Case Presentation: An 80-year-old male with a history of collagenous colitis, hypertension, type 2 diabetes, microcytic anemia, exocrine pancreatic insufficiency, severe malnutrition, and vitamin D deficiency presented with weakness, chronic diarrhea, and significant weight loss (~100 lbs in one year). He had 5-7 non-bloody stools daily, unresponsive to colestipol and loperamide, accompanied by abdominal bloating [...]

Case Presentation: A 40-year-old man with history of hyperlipidemia, type 2 diabetes mellitus, and alcohol-induced liver cirrhosis complicated by portal hypertension, ascites and esophageal varices presented with three weeks of epigastric abdominal pain, nausea, and vomiting. The Physical Exam was unremarkable. Lab results showed elevated Lipase 1854 U/L, Tbili 8.1 mg/dL, Dbili 5.5 mg/dL, ALT [...]

Case Presentation: A 41-year-old healthy male presented to emergency department with cough and shortness of breath. Shortness of breath and cough was gradually progressive over one week, worsening with exertion. Cough is dry with no known aggravating factor. He denied fever or wheezing. No history of active or passive cigarette smoking, sick contact, recent travel, [...]

Case Presentation: A 77-year-old man with spondylolisthesis, status post L4-S1 fusion surgery, presented for wound dehiscence and surgical site infection. He underwent incision and drainage with cultures growing S Epidermidis.  Given the patient’s medication allergies and intolerances, infectious diseases (ID) was consulted with plan for a 6-week course of daptomycin. Thirteen days into the treatment, [...]

Case Presentation: A 56-year-old M was admitted in Rhode Island with abdominal pain, malaise, and copious loose, bloody stools for 9 days after recurrent ED and outpatient visits for the same symptoms. His diarrhea had worsened despite outpatient amoxicillin-clavulanate, and he was sent back to the ED by GI due to hyponatremia (Na 129) and [...]

Case Presentation: A 24-year-old Hispanic male with morbid obesity, hypertension, hyperlipidemia, and class IV/V lupus nephritis on immunosuppressive therapy presented with a one-week history of progressive pain, erythema, and swelling in the lower abdomen and extremities. Symptoms included fever, shortness of breath, and diarrhea. Physical examination revealed a tender, erythematous rash with violaceous discoloration over [...]

Case Presentation: An 82-year-old female with history of dementia, hypertension, and diabetes, presented with nausea, 2 episodes of nonbilious vomiting, and generalized weakness for 1 day. She was hypotensive (73/52 mmHg) and hypoxic, requiring 4L nasal cannula oxygen to maintain saturations, but without any respiratory distress. Influenza and COVID testing was negative, but chest imaging [...]

Case Presentation: Valproic acid (VPA) is a widely-used medication in various neurological disorders. Although generally well-tolerated, we present a rare complication of VPA therapy inducing pancreatitis. A 49-year-old male with PMH of autism, epilepsy (on VPA), HTN and HLD presented to the ED with complaints of lethargy and pallor. He denied abdominal pain, fever, diarrhea, [...]

Case Presentation: A 48-year-old male with no significant past medical history presented with shortness of breath and midsternal chest pain after eating a bagel. Patient reported a globus sensation in his esophagus followed by multiple episodes of forceful retching prior to arrival. The patient denied a previous history of dysphagia or gastroesophageal reflux disease. In [...]

Case Presentation: A 67-year-old man with a history of chronic back pain from a motor vehicle accident (MVA) 20 years ago presented to his primary care provider for an annual visit in December 2023. He complained of persistent back pain. Lab work was unremarkable and an x-ray showed degenerative lumbar spine changes. The patient was [...]