Rare Cause of Lack of Expected Weight Gain in an Infant

Case Presentation: RB was a 6 week old full term infant who presented with lack of expected weight gain. Birth weight was 2.6 kg (3%) and her admit weight was 2.47 kg (3 Standard deviations [...]

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Hiv & Invasive Meningococcal Disease: Causal or Coincidental?

Case Presentation: A 52–year–old gentleman with human immunodeficiency disease (HIV) and CD4 count greater than 500 cells per cubic millimeter of blood presented with 2 days of diarrhea, lethargy, myalgias, arthralgias, and a rash. He [...]

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A Case of Injecting Too Deeply

Case Presentation: A 65–year–old female with metastatic breast cancer, glioblastoma multiforme, bilateral pulmonary emboli diagnosed 4 days prior to admission started on enoxaparin, presented with syncope. On the day of admission the patient collapsed on [...]

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Two for the Price of One: Simultaneous Hepatic and Cardiac Toxicity from Hydroxychloroquine

Case Presentation: This is a 72–year–old African American woman who presented to the hospital with abdominal pain and failure to thrive which began 1 month prior to presentation. Notably, she was diagnosed with hydralazine–induced lupus [...]

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Hydatid Cyst: A Challenging Case That Needed a Multidisciplinary Approach and a Translator

Case Presentation: A previously asymptomatic 46–year–old male presented with acute onset of sharp right upper quadrant (RUQ) pain. Patient denied nausea, vomiting, fever or similar symptoms before. The patient is Lebanese and had moved to [...]

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Rapid Development of Obstructive Hypertrophic Cardiomyopathy in an Elderly Woman

Case Presentation: An 85–year–old woman with hypertension, coronary artery disease (angioplasty and stent in 1998), peripheral vascular disease presented to the emergency room after a mechanical fall at home. The patient had a sudden fall [...]

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Recurrent Hematemesis: Fact and Fiction?

Case Presentation: A 20–year–old woman with a history of Crohn's disease and a Mallory Weiss tear presented with hematemesis. One month prior to presentation she was admitted to another institution with black, tarry stools. She [...]

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Persistent Fever and a Single Positive Blood Culturehow Far Your Suspecion Can Guide You?

Case Presentation: A 56–year–old male presented with generalized body aches, chills and fever for 8 days. Symptoms were associated with palpitation, sweating, headache, and dry cough. He denied any IV drug abuse. Physical exam showed [...]

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Blood on Your Hands

Case Presentation: A 35–year–old man presented with 6 h of epistaxis. He had a lifelong history of von Willebrand disease (vWD) type IIB, but denied previous hospitalizations or transfusions. He reported prior epistaxis episodes that [...]

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The Turn of the Worm

Case Presentation: A 48 y/o Cambodian woman with history of immigrating to the US thirty years pta and "cryptogenic cirrhosis" was transferred to our facility with abdominal pain, nausea, and anorexia. PE revealed jaundice, tachypnea, [...]

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Methotrexate Toxicity in a Patient with Acute Cholecystitis

Case Presentation: A 76–year–old bed–bound woman with rheumatoid arthritis presented with one week of abdominal pain. Three days earlier she had developed mouth sores, painful swallowing and decreased oral intake. She was hypotensive and had [...]

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Tracing the Etiology of Polyneuropathy After Gastric Bypass Surgery

Case Presentation: This was a 42–year–old Caucasian female with history of alcohol–induced cirrhosis, Roux–en–Y gastric bypass surgery who presented to the hospital for generalized weakness and severe rash. She developed symmetrical weakness in her lower [...]

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A Rare Cause of Mastitis

Case Presentation: A 50–year–old Caucasian woman presented to the emergency department with worsening left breast redness and nipple discharge for 3 days. Examination was significant for erythema encompassing most of the left breast with yellow [...]

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Stroke in 28Yearold Female: Migraine Induced or Triptan Use?

Case Presentation: A 28–year–old nonsmoker female with a history of migraines and OCP use presented to the hospital with acute onset confusion, disorientation and right–sided focal neurologic deficits. The patient had migraines since age 12 [...]

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Amyotrophic Lateral Sclerosis(Als) in a Patient with Systemic Lupus Erythematosus (Sle)

Case Presentation: A 68–year–old man with stable lupus nephritis diagnosed in 1999, presented with progressive difficulty with swallowing and speaking since May 2009 requiring percutaneous endoscopic gastrostomy tube placement in August 2010. Muscle atrophy, twitching [...]

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