Case Presentation: A 74-year-old female with a history of hypertension on olmesartan presents to the emergency department with acute worsening of chronic watery diarrhea and is hospitalized for failure to thrive.The diarrhea has been ongoing for a year but has progressively worsened over the past month, with large volume watery bowel movements unrelated to oral [...]

Case Presentation: A 73-year-old female with a history of ascending aortic aneurysm repaired by ascending aortic replacement with hemi-arch replacement in June presented in July for symptomatic low home blood pressure readings. Her workup incidentally revealed an absolute eosinophil count (AEC) of 1800/µL with thrombocytosis (726 x1000/µL) and mild leukocytosis (11.5×1000/µL). Repeat testing demonstrated a [...]

Case Presentation: A 42-year-old man presented to his primary care clinic with five weeks of diarrhea with up to 8 loose, watery stools a day and cramping abdominal pain. On exam patient was well appearing, with normal vital signs, no abdominal tenderness or distention. Laboratory evaluation revealed a hemoglobin of 12.4 g/dL, albumin of 3.3 [...]

Case Presentation: A 55-year-old man with a history of chronic alcohol abuse, anxiety, and Crohn’s disease treated with right hemicolectomy and ileocolic anastomosis 30 years ago presented with symptoms of altered mental status, generalized weakness, and weight loss for 10 days. He endorsed chronic diarrhea but was not on immunosuppressants. He had a temperature of [...]

Case Presentation: An 86-year-old male with a past medical history of bladder cancer, status post Bacillus Calmette-Guerin (BCG) therapy 12 months prior, presented to the ED with three months of progressively worsening back pain and weight loss. He denied cough, fever, night sweats, dysuria, recent travel, history of farming, exposure to cattle, or consumption of [...]

Case Presentation: An 85-year-old female presented to the ED with a chief concern of altered mental status from her previous baseline cognitive status a few hours prior. The patient’s medical history was significant for dementia, type 2 diabetes mellitus, and hypothyroidism. Initial exam revealed a confused but cooperative patient, A&Ox2 (self and time), discoloration of [...]

Case Presentation: A 68-year-old Spanish speaking female with a history of chronic lymphocytic leukemia (CLL), in remission, and autoimmune hemolytic anemia (AIHA) presented to the ED with left sided neck pain, edema, and hoarseness. These symptoms had been present for the past four months despite three courses of antibiotics. Steroids given in the ED improved [...]

Case Presentation: A 27-year-old man without significant medical history presented with constipation and weight loss of 25 pounds in 2 months. A digital rectal examination revealed a fungating mass in the rectum. CT abdomen/pelvis showed the presence of a large intraluminal rectal mass measuring 6.8 X 5.8 X 6.3 cm with no evidence of metastasis. [...]

Case Presentation: We present a 37-year-old man with refractory hypokalemia hospitalized for resection of his sarcoma sacral lesions. History was also significant for biopsy proven mucormycosis thyroid infection three months prior with the additional finding of a right lower lobe cavitating consolidation. He underwent subsequent thyroidectomy and was initially treated with amphotericin B and posaconazole [...]

Case Presentation: A 61-year-old male with past medical history of type 2 diabetes, hypertension, hyperlipidemia, tobacco use disorder, Raynaud phenomenon, and provoked DVT presented from an outside hospital with abrupt onset of a purpuric lower extremity rash with discoloration and ulceration of the distal fingers and toes. At the time of the patient’s DVT several [...]