Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior [...]

Case Presentation: A 59-year-old male with a history of Factor V Leiden and BPH presented with three weeks of worsening left flank pain accompanied by intermittent fevers and fatigue. He also endorsed a history of persistent fevers a few months ago which resolved without treatment. The patient immigrated 30 years ago from rural Italy, and [...]

Case Presentation: A 45-year-old male with a history of smoking and hypertension presented to his primary care provider for progressive left-sided pleuritic chest pain without night sweats or fever and reported 2 months of intentional weight loss with diet and exercise. He was sent for an outpatient CT which revealed splenomegaly of 16x19cm with possible [...]

Case Presentation: A 4-year-old previously healthy boy presented with 10 days of fevers, intermittent abdominal pain, and poor appetite. Exam was notable for mild abdominal distension without tenderness. Labs showed leukocytosis, normocytic anemia, and elevated inflammatory markers. An echocardiogram showed mild dilation of his left anterior descending and left main coronary arteries, and he was [...]