Case Presentation: A 74-year-old female with MASH cirrhosis presented to a local hospital with blood-tinged drainage from her umbilical hernia. Patient endorsed frequent large volume paracenteses (LVP) with 10-15 liters removal every 2 weeks for recurrent ascites refractory to diuretic therapy. The frequency increased to weekly LVP with 6-7 liters per session. CTAP showed liver [...]

Case Presentation: A 61-year-old woman with a history of RA (on methotrexate and adalimumab) and latent TB (previously treated with Rifampin in 2023), presented with a three-month history of cough and shortness of breath. Imaging revealed bilateral pleural effusions and hypodense lesions in the spleen. Thoracentesis was performed, with pleural fluid analysis revealing a lymphocytic [...]

Case Presentation: An 89-year-old female with a history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, and prior left atrial appendage occlusion (Watchman) presented with altered mental status and generalized weakness. On admission, she required intensive care unit (ICU) support, including vasopressors and BiPAP for acute respiratory failure and septic shock. She briefly [...]

Case Presentation: 85-year-old male with a history of hypertension, hyperlipidemia, coronary artery disease, and advanced dementia presented to the hospital with altered mental status and right-sided weakness and, was found to have left-sided acute on chronic subdural hematoma of the left frontal lobe and underwent a craniotomy and clot evacuation surgery. During the hospitalization, the [...]

Case Presentation: A 77-year-old man with a history of atrial fibrillation presented to the emergency department due to increased erythema, swelling, and tenderness of his left elbow and foot. He had associated fever and altered mental status. These symptoms had progressed despite outpatient use of oral cephalexin initiated for cellulitis. A week prior to admission, [...]

Case Presentation: A 41-year-old man with end-stage renal disease (ESRD), hypertension, hyperlipidemia, and hepatitis B-induced liver cirrhosis was evaluated after a computed tomography (CT) scan of his abdomen revealed an unexpected finding of cardiomegaly with moderate to large pericardial effusion. Subsequent transthoracic echocardiograms revealed moderate pericardial effusion without tamponade physiology but with increased interventricular septal [...]

Case Presentation: The patient was a 61-year-old female with a medical history of hypertension, type II diabetes mellitus, and uterine carcinosarcoma with peritoneal carcinomatosis, and ascites who initially presented with abdominal pain and shortness of breath. Admission labs were significant for a white cell count of 15.6 and lactic acid of 2.6. Sepsis workup was [...]

Case Presentation: A 21-year-old woman presented to the emergency department with 1 month of worsening bilateral foot pain, swelling, and erythema. Her symptoms began shortly after a trip to Arizona, where she spent several days hiking and reported use of a strong massage gun on her feet for hours at a time. She was evaluated [...]

Case Presentation: A 44-year-old African American male with a medical history of human immunodeficiency virus (HIV) and chronic kidney disease (CKD) presented to the hospital with nonspecific complaints, including flank pain. Initial laboratory tests and imaging studies confirmed a diagnosis of nephrolithiasis and acute kidney injury with concomitant hypercalcemia. The patient was hospitalized and treated [...]

Case Presentation: A 60-year-old man with a history of peptic ulcer disease presented to the emergency room with a two-month history of sharp right lower quadrant abdominal pain that worsened with oral intake, nausea, vomiting, an unintentional 25-pound weight loss, and occasional hematochezia. He denied regular NSAID use, melena, early satiety, heartburn, odynophagia, or dysphagia. [...]