Case Presentation: A 64 year-old male with past medical history of prostate adenocarcinoma, hypertension, gout, GERD, and alcohol abuse presented to the hospital with jaundice for seven days. Past surgical history was notable for cholecystectomy. Patient was currently on radiation therapy and set to initiate chemotherapy later. A course of Bicalutamide and Augmentin were recently [...]

Case Presentation: 71-year-old man with a history of atrial fibrillation, presented with four-months of fatigue, 50lb weight loss, night sweats and petechiae spreading from legs to abdomen and arms. On admission, vital signs were unremarkable. On physical exam, he had non-blanching, non-palpable petechiae extending from his lower extremities (LEs) to torso and upper extremities and [...]

Case Presentation: A 68-year-old male with COPD and prior lung cancer treated with chemotherapy and radiation presented with three days of progressive dyspnea, malaise, and altered mental status. On admission, he was in acute hypoxemic respiratory failure requiring BiPAP. The patient was unvaccinated against SARS-COV-2 and tested positive for the virus. He received dexamethasone and [...]

Case Presentation: 83 year old female with a history of SLE, rheumatoid arthritis, B-cell lymphoma in remission, hypothyroidism presented with a 4 day history of atraumatic lower back pain, rash to left lower back, nausea, retching, few episodes of small volume, clear vomitus and fatigue. She also reported one year of 25 pound unintentional weight [...]

Case Presentation: A 82-year-old male patient with a past medical history of Coronary Artery Bypass Graft (CABG) and severe mitral regurgitation with repair presented at 6 weeks after bioprosthetic mitral valve replacement with a two-day history of sudden onset of dyspnea, that was associated with exertion and orthopnea. Vitals upon evaluation were as follows: Initial [...]

Case Presentation: A 66-year-old-male presented with painless jaundice. Laboratory tests were consistent with biliary obstruction, Ca 19-9 was 304.3 IU/mL (N: 0.0-35), and CT scan revealed a pancreatic mass with omental metastasis. The patient underwent ERCP with biopsy. Pathology was consistent with pancreatic adenocarcinoma (Figure 1A-B). He underwent a Whipple procedure and completed 12 cycles [...]

Case Presentation: A 69-year-old male with a history of bronchitis, colon polyps, and obstructive sleep apnea was admitted to the hospital for diarrhea and syncope with a low hemoglobin level of 8.4 and a cervical spine fracture. During his hospitalization, the patient noted a “lump” on his superior left tongue that he had first noticed [...]

Case Presentation: Coccidioidomycosis is a fungal infection caused by the dimorphic organism Coccidioides commonly reported in the Southwest of the United States. Tumor necrosis factors inhibitors (TNFi) have become widely used to treat autoimmune and inflammatory conditions. But patients using TNFi are at increased risk of developing several infections, including coccidioidomycosis in endemic areas. Nevertheless, [...]

Case Presentation: A 35-year-old man presented to ED with sudden onset weakness on left hand. He denied fever, dizziness, headache, and similar symptoms in the past. He doesn’t take any medication. He had upper respiratory symptoms two weeks ago and resolved. He has not received influenza and COVID-19 vaccine. Examination showed diminished power (4/5) in [...]

Case Presentation: A 48 year old woman with a history of stroke, idiopathic intracranial HTN, type 2 DM, HTN, and obesity, presented a few hours after developing increasing confusion and lethargy. For 2 weeks, she also reports headache, neck pain, poor appetite, nausea, rare vomiting, and occasional diarrhea. Exposure history notable for owning a dog, [...]