Case Presentation: Tuberculous peritonitis is a rare manifestation of extrapulmonary tuberculosis (TB) in the United States, accounting for approximately 6% of extrapulmonary cases and only a small fraction of total TB infections. We present a case of an immunocompetent young male whose acute abdomen with ascites initially suggested peritoneal carcinomatosis but was ultimately diagnosed as [...]

Case Presentation: A 78-year-old woman with hypertension and a prior intracranial aneurysm treated with coiling, presented after a syncopal episode at home. She experienced epigastric pain during a family meal, sat down, and briefly lost consciousness without trauma. She reported similar episodes earlier in the year, for which cardiac evaluation was unremarkable.On admission, vital signs [...]

Case Presentation: Our case features a 73-year-old male diagnosed with High-Risk IgG Lambda Multiple Myeloma (MM), initially treated with four cycles of bortezomib-lenalidomide-dexamethasone followed by daratumumab-dexamethasone in anticipation for stem cell transplant. However, his disease was refractory to treatment and continued to progress requiring fourth line treatment with teclistamab. Patient developed altered mental status (AMS) [...]

Case Presentation: A 75-year-old female with a past medical history of hypertension and hyperlipidemia presented with one month history of worsening gait instability, imbalance, and intermittent visual disturbances. Neurological examination showed absent vibration sensation in both feet, brisk reflexes with bilateral upgoing toes, and marked gait instability. An outpatient lumbar spine MRI was normal. CT [...]

Case Presentation: A 75-year-old woman with past medical history of hyperlipidemia and gastroesophageal reflux disease presented to the hospital in June 2025 after being found by her primary care provider to have a hemoglobin of 6.5 g/dL during routine evaluation. She endorsed progressive fatigue but denied hematemesis, melena, hematochezia, or abdominal pain. Laboratory studies confirmed [...]

Case Presentation: Acute anisocoria prompts urgent evaluation due to the risk of intracranial hemorrhage, aneurysmal compression of CN III, or ischemic stroke. However, pharmacologic and toxic causes of unilateral mydriasis can mimic these emergencies. Household cleaning agents, particularly those containing quaternary ammonium compounds, may cause pupillary dilation through inadvertent ocular exposure. This case demonstrates how [...]

Case Presentation: A 70-year-old male with past medical history of hypertension, history of cerebrovascular accident, hyperlipidemia, right carotid stenosis status post carotid endarterectomy, obesity, tobacco use, and chronic sinusitis presented with a 3-month history of intermittent facial discomfort, difficult nasal inhalation, productive cough, orthopnea, and an episode of gross painless hematuria 4 days prior to [...]

Case Presentation: 96 year old female with past medical history significant for hyperlipidemia and dementia who presented with altered mental status and hypoxia, admitted for acute hypoxic respiratory failure and septic shock. She denied fever, chills, nausea, vomiting, or weight loss. Laboratory evaluation revealed total bilirubin of 0.6 mg/dL, alkaline phosphatase of 184 U/L, and [...]

Case Presentation: A 51-year-old female with history of hypertension and systemic lupus erythematous and recent lupus flare presenting with headaches, bilateral hand numbness, and acute onset right sided tremors and weakness of face and hands. The patient also reported some hesitation in her speech which developed overnight. The neurological exam revealed a right facial droop [...]

Case Presentation: A 30-year-old Spanish-speaking male, initially emigrated from Guatemala over 10 years ago now homeless in Central Park with active HCV and severe alcohol use disorder, presented with 2-months of persistent frontal headache, subjective fevers, chills, and weight loss. Initial exam unremarkable except for a fever of 100.6°F, mild hyponatremia (132 mmol/L) and elevated [...]