Case Presentation: The patient is a 43-year-old female with asthma, hypertension, and obesity who presented to her PCP for cough, pharyngitis, and dyspnea. Exam revealed jaundice, livedo reticularis, and pallor. Complete blood counts (CBC) showed white blood cells 22.8 x109/ L, hemoglobin 8.9 g/dL, and platelets 674 ×109/L. Her family history had no hematologic malignancies [...]

Case Presentation: OBJECTIVE- To understand that hypokalemia is common in patients with Duchenne Muscular Dystrophy (DMD) when acutely ill – To understand the mechanism of hypokalemia in patients with Duchenne’s Muscular Dystrophy (DMD)A 62-year-old male with Duchenne Muscular Dystrophy (DMD) who is ventilator-dependent and quadriplegic presented to the hospital with acute onset of fever and [...]

Case Presentation: An 87-year-old woman with a history of pancreatic cancer status post distal pancreatectomy/splenectomy/partial colectomy, chronic kidney disease, hepatocellular carcinoma, and diabetes was admitted following sudden onset of new, uncontrollable bilateral upper extremity shaking and facial twitching. Symptoms started the night before and became progressively worse with dyspnea, nausea, and bilateral lower extremity tremors [...]

Case Presentation: A 29-year-old man with a history of morbid obesity, asthma, and chronic tracheostomy presented with 3 weeks of abdominal pain. The pain was intermittent and epigastric, without relationship to eating. He had poor appetite and nausea, though no emesis. He denied use of ibuprofen or alcohol. He denied fevers or chills. The pain [...]

Case Presentation: A 50-year-old woman with prior cerebrovascular accident, paroxysmal atrial fibrillation, hypertension, and diabetes who presented for her second syncopal episode in as many months. Her exam was unremarkable aside from chronic neurologic deficits and new lower extremity swelling. Initial labs revealed elevated creatinine and large protein on her urinalysis with a very low [...]

Case Presentation: The World Health Organization designates a rare disease as one affecting under 6.5-10 per 10,000 people (1). We present a case of disparate findings, ultimately diagnosing Erdheim-Chester Disease (ECD), a rare non-Langerhans histiocytic multisystem disorder with fewer than 1000 reported cases (2,3).A 63-year-old man presented with months of progressively worsening anasarca, acute on [...]

Case Presentation: A 41-year-old female with Acquired Immunodeficiency Syndrome (AIDS) presented with a complex clinical picture involving seizures, falls, and fever. Limited historical information hindered a comprehensive understanding of the patient’s medical background. Upon examination, the patient exhibited signs of cachexia, lethargy, and distinctive skin lesions. Laboratory results revealed anemia, leukocytosis, and a significantly low [...]

Case Presentation: A 53-year-old female with a past medical history of hypertension presented with three days of progressively worsening confusion, aphasia, poor PO intake, and urinary incontinence. Vital signs were within normal limits. Physical exam notable for orientation only to person and place, hyperreflexia, and no other focal neurologic deficits. Initial workup significant for positive [...]

Case Presentation: A 45-year-old female with history of VSD presented with fever and fatigue. She had a systolic ejection murmur with palpable thrill best heard at the second intercostal space. Echocardiographic findings included severe RV hypertrophy (1.7 cm thick), infundibular pulmonary obstruction, perimembranous VSD (1.4×0.6 cm), and mobile tricuspid valve echodensities (Figure 1). Blood cultures [...]

Case Presentation: 65-year-old man with a history of end stage renal disease on hemodialysis, hypertension, cervical spine stenosis status post surgical decompression presented with melena, a decreased appetite, dysphagia for solids and liquids, and a ninety-pound weight loss over the prior six months. He was admitted with acute hypoxic respiratory failure and stridor requiring endotracheal [...]