Case Presentation: Fibrosis is a consequence of inflammation in response to injury which results in regeneration of the damaged tissue and deposition of connective tissue. The development of post-surgical or radiation-induced gastrointestinal fibrosis is a chronic process that can surface months to years after treatment. We present a case of duodenal fibrosis mimicking a neoplastic [...]

Case Presentation: 73-year-old man was diagnosed with immune thrombocytopenia (ITP) in 2011 and was treated with intravenous immunoglobulin (IVIG), high dose steroid, rituximab and romiplostim to which he responded and subsequently was weaned off of azathioprine and steroid and achieved remission starting 2012. Eight weeks after receiving second dose of Pfizer’s BNT162b2 vaccination, he noted [...]

Case Presentation: An 81-year-old woman with a pertinent history of primary hypothyroidism and lung adenocarcinoma, treated with durvalumab, was admitted to the hospital in shock after being found lethargic, hypotensive, and hypoxic at home.Prior to admission, she developed weakness, fatigue, anorexia, vomiting, and diarrhea. She had recently been hospitalized with presumed septic shock attributed to [...]

Case Presentation: An 80-year-old woman with a history of hypertension, pre-diabetes, chronic kidney disease (stage 3b), and remote ischemic stroke without residual deficits presented to the emergency department complaining of several hours of epigastric discomfort and malaise. An EKG revealed >1 mm ST segment elevation in leads V4-6 (Fig. 1). The troponin I was elevated [...]

Case Presentation: A 43-year-old man presented to the hospital with three days of lethargy, confusion, jaundice, abdominal pain with associated vomiting and poor oral intake. Medical history includes recently diagnosed Adult-onset Still’s Disease (AOSD) 6 weeks prior to presentation, for which he was taking prednisone 60 mg daily. Exam was notable for lethargy, petechiae on [...]

Case Presentation: An 18-year-old male presented to our endocrinology clinic with concerns for low libido for one year. He reported extreme fatigue, loss of erections, and sexual desire. The patient was training vigorously for wrestling. He would exercise and weight train for two hours daily on a very limited calorie intake. He started feeling extremely [...]

Case Presentation: A 52-year-old man with a history of hypertension and coronavirus disease 2019 (COVID-19) two months prior presented to the emergency department (ED) with five days of fever, malaise, vomiting, and diarrhea. He tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) three days prior and received monoclonal antibody infusion the day prior [...]

Case Presentation: A 60-year-old African American male with a recent diagnosis of thromboangiitis obliterans (Buerger’s disease) presented with new painful penile and scrotal ulcerations in the setting of digital ischemia, palmar skin lesions, bloody diarrhea, a 50-pound weight loss, and progressive dyspnea over the past six months. No vascular etiology for ischemia was found. Labs [...]

Case Presentation: A 68 year-old Spanish-speaking female with PMH of type 2 diabetes mellitus, GERD, and tobacco use presented to the Emergency Department (ED) with one day of acute-onset substernal chest pain associated with nausea/vomiting and bilateral arm numbness L>R. Initial workup revealed CXR with mass-like opacity in the right upper lobe, high sensitivity troponin [...]

Case Presentation: A 57-year-old female with a history of heart failure with reduced ejection faction, COPD, and a right renal mass presented to the emergency department with a 3-month history of lower leg ulcers. The patient noticed purple discoloration of the lower extremities 2 weeks after receiving the second dose of the Moderna COVID-19 vaccine [...]