Case Presentation: A 54 year old African American female with a past medical history of significant tobacco use presented with worsening shortness of breath and increased cough. She reported having hemoptysis 2 months ago which resolved, unexplained weight loss (30 lbs over 6 months), orthopnea, and diaphoresis. Physical examination was positive for wheezing and rhonchi, […]

Case Presentation: We present a case of a 63 year old man who came in with a left sided neck mass and blue discoloration of his left upper extremity. Patient had left side limb discoloration for a month, he woke up with a large left sided neck mass that prompted him to come to the […]

Case Presentation: 56-year-old Caucasian lady with a past medical history of recurrent stage 4 melanoma presented with nausea, vomiting, inadequate oral intake and weight loss of 20lbs over several weeks. She received nivolumab immunotherapy for one year and stopped 3-months prior to presentation due to stable lesions without recurrence. She also underwent an esophagogastroduodenoscopy (EGD) […]

Case Presentation: A 28-year-old male patient presented to the hospital with central, non-radiating, moderate-intensity chest pain that started four days after his second dose of Pfizer-BioNTech COVID-19 vaccine. The patient had neither any prior history of SARS-COV2 infection nor known exposure to a symptomatic patient. He denied any fever, chills, diaphoresis, upper or lower respiratory […]

Case Presentation: A 19-year-old female with a history of opioid use disorder (OUD) presented to the Emergency Department with abdominal pain, fever, and severe hypotension several days after relapsing with intravenous heroin following two years of successful maintenance on buprenorphine. She was admitted to the intensive care unit for treatment of severe sepsis including broad-spectrum […]

Case Presentation: A 40-year-old female patient with a past medical history of hypertension and migraines on amitriptyline presented to the emergency department after noticing a right-sided hemiparesis. She has history of intermittent headaches reaching 10/10 severity within one minute over the last several months and one hemiplegic migraine on the left side. Exam was remarkable for a right facial palsy with decreased sensation to light touch and 2+/5 strength on the right upper and lower […]

Case Presentation: A 59 year old woman with presumed systemic lupus erythematosus (SLE) was admitted to hospital medicine for severe pancytopenia (WBC 1.3 x109/L, hemoglobin 9.2g/dL, platelet 14×109/L). She had an extensive diagnostic work-up with rheumatology and hematology without a definitive diagnosis; rheumatology questioned her prior SLE diagnosis. Imaging showed diffuse lymphadenopathy and splenomegaly. Three […]

Case Presentation: A 78-year-old male with a past medical history of hypertension, primary hyperparathyroidism, hyperlipidemia, renal cell carcinoma with left nephrectomy, prostate cancer in remission, multiple skin cancers, and end-stage renal disease treated with transplant currently on immunosuppressants (sirolimus, azathioprine, and prednisone), who presented with one month of diffuse maculopapular pruritic skin rash and hair […]

Case Presentation: A 67 yo blind man was admitted with confusion due to cholangitis. The patient was unable to participate on the day of admission in the interview due to his confusion. His family reported he had not drank alcohol for 3 months. On hospital day 2, the patient was able follow simple directions, but […]

Case Presentation: A 38 year old man presented to the ED noting 12 days of yellowing of his eyes and 3 days of abdominal pain and swelling. He endorsed subjective fevers and noted drinking 8 beers daily. He immigrated from Mexico 12 years ago. Exam showed tachycardia, tachypnea, scleral icterus, and distended abdomen with fluid […]