Case Presentation: The patient is a 32-year-old female who presented with a five week history of chest pain that radiated to the left shoulder and back with associated chest wall bruising that resolved prior to presentation. Pain was 7/10 in intensity, worsened with deep inspiration, positional, and associated with mild dyspnea. Medical history includes rheumatoid [...]

Case Presentation: A 68-year-old Caucasian male with a history of hypertension, prediabetes (A1c 5.9), and chronic gout presented to the hospital with acute transient left-sided weakness and numbness. MRI confirmed a small acute CVA and CTA revealed complete occlusion of right internal carotid artery (ICA) and 75% stenosis of left ICA. Workup included a negative [...]

Case Presentation: A 61-year-old female with rheumatoid arthritis was hospitalized for expedited workup of memory loss and gait imbalance. Family reported a progressive memory loss over one year with a more acute decline in the past two months. Her symptoms included forgetting conversations and searching for her mother who passed away. Neurologic exam was notable [...]

Case Presentation: A 59-year-old female with a history of metabolic associated fatty liver disease, obstructive sleep apnea, recent cholecystectomy and gastroesophageal reflux disease presented to the emergency department with rigors, lethargy and R sided chest pain. Her presentation was notable for temperature to 101F and tachycardia. Lab work demonstrated no leukocytosis (WBC 7.7), elevated procalcitonin [...]

Case Presentation: A 58-year-old female with hypertension and end stage renal disease (ESRD) on hemodialysis was admitted with subacute dyspnea accompanied by abdominal pain and swelling. During a previous admission for similar symptoms three months prior, CT of the abdomen and pelvis revealed ascites and an adnexal mass measuring 8.6×5.2 cm. She was treated for [...]

Case Presentation: An 18-year-old female with no known past medical history presented to the emergency department with hematuria, chills, cough, and body aches lasting approximately one week. On admission, she was afebrile with stable vital signs. Laboratory findings revealed a normal white blood cell count of 6 × 10³/μL, normal creatinine of 0.6 mg/dL, elevated [...]

Case Presentation: 56 male with a history of hypertension, recurrent UTIs, and diverticulitis presented with 4 days of fever, chills, malaise, dizziness, and progressive dyspnea. He denied bowel changes, nausea, or vomiting. He was admitted for severe sepsis secondary to diverticulitis, with notable labs of lactic acidosis (3.8 mmol/L), AKI (creatinine 2.16 mg/dL), leukocytosis (17,400 [...]

Case Presentation: A 51-year-old female with a BRCA mutation and a history of prophylactic bilateral mastectomy presented with neuropsychiatric symptoms, including confusion, memory loss, and excessive sleep. Her medical history included hysterectomy and parotid tumor resection and a family history of various cancers, including prostate, lung, and lymphoma. Initial symptoms, including headaches and nasal congestion, [...]

Case Presentation: A 43-year-old African-American ex-smoker with a history of biopsy-proven multisystem sarcoidosis in remission, morbid obesity, and pulmonary hypertension presented with left lower quadrant pain and was found to have multiple ventral hernias containing bowel loops without any obstruction on CT scan, following which she was discharged with outpatient surgery follow-up. Prior to contrast [...]

Case Presentation: A 61-year-old female with a medical history of hypertension, type 2 diabetes, microscopic colitis, hyperlipidemia, and obesity presented with chronic diarrhea lasting two years. Her symptoms included frequent, clear, odorless stools, weakness, and muscle cramps. Despite multiple hospitalizations for hypokalemia and diarrhea, initially attributed to gastroenteritis, Ozempic side effects, or microscopic colitis, her [...]