Case Presentation: Diclofenac is a routinely prescribed non-steroidal anti-inflammatory agent in hospital with well-recognized hepatotoxic potential. However, there are only two reported cases of topical diclofenac-induced liver injury in literature. Herein, we describe a case of a 94-year-old man with Paget’s disease and osteoarthritis, who developed acute hepatotoxicity after four months of application of topical [...]

Case Presentation: The first patient is a 47-year-old African-American male who presented with severe hand pain and purulent wound. Initial laboratory findings revealed elevated liver enzymes, elevated inflammatory markers, and leukocytosis. The patient underwent incision and drainage of the hand wound followed by antibiotic administration. The patient then developed diffuse, pustular lesions with an umbilicated [...]

Case Presentation: Our patient is a 65 year old male with history of end stage renal disease on hemodialysis, peripheral arterial disease complicated by bilateral below knee amputations, and type 2 diabetes mellitus admitted with limited flow on his right AV fistula. An IR fistulagram revealed moderate stenosis of the basilic vein outflow, and mild [...]

Case Presentation: A 27-year-old woman with history of hypertension, diabetes mellitus, hyperlipidemia, and family history of sudden cardiac death presents to the hospital with complaints of substernal chest pain and palpitations. She has a history of recurrent chest pain following multiple COVID-19 infections. Labs were unremarkable except uncontrolled glucose level. Electrocardiogram demonstrated normal sinus rhythm. [...]

Case Presentation: A 73-year-old woman with a history of cervical carcinoma treated with chemotherapy and radiation in remission presented with weight loss (6 kg), poor oral intake and dysphagia over the prior three months. She reported epigastric and chest discomfort after swallowing, early satiety and the feeling of food becoming stuck in her upper abdomen. [...]

Case Presentation: A 50-year-old female with rheumatoid arthritis who received 6-monthly maintenance Rituxan infusions, developed COVID-19 and was hospitalized with acute hypoxic respiratory failure. She was treated with 5 days of Remdesivir and discharged with 3L supplemental oxygen to complete a 10-day course of Dexamethasone. She didn’t improve to baseline and was re-hospitalized with progressively [...]

Case Presentation: A 63-year-old woman with a history of Lynch Syndrome who presented with acute chest pain. Her Lynch Syndrome manifested with invasive moderately differentiated adenocarinoma of the sigmoid colon managed with hemicolectomy as well as 9 cycles of Leuocoverin, 5-Fluorouriacil (5-FU) and oxaliplatin (FOLFOX) and prophylactic total hysterectomy and bilateral salpingo-oophorectomy. She completed her [...]

Case Presentation: A 47-year-old male with no past medical history was admitted with acute generalized weakness of one-week duration associated with bloating, nausea, and dark yellowish discoloration of urine. He also reported poor appetite and weight loss for one month. Physical examination was significant only for conjunctival pallor, vital signs were stable. Initial investigations revealed [...]

Case Presentation: A 42 year old female with history of pain, anxiety, depression, substance use disorder, and atrial septal defect who was admitted for workup of 6-7 months of fevers at home. She had been admitted about 1 month prior for workup of fever of unknown origin. Workup at that time revealed candida esophagitis, but [...]

Case Presentation: Case Presentations: Five new cases of ocular syphilis were diagnosed and treated at Naval Medical Center Portsmouth between December 2020 and August 2021. Although this manifestation is rare, there has been an increase in rate of occurrence of newly diagnosed syphilis cases every year since 2000, to include preliminary data from the CDC [...]