Case Presentation: A 34 year old male presented with abdominal pain and bloating. Over the preceding three months, he developed right upper quadrant pain after eating. His symptoms progressed to diffuse abdominal pain, constipation, and exertional dyspnea. Physical exam showed bilateral 2+ pitting lower extremity edema and 3+ scrotal edema. Labs noted an aspartate aminotransferase [...]

Case Presentation: A 79 year old male with past medical history of COPD, Parkinson’s disease, HTN, hyperlipidemia, and GERD presented to a local hospital after an episode of acute chest pain lasting a few minutes. Further history revealed he had been having dyspnea with exertion for 2 months and had tried multiple rounds of steroids [...]

Case Presentation: A 75-year-old man presented to the emergency department (ED) at the request of Oncology after outpatient labs showed hypokalemia. Past medical history was notable for metastatic castrate-sensitive prostate cancer. He was on androgen-deprivation therapy (ADT) and had previously been prescribed abiraterone and prednisone, however both were recently stopped after an admission at another [...]

Case Presentation: A 47-year-old woman with rheumatoid arthritis on methotrexate presented with horizontal diplopia, dysarthria, unsteady gait, and leg weakness. Two days earlier, she went to an urgent care for 3 days of severe frontotemporal headaches and nausea, reporting a tick bite followed by targetoid rash on her inner thigh after hiking in Minnesota 3 [...]

Case Presentation: A 21-year-old transgender woman with sickle cell disease (SCD) presented with symptoms consistent with vaso-occlusive crisis. Her medical history was notable for tobacco use, depression, a lack of local social support, and inconsistent engagement with both hematologic and gender-affirming services. During hospitalization, a narrative interview helped clarify her goals, strengthen rapport, and uncover [...]

Case Presentation: Creutzfeldt-Jakob Disease (CJD) is a rare diagnosis with the global incidence estimated to be about 1-2 cases per million per year¹. Because rapidly progressive dementias (RPDs), including CJD, are rare, there is often a delay in diagnosis² which prevents preparation for end-of-life care for caregivers³. Early identification is important to help families and [...]

Case Presentation: A 77-year-old woman with type 2 diabetes, hypothyroidism, prior stroke with residual right sided weakness, and stage I mucinous adenocarcinoma of the left lung complicated by recurrence presented with one week of severe bilateral ptosis, fatigue, dysarthria and generalized weakness six weeks after initiation of nivolumab and ipilimumab for cancer recurrence. Patient denied [...]

Case Presentation: Here we present a 75-year-old African American female with hypertension, hyperlipidemia, and CML on dasatinib with recurrent resting chest pain. Upon initial presentation, she described the pain which woke her from sleep as left-sided pressure, radiating down her left arm, and not relieved by nitroglycerin. Her exam was as follows: BP 166/78 mmHg, [...]

Case Presentation: A 47-year-old male with a history of heart failure with reduced ejection fraction, hypertension, and type 2 diabetes mellitus presented with acute, left-sided weakness. On arrival, his blood pressure was markedly elevated at 206/110 mmHg, and capillary blood glucose exceeded 500 mg/dL. EKG demonstrated atrial fibrillation (AF). Brain MRI confirmed multifocal acute infarcts, [...]

Case Presentation: A 36-year-old woman, a missionary from Papua New Guinea with a history of nonalcoholic hepatic steatosis, presented with new-onset abdominal pain, early satiety, and progressive abdominal distension. She denied alcohol, tobacco, or drug use and had no prior malignancy screening. Physical examination revealed a protuberant abdomen with a fluid wave but no lymphadenopathy. [...]