Case Presentation: A 74-year-old female patient presented to the clinic with a decade-long history of severe joint pain in her hands, escalating weakness in her arms and legs, difficulty gripping or holding objects, dysphagia, impacting daily activities. Past medical history includes sicca complex and fibromyalgia, with a family history of her sister having rheumatoid arthritis. [...]

Case Presentation: A 46-year-old Guatemalan male with a past medical history of hypertension, type 2 diabetes mellitus, iron deficiency anemia, and chronic ethanol use presented with intermittent fevers, bright red blood per rectum, loose bowel movements, and significant unintentional weight loss. Physical examination revealed right upper quadrant tenderness and conjunctival pallor but was otherwise unremarkable. [...]

Case Presentation: A 56-year-old male with a past medical history of hypertension and diabetes presented to our gastroenterology clinic with dizziness, lightheadedness, and a feeling of being unwell since initiation of Losartan 3 months prior. Laboratory workup revealed normocytic anemia with a hemoglobin of 10.5 g/dL. He denied melena, hematochezia, abdominal pain, and changes in [...]

Case Presentation: A 19-year-old Mennonite male without significant past medical history who had not received any childhood vaccinations presented to the emergency department with left ear pain and neck rigidity for one week. The patient had a fever of 101°F with mastoid tenderness and left tympanic membrane rupture on physical exam. Computed tomography scan was [...]

Case Presentation: A 43-year-old male on peritoneal dialysis (PD) was admitted for nausea, vomiting, and abdominal pain. Ten days prior to admission, cloudy effluent was noted during PD, prompting initiation of empiric intraperitoneal vancomycin and ceftazidime therapy. He subsequently developed worsening symptoms leading to his presentation to the hospital.His past medical history was notable for [...]

Case Presentation: The patient is a complex patient with multiple hospitalizations. Prior to her hospital course her past medical history was notable for Roux-en-Y gastric bypass, alcohol abuse, and dilated cardiomyopathy with preserved EF. Patient original presentation was related to a perforated marginal ulcer requiring laparoscopic Graham patch. The ICU course was complicated by an [...]

Case Presentation: A 56-year-old man with PMH chronic kidney disease (CKD) stage II, adjustment disorder, methamphetamine (meth) abuse, last use 2 days before admission, presented with decreased urine output, “coffee-colored” urine, diffuse muscle pain, severe back pain, and fatigue for 1 day. Urine was positive for amphetamines, CPK 218,000 mcg/L, AST, and ALT were 1254 [...]

Case Presentation: A 70-year-old man visited our hospital for lower extremity edema and involuntary weight loss. A routine check-up at his diabetes clinic five months earlier revealed anemia and an increased inflammatory response. His medical history included hypertension, dyslipidemia, and type 2 diabetes. Computed tomography (CT), blood cultures, gastrointestinal endoscopy, and colonoscopy findings were unremarkable; [...]

Case Presentation: A 95-year-old man with hypertension, benign prostatic hyperplasia, irritable bowel syndrome, and a recent herpes zoster ophthalmicus infection presented to the emergency department (ED) with fevers. The patient had been well until 3 days prior, when he developed a temperature of 103°F followed by severe pain in the neck radiating to both shoulders. [...]

Case Presentation: A 42-year-old African woman with past medical history of anxiety, depression, hyperlipidemia and recent diagnosis of hypertension presented with two days of acute onset, severe, persistent, cramping mid-epigastric abdominal pain worse with eating and drinking. The pain was associated with nausea and non-bloody non-bilious emesis. The patient was initiated on lisinopril-hydrochlorothiazide two days [...]