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A Rare Cause of Cauda Equina Syndrome

Case Presentation: A 65‐year‐old man presented with left hip pain. He described frequent falls at home over several weeks with associated left hip pain and leg weakness. He insisted that his symptoms were due to [...]

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Acute Aseptic Meningitis Associated with Herpes Zoster Reactivation in an Immunocompetent Adult

Case Presentation: A 61‐year‐old woman with a history of hypertension and neurofibromatosis type 2 with chronic occipital headaches, presented to the emergency department with a 3‐day course of frontal headache and a painful rash on [...]

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An Unfortunate Case of Aortoesophageal Fistula with Herald Symptoms

Case Presentation: Aortoesophageal fistula is a rare but life‐threatening complication after surgical aortic repair and should be considered in patients with history of aortic graft placement who complains of unexplained gastrointestinal bleeding. The mortality rate [...]

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You Found My Kidney in My Intestines?

Case Presentation: The patient is a 52 year‐old man with a history of alcohol abuse, occasional cocaine use, and recent NSAID use who presents with symptomatic anemia. Two days prior to admission he presented to [...]

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Cut Loose the Anchor: In Search of the Life Aquatic

Case Presentation: A 30‐year‐old man with depression and alcohol abuse presented with a 4‐day history of vomiting, productive cough, dyspnea, pleuritic chest pain, and intermittent fevers. His family noted slurred speech, confusion, and auditory and [...]

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Taking It from the Top — a Case of Apical Hypertrophic Cardiomyopathy

Case Presentation: A 30‐year‐old man originally from New Guinea presented to the hospital with two hours of palpitations associated with lightheadedness and diaphoresis. He had a similar presentation 10 years prior and was told there [...]

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You Can't Handl the Truth: Another Cause of Headache with Neurologic Deficits

Case Presentation: A 17‐year‐old boy presented with a 1‐week history of headache, confusion, and weakness. The headache was initially localized behind his left eye and was associated with emesis. He was given a prescription for [...]

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Derailing the Ex‐Lap Train: A 62‐Year‐Old Woman with Peritonitis After Colonoscopy

Case Presentation: A 62‐year‐old woman presented with the acute onset of severe abdominal pain of approximately 6 hours duration. Earlier that day, she had undergone a colonoscopy, during which one 18‐mm sessile polyp was removed. [...]

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A Tale of the Tongue

Case Presentation: A 42‐year‐old woman presented with a 3‐month history of worsening mouth pain and weight loss. She also complained of hair loss, paresthesias, and generalized weakness. She attributed these changes to poor oral intake [...]

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Gout of the Symphysis Pubis, a Rare Pain in the Pelvis

Case Presentation: A 56‐year‐old woman with a history of atrial fibrillation, diabetes, and rheumatoid arthritis on chronic narcotics presented after being found unresponsive at home. She was hypopneic and intubated for airway protection. Pressors were [...]

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Moan and Groan: Deficiency or Excess? A Fascinating Case of Hypercalcemia

Case Presentation: A 26‐year‐old man who underwent recent resection of an ACTH‐secreting pituitary adenoma 1 month prior to admission presented to the hospital with 1 week of nausea, vomiting, and abdominal pain. Laboratory results were [...]

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Sneaky Sarcoidosis or a Metastatic Masquerade?

Case Presentation: A 53‐year‐old African American woman presented with 2 weeks of productive cough not responsive to antibiotics and 1 week of fever, headache, night sweats, and lightheadedness. She also reported a 25‐pound weight loss [...]

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A Case Report of Idiopathic Cd4 Lymphocytopenia

Case Presentation: A 53‐year‐old woman presented with vomiting, severe headache, and neck stiffness. She had no recent sick contacts, travel or tick bites. She was without identifiable HIV risk factors or family history of immunodeficiency [...]

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Cryptococcus Gattii: A Spreading Tropical Fungus

Case Presentation: The patient is a 50‐year‐old man with productive cough for 3 months, weight loss, and leg buckling with progressive thigh pain. He has a history of a ground‐level fall from a horse while [...]

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An Unusual Case of Complete Heart Block

Case Presentation: A 57‐year‐old white man with no significant medical history was brought to the emergency department with complaints of not feeling well for 2 weeks. He also mentioned generalized weakness, vague abdominal discomfort, coffee‐ground [...]

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