Case Presentation: An 81-year-old man with a history of heart failure (HF) and recent diagnosis of an ileocecal mass with associated bulky lymphadenopathy and peritoneal carcinomatosis (Figure 1) presented to the emergency room with decreased appetite, abdominal pain, and worsening abdominal distention. Upon arrival, the patient was afebrile and hemodynamically stable. Physical examination was remarkable [...]

Case Presentation: The patient is a 52-year-old male with a history of HIV (on antiretroviral therapy), ulcerative colitis, untreated hepatitis C who presented to the hospital after several weeks of difficulty passing stools, tenesmus, and rectal pain. This was originally attributed to hemorrhoids several weeks prior to presentation, but after symptoms progressed, the patient presented [...]

Case Presentation: A 62-year-oldwoman with heart failure with preserved ejection fraction (HFpEF) presented with one week of worsening shortness of breath, bilateral lower extremity edema, and poor oral intake. Over the past year, the she had increasing early satiety resulting in a 93-pound weight loss and progressively decreasing exercise tolerance. She noted dry eyes, dry [...]

Case Presentation: A 39-year-old man presented with family history of arrhythmogenic right ventricular cardiomyopathy (ARVC). He reported palpitations with exercise. Cascade genetic testing was positive for plakophilin-2 gene mutation. EKG demonstrated sinus bradycardia with possible epsilon wave in V1 and right-axis deviation. Transthoracic echocardiogram was normal. Cardiac MRI (CMR) showed right ventricular free wall thinning [...]

Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a [...]

Case Presentation: A 39-year-old male with no significant past medical history presented to the ED with dyspnea on exertion, palpitations, orthopnea, lightheadedness, anxiety, 100-pound weight loss over a 2-year period, and swelling in his left lower extremity. Upon admission, the patient was tachycardic and tachypneic. EKG was significant for new onset atrial fibrillation with RVR, [...]

Case Presentation: A 56-year-old immunocompetent man with history of inhaled methamphetamine use, poor dentition and recent all-terrain vehicle (ATV) accident requiring chest tube, presented with 1 week of progressive hallucinations, who was found to have multiple ring enhancing brain lesions. Initially, he was afebrile with normal vitals, minimally responsive to noxious stimuli and moving all [...]

Case Presentation: A 55-year-old female with a past medical history of seizure disorder and prior opioid use presented to an outside emergency department with a 1-day history of expressive aphasia and headache. Her NIH Stroke Scale was 4. CT head w/o contrast demonstrated a subacute infarct within the left middle cerebral artery (MCA) territory and [...]

Case Presentation: A 69-year-old male with hypertension, prostate cancer in remission, and recent diagnosis of lymphoma presented after experiencing a fall. Prior workup for abdominal pain, fever, night sweats, and weight loss revealed splenomegaly, anemia, and diffuse lymphadenopathy. Bone marrow biopsy demonstrated malignant lymphoma with prominent follicular helper T-cell component occupying 25-30% of the sampled [...]

Case Presentation: Two patients developed tongue necrosis as an unusual presentation of giant cell arteritis (GCA).Case 1:A 61-year-old female presented with a one month history of painful swelling and ulceration of her tongue with weight loss. She received a punch biopsy of her tongue that showed ischemic, necrotic, and autolytic changes. After large areas of [...]