Case Presentation: A fifty-three year old male presented with alcohol intoxication, generalized fatigue of two days, hyperglycemia and lack of appetite. He was ill-appearing, tachycardiac, severely dehydrated and distended. The patient had a long history of chronic ethanol abuse, liver disease, recurrent anemia, a right frontotemporal hemorrhage, and was found to have pancreatitis and encephalopathy [...]

Case Presentation: A 80 year-old man with past medical history of frontotemporal dementia and seronegative rheumatoid arthritis (RA) presented with a maculopapular rash that started two weeks ago on his back that progressed to his chest, abdomen, neck, face, scalp, and arms. Physical exam also showed oral mucositis. For his RA, he had been on [...]

Case Presentation: A 70-year-old female with a complex medical history including Barrett’s esophagus, Class 3 obesity, obstructive sleep apnea, obesity, atrial fibrillation, and adenocarcinoma of the esophagus in remission, presented with three days of intractable nausea, vomiting, and epigastric abdominal pain. She categorized the pain as sharp and radiating to the right and left upper [...]

Case Presentation: A 52 year-old man with PMH of HIV presented with inguinal lymphadenopathy, intermittent abdominal pain, suprapubic fullness, fever and poor urine production for several days. Bladder catheterization yielded a large volume of bloody urine. The patient had not experienced hematuria previously and had no history of urinary retention, urgency, perineal or GU trauma. [...]

Case Presentation: Raoultella ornithinolytica, a close relative of the genus Klebsiella, is a rare, Gram-negative bacterium known to cause biliary, pulmonary, and urinary tract infections in elderly or immunocompromised hosts. This case illustrates an unexpected discovery of Raoutella ornithinolytica bacteremia in a 20-year-old immunocompetent male with an underlying congenital condition called Caroli disease.A 20-year-old male [...]

Case Presentation: A healthy 61-year-old woman residing in New York City presented with fever, fatigue, and decreased urinary output for four days. She was ill-appearing, jaundiced and hypotensive. Laboratory results were notable for WBC of 5.2/µl, hemoglobin 9 g/dl, platelet count 46,000/mm3, BUN 43 mg/dl, creatinine 4.36 g/dl, total bilirubin 4.6 mg/dl, direct bilirubin 1.5 [...]

Case Presentation: 24-year-old female presented with greater than one month history of sporadic rash with migratory arthralgias, fevers, and pharyngitis with lymphadenopathy. Patient first developed a sporadic, erythematous, non-pruritic maculopapular rash that would wax and wane during a trip to Mexico two months prior to presentation. Patient also began to experience diffuse migratory arthralgias, starting [...]

Case Presentation: A 70-year-old woman with morbid obesity and non-alcoholic steatohepatitis cirrhosis was initially treated at an outside hospital for hematemesis. She received aggressive volume resuscitation, a blood transfusion, and was found to have esophageal varices. She was transferred for endovascular management of her varices. During transfer, she had nausea treated with an antiemetic administered [...]

Case Presentation: Granulomatosis with Polyangiitis (GPA) is a rare necrotizing vasculitis characterized by chronic granulomatous inflammation and localized and systemic manifestations. It typically involves the upper airway, lungs, and kidneys, but potentially affects every organ with a highly variable clinical trajectory. Diffuse alveolar hemorrhage (DAH) is one of its least common pulmonary manifestations, characterized by [...]

Case Presentation: 53y/o Hispanic woman with a history of cervical cancer in 2001 s/p treatment now in remission, HTN, and a recent diagnosis of inflammatory arthritis in 5/2023 on treatment with Infliximab who presented with recurrent fevers, diarrhea, and abdominal pain in the setting of new ascites for the past several weeks. Patient had previously [...]