Case Presentation: A 56-year-old male with end-stage renal disease on hemodialysis, hypertension, dyslipidemia (on atorvastatin), diabetes, and prior cerebrovascular accident without residual deficits presented with two months of progressive weakness, dysphagia, and polyarthralgia. The weakness led to recurrent falls and impaired mobility. Symptoms began in his left leg and gradually progressed to the right leg, [...]

Case Presentation: A man in his 20s without significant medical history presented to the hospital with painful pruritic petechial lower extremity rash and was found to have elevated creatinine and liver function tests (LFTs). He was treated for acalculous cholecystitis and suspected hemolytic uremic syndrome or post-streptococcal glomerulonephritis. His renal function improved, but his bilirubin [...]

Case Presentation: A 69-year-old male with history of iatrogenic pneumomediastinum after EGD (2 months prior) presented to the ED with 3 days of watery nonbloody diarrhea, vomiting, and fever up to 104°F. His Apple Watch alerted that his heart rate was 120 and O2 saturation 80%. He denied SOB or chest pain. In the ED, [...]

Case Presentation: A 57 y/o Caucasian woman with undifferentiated connective tissue disease (UCTD), hypertension, and hyperlipidemia, presented to the emergency department for worsening dyspnea and nasal congestion. She was diagnosed with COVID-19 and treated with Paxlovid. A week later, she developed chest and left upper quadrant abdominal pain that were unresponsive to antacids and pain [...]

Case Presentation: A 33 year old male with a history of hypoplastic left heart (treated by staged surgeries during infancy including the Fontan procedure at age 3), autism spectrum disorder, and intellectual/developmental disability presented to the emergency department (ED) with progressively worsening lower back pain that started 5 days prior to presentation. An outpatient screening [...]

Case Presentation: A 36-year-old female with GERD, H. pylori infection, and cholelithiasis post cholecystectomy was admitted with 1 month of progressive weakness, blurry vision, and pain limiting ambulation. She needed a rollator and assistance for transfers. She had a 60-lb weight loss with anorexia after the recent death of her father. Family noted odd behavior [...]

Case Presentation: A 38-year-old woman with a history of epidural giant cell tumor of the cervical spine (diagnosed 15 years prior to admission, in remission after C7-T1 corpectomy and fusion, chemotherapy and radiation) was admitted to the hospital with several months of progressive dysphagia. Endoscopic biopsy of a posterior cervical esophageal lesion demonstrated invasive squamous [...]

Case Presentation: A 60-year-old woman with history of trichotillomania and multiple psychiatric comorbidities presented with a full-thickness parietal scalp wound measuring 6.0 x 3.0 cm, with exposed calvarium. She reported persistent hair pulling behavior as the underlying cause. Previous attempts at surgical closure failed due to ongoing self-trauma from trichotillomania. On exam, the wound appeared [...]

Case Presentation: A 70-year-old man with a remote history of pulmonary tuberculosis presented with several days of abdominal pain, distention, constipation, and difficulty urinating. One week earlier, he developed a painful, erythematous vesicular rash on his abdomen and lower back, diagnosed as shingles involving the sacral dermatomes. He was treated with valacyclovir, nitrofurantoin, and gabapentin. [...]

Case Presentation: A 76-year-old male with past medical history of prostate cancer, hypertension, diabetes, chronic kidney disease, and COPD presented after an episode of dizziness leading to a near fall. The day prior to admission, he had multiple episodes of vomiting and poor oral intake. He also noted intermittent “shaking movements” involving his arms and [...]