Case Presentation: A 73yo Caucasian female with history of hypertension, hyperlipidemia, type II diabetes mellitus, and osteoarthritis, presented a few hours after sudden onset, sharp LUQ abdominal pain associated with multiple episodes of nausea and vomiting. Patient denied any previous event like presentation. Further workup revealed no history of pancreatitis, trauma, or alcohol abuse. Medications [...]

Case Presentation: 48 y/o African American with h/o obesity and HTN on Enalapril, menorrhagia was sent in by PCP for low H/H of 6.3/23. Patient has been having chronically heavy menses associated with large clots. Her usual hemoglobin is around 9-10mg/dL. Denies any other symptoms.Patient was admitted to medicine for anemia requiring blood transfusion. Cross [...]

Case Presentation: A 23-year-old male with a past medical history of systemic lupus erythematosus presented to the emergency department with a chief complaint of blurred vision. His blurred vision was ongoing for several months and was not associated with any pain. The patient had recently been seen at an outpatient ophthalmology clinic where he was [...]

Case Presentation: A 57-year-old male came to the hospital after he noticed dysarthria and progressive bilateral arm and leg weakness, with sensory changes that were progressive over 2 months. At the time of his presentation, his functional status had diminished- he had to use a cane to ambulate. His medical history was pertinent for HIV, [...]

Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in [...]

Case Presentation: A 63-year-old Caucasian female with a medical history of type 2 DM, HTN, and cholecystectomy presented with a 3-days history of abdominal pain, nausea, and vomiting. She has no history of alcohol intake and has a pertinent family history of colon cancer. Physical exam and vital signs were normal except for epigastric tenderness.Labs [...]

Case Presentation: A 46-year-old Hispanic male with a history of acute myelocytic leukemia (AML) presents with subjective fever of three-day duration after one week of induction chemotherapy with fludarabine, cytarabine, filgrastim (FLAG), and venetoclax. Otherwise, the patient denies cough, shortness-of-breath, diarrhea, abdominal pain, or dysuria. Vitals signs showed a temperature of 37.6C, pulse of 87, [...]

Case Presentation: A 19 year-old college student presented with fevers, chills, and a sore throat for the past 7 days. She had no significant past medical history and was healthy at baseline. She denied any illicit or intravenous drug use. Her vitals were notable for a temperature of 102.4F and heart rate 115 bpm. On [...]

Case Presentation: A 60-year-old man with a history of alcoholic cirrhosis and autoimmune cholangitis on azathioprine and prednisone (10 mg daily) presented to the emergency room for shortness of breath, productive cough, and chest pain for two weeks. Recent surveillance EGD had showed diffuse esophageal candidiasis and the patient had been started on daily fluconazole. [...]

Case Presentation: A 41-year-old male presented with three-day history of fever with chills, headache, and emesis. His prior medical history was significant for splenomegaly with thrombocytopenia of unclear etiology for several years. He had recent travel throughout the United States and the United Kingdom. He also noted remote travel to East Africa, China and Chile [...]