A 34–year–old Caucasian male was brought into the emergency room as he was found unresponsive. Patient received three doses of naloxone without any improvement. Patient had a temperature of 93.3 F, blood pressure [...]

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An Overlooked Cause of Chest Pain

Case Presentation: A 23–year–old male presented to the Emergency Room with symptoms of substernal chest pain radiating to his neck. The pain began spontaneously one day prior to arrival and progressed through the day. Subsequently [...]

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Catastrophic Antiphospholipid Syndrome in a 27Year Old Female

Case Presentation: A 27–year–old female with a past medical history of polycystic ovarian syndrome presented to the hospital with nausea and intractable vomiting starting 2 weeks after intrauterine insemination. Her physical examination was normal. At [...]

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Risky Business: Surviving the Common and Uncommon Adverse Effects of Cocaine

Case Presentation: A 38–year–old Mexican man presented with one day of sudden onset left shin pain, with generalized weakness and dyspnea. His temperature was 99.0, pulse 90, blood pressure 108/72, respiratory rate 24. On exam [...]

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