Case Presentation: A 31-year-old man with a history of alcohol use disorder (AUD) and recent pancreatitis presented with epigastric pain, nausea, vomiting and migratory joint pain. His initial pancreatitis episode was about 12 weeks prior, with CT and MRCP demonstrating necrotizing pancreatitis. He improved with supportive care but returned 30 days later with acute elbow [...]

Case Presentation: A 41-year-old female with attention-deficit hyperactivity disorder and chronic back pain presented to the hospital with two weeks of progressive jaundice, scleral icterus, clay-colored stools, and dark urine. She had traveled to New Orleans two weeks prior to her presentation, where she reported engaging in two days of heavy alcohol consumption followed by [...]

Case Presentation: A 56-year-old post-menopausal female with no prior medical history presented to the ED with two days of substernal chest pain radiating to the left shoulder, worsened 1-2 hours prior, and associated with fatigue. Two days earlier, she experienced significant emotional stress during a custody-related phone call, during which her husband observed her becoming [...]

Case Presentation: A previously healthy 59-year-old male with newly-diagnosed hypertension and prediabetes presented to the emergency department following an unwitnessed syncopal episode on standing. He was found to have significant electrolyte abnormalities with critical values of potassium at 2.5, magnesium at 1.4, calcium at 6.3, phosphorus at 1.8, and a nonanion gap metabolic acidosis with [...]

Case Presentation: A 37-year-old female presented to urgent care for one month of bloody bowel movements, approximately 30 each day with accompanying tenesmus, night time accidents, urgency, mild weight loss, and some fatigue. She had no extra-intestinal inflammatory bowel disease (IBD) symptoms, recent travel, antibiotic use, or dietary changes. The labs obtained during the urgent [...]

Case Presentation: This patient was a previously healthy 33-year-old Native American female that had initially presented to urgent care with right-sided facial weakness and was prescribed steroids and valacyclovir. Two days later, she began to develop left-sided facial weakness despite treatment. Over the course of the next five days, the patient experienced worsening bilateral facial [...]

Case Presentation: A 37-year-old woman from Ghana presented to the hospital with a week duration of myalgias, right-sided neck pain, and right-sided neck swelling that she noticed three days before the admission. Physical examination was only positive for non-pulsatile, mobile swelling in the right anterior lower neck along the sternocleidomastoid. Labs were unremarkable, except for [...]

Case Presentation: A 51-year-old female with history of mitral valve prolapse, uterine cysts presented as a transfer from an OSH for evaluation of a right atrium (RA) and IVC clot vs tumor. She was admitted after screening echocardiogram (echo) showed possible clot in the RA. CT PE demonstrated possible mass vs multiple clots from the [...]

Case Presentation: This abstract highlights Chagas Cardiomyopathy (CCM) and aims to elucidate key features and improve understanding and patient outcomes.A 49-year-old Honduran male with a two-year history of HFrEF (EF 25-30%) secondary to non-ischemic cardiomyopathy of unknown etiology and prior embolic stroke presented with nine days of worsening dyspnea, palpitations, and RUQ pain despite GDMT [...]

Case Presentation: A 76-year-old woman presented with right flank pain and intermittent painless hematuria. Exam was unremarkable. Labs revealed a Cr of 2.35 mg/dL (0.50 – 1.20 mg/dL), BUN 54mg/dL (6.0 – 23.0 mg/dL), and urinalysis with 229 RBCs and >300 protein, but no casts. CT showed bilateral renal nephrolithiasis without hydronephrosis and a distended [...]